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Home My WebLink About09-9547 CITY OF ZEPHYRHILLS 5335 - 8T1 STREET (813) 780 -0020 9547 ANNUAL ASSEMBLY PERMIT �.. Permit Number: 9547 Address: 38545 5TH AVE HISTORIC Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE - PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 15100 -0140 Improv. Cost: .............. - ,�a Date Issued: 9/15/2009 Name: CITY OF ZEPHYRHILLS Total Fees: 50.00 Address: 38545 5TH AVE - HISTORIC Amount Paid: 50.00 (A)44 ZEPHYRHILLS, FL. 33542 Date Paid: 9/15/2009 Phone: Work Desc: PLACES OF ASSEMBLY- WOMEN'S CLUB -FEE WAIVED f x a °n ` y fs 4?� �' .:: • r ys .. ,a7, . .. E $ ' FIRE PERM T FEE 50.00 It• _x-e°e _ a 1 . nJ.ea E , ... €: s s p a a FIRE SITE INSPEG -Final OCCUPANCY LOAD: Occupancy by more than the number of persons above shall be considered dangerous and unlawful. Occupant load determined by Florida Fire Prevention Code, NFPA101, Section 7.3.1.2 FIRE MARSHAL OFFICE: 813 - 780 -0041 • 4 I � IC R PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT — 6907 Dairy Rd, Zephyrhills, FL 33542 813 -780 -0020 City of Zephyrhills Fire Fax- 813-780 -0021 Permit Application Date Received j Phone Contact for Permit Owner's Name dd `S e Owner's Phone Number Owner's Address 3.15 9S 6 -41 /4 /1 %c: Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address 1 I Job Address 33 /4d/ - Lot# Sub Division Parcel # F. . ,. M .. a.. s. , . m s, a. .. ,. a '.,.y WFAXIO a' . , W., . . .= v ,,,,.. 2 Z•ziAT W<;N: nom. �. .:'.: ,W U .. :.•.., _ -.�.. , .. a , m.a. , � <, , wm .. ... � . ..... gt +.: �........ n Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum I 1 Hood Installation n Emergency Generator < 30 kw I LP /Natural Gas - Installation n Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale n Fire Protection Maintenance - ANNUAL I f/ Places of Assembly- ANNUAL lUtrlyl (Semi' Fir 1 Other Sprinkler n ❑ ❑ ❑ 1 Recreational Bum Fire Alarm n ❑ ❑ ❑ I I I I Sparklers Hood Cleaning E ❑ ❑ ❑ I 1 n Sprinkler System Installations Hood Suppression n ❑ ❑ ❑ I I Standpipes (Sprinkler Sys) n Fire Alarm Installation n Torch Roofing/Tar Kettle n Fire Pumps n Waste Tire Storage ANNUAL n Fire Works n Flammable Application- ANNUAL 1 I Valuation of Project n Fuel Tanks n Other: 1 .r :.:1efi Ea .pia. inizuMEMWism -'' sa,w k M,f.w..,.>W,2 sgE,::g.60a _. Uk,.,.,.:aAiM :iaZ,a.I saE.a' A..» ....E. a in ..,._.......e... Signature Contractor 1 ",�, r, � I Company Signature � �/ Registered Y / N j Fee Current 1 Y / N j Address I I License # ELECTRICIAN Company I Signature Registered Y/ N I Fee Current 1 Y / N, Address I I License # I PLUMBER Company Signature Registered Y/ N Fee Current I Y / N Address 1 I License # I I MECHANICAL Company I Signature Registered Y/ N Fee Current I Y/ N I Address I I License # I OTHER Company I Signature Registered Y/ N l Fee Current I Y/ N I Address I License # Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10 -14 days for review after submittal date. 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