HomeMy WebLinkAbout09-9436 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9436
ANNUAL ASSEMBLY PERMIT
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Permit Number: 9436 Address: 5510 19TH ST
Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL.
Class of Work: FIRE - PLACES OF ASSEMBLY Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 14300 -0000
Improv. Cost: 5� .... x.., y = '* :1
Date Issued: 8/17/2009 Name: FIRST PREBRYTERIAN CHURCH OF Z
Total Fees: 50.00 Address: 5510 19TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)782 -7412
Work Desc: PLACES OF ASSEMBLY FOR FIRST PRESBYTERIAN CHURCH
-
I`E PERM ES 50.00
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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
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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 l Phone Contact for Permit I 1
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Owner's Name V / ' s7 C'(5 ''7 I »*% ( / /(Z � Owner's Phone Number
Owner's Address tV . , j16 / `i
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address I I
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Job Address ( -- 55/b /' 7X � '1- Lot #
Sub Division Parcel #
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n Bio- Hazard Waste Storage - ANNUAL I 1 Fumigation Tent
FT Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Bum n Hood Installation
FT Emergency Generator < 30 kw I I LP /Natural Gas - Installation
El Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale
II Fire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL
F..ttrly) )semi ) FT1 Other
Sprinkler n ❑ ❑ ❑ n Recreational Bum
Fire Alarm n ❑ ❑ ❑ I I n Sparklers
Hood Cleaning n ❑ ❑ ❑ I I I I Sprinkler System Installations
Hood Suppression n ❑ ❑ ❑ I n Standpipes (Sprinkler Sys)
I - 1 Fire Alarm Installation 1 I Torch Roofing/Tar Kettle
FR nl Fire Pump
Waste Tire Storage ANNUAL
Fire Works
I Flammable Application- ANNUAL ( ' Valuation of Project
n Fuel Tanks
Ti Other: I
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Contractor ' ^ k Company r a Signature (/ '' ' �/ I . � .
�
��J t � � ` • _ Registered Y / N Fee Current Y / N
Address I I License #
ELECTRICIAN Company I
Signature Registered Y / N _I Fee Current 1 Y / N
Address ( I License #
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y / N
Address I I License # I
MECHANICAL Company I
Signature Registered Y / N I Fee Current I Y/ N I
Address I 1 License # I
OTHER Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address 1 License #
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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. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)
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