HomeMy WebLinkAbout10-10707 CITY OF ZEPHYRHILLS ✓�
5335 - 8TH STREET
(813) 780 -0020 10707
.ANNUAL ASSEMBLY PERMIT
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Permit Number: 10707 Address: 6616 WIRE RD
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: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02- 26 -21- 0010 - 04500 -0000
Improv. Cost:
Date Issued: 7/12/2010 Name: SLEEPY HOLLOW 8
Total Fees: 50.00 Address: 6616 WIRE RD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/12/2010 Phone:
Work Desc: PLACES OF ASSEMBLY- SLEEPY HOLLOW RV 1- RECREATION HALL EXP 7/11
R P I 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 ZephyrhillsFire:�:-
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Fax- 813 780 0021
Permit Application
Date Received r. Phone Contact Permit
Owner's Name , Skp1 )101100 mob1k.. E' 1 ±t S Owner's Phone Number
Owner's Address 38L S l ansirig Al e.nuL - 2phkl- ) l) FL 3351-2
Fee SimpleTitleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address F'V' (Qii9l(0 LtOi(Q. R , 7.eph )nJk TL 335'J2, Lot#
Sub Division I Parcel #
fl Bio-Hazard Waste Storage - ANNUAL fl Fumigation Tent
I I Comm Exhaust Kitchen Hood/Duct • IT Hazardous Material (Tier I1 or RQ Facility) ANNUAL
El Controlled Bum I Hood Installation
I - I Emergency Generator < 30 kw I LP/Natural Gas - Installation
I - I Emergency Generator> 30 kw = LP/Natural Gas - ANNUAL Saie
17 Fire Protection Maintenance - ANNUAL - l ► i Places of Assembly - ANNUAL
tun Ibemi I 1741T1 utner
Sprinkler ID ❑ ❑ ❑ n Recreational Bum
Fire Alarm n ❑ ❑ ❑ I I . n Sparklers
Hood Cleaning n ❑ ❑ ❑ I I n SpdnklerSystem Installations
Hood Suppression El ❑ ❑ ❑ .1 I ( I Standpipes (Sprinkler Sys)
1 - I Fire Alarm Installation I Torch Roofing/Tar Kettle
Fire Pumps F Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL ) , Valuation of Project
Fuel Tanks
Q Other: I
Contractor Company
Signature -) Registered Y/ N 1 Fee Current I Y/ N J
Address I ( 1 License # I
ELECTRICIAN • Company
Signature Registered Y/ N J Fee Current I Y/ N
Address I I , License # I
PLUMBER Company
Signature Registered Y/ N j Fee Current I Y/ N I
Address I I License #
MECHANICAL Company
Signature Registered Y / N 1 Fee Current I Y / N I
Address 1 I .License # I
OTHER Company
Signature Registered Y / N . 1 Fee Current 1 Y / N
Address
- 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. Parcel #- obtained from Property Tax Notice (httpJ /appraiser.pascogov.com)
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