HomeMy WebLinkAbout10-10708 CITY OF ZEPHYRHILLS / --
5335 - 8TH STREET
(813) 780 -0020 10708
ANNUAL ASSEMBLY PERMIT
Permit Number: 10708 Address: 38741 CR 54'2A
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: ZEPHYRHILLS COLONY
Est. Value: Parcel Number: 02- 26 -21- 0010 - 05000 -0030
Improv. Cost: 177 ° 7F,
Date Issued: 7/12/2010 Name: SLEEPY HOLLOW MOBILE ESTATE INC
Total Fees: 50.00 Address: 38615 LANSING AVE
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/12/2010 Phone: (573)253 -9799
Work Desc: PLASCES OF ASSEMBLY- RV #2 SLEEPY HOLLOW - RECREATION HALL EXP 7/11
- = Ml 50.00
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FI- 1 I' P 1 - final
OCCUPANCY LOAD:
Occupancy by more than the number of persons above shall be considered
dangerous and unlawful. Occupant Toad 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 ofZephyrhilisFii ':-- c' Fax- 813 - 780-0021
Permit Application
Date Received 1 Phone Contact•for Permit
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Owner's Name 1 SSteVy /10110 m ob tie. E - - t -e s l Owner's Phone Number .- 1 _. _ 1
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Owner's Address 138/9 l.cinsing 110e.nat - 24.0-1$1 hi 115 FL- 33S -a
Fee SimpleTitleholder Name , Titleholder Phone Number
Fee Simple Titleholder Address , I
Job Address v-\fa 13 O t-I- I R (.1 E - 2_e_pb h I'/.5 FL_ 33 5 7Z Lot #
Sub Division J ! Parcel #
l l Bio-Hazard Waste Storage —ANNUAL n Fumigation Tent
1 Comm Exhaust Kitchen Hood/Duct r 1 Hazardous Material (Tier II or RQ Facility) ANNUAL
I — I Controlled Bum I Hood Installation
IT Emergency Generator < 30 kw I LP/Natural Gas - Installation
I I Emergency Generator> 30 kw I LP/Natural Gas-ANNUAL Sale
n Are Protection Maintenance - ANNUAL - I 1 I Places of Assembly ANNUAL
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Sprinkler ED ❑ ❑ ❑ D Recreational Bum
Fire Alarm E ❑ ❑ ❑ I I I I .Sparlders
Hood Cleaning El ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Suppression El ❑ ❑ ❑ .) I n Standpipes (Sprinkler Sys)
I — I Fire Alarm Installation n Torch Roofing/Tar Kettle
NI Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application - ANNUAL I Valuation of Project
Fuel Tanks
Q Other. I
Contractor /1 [ Company
Signature V� / ; - �j - - - , � . Registered Y / N . I Fee Current ' Y / N
Address 1 I — License # I
ELECTRICIAN Company
Signature Registered Y / N I Fee Current I Y / N 1
Address I I License #
PLUMBER Company
Signature Registered Y / N- J Fee Current I Y / N I
. Address I '
I License # ) I
MECHANICAL Company
Signature .. Registered Y / N J Fee Current I Y / N I
Address I I -License #
OTHER Company
Signature Registered Y/ N. I Fee Current I Y/ N J
Address
Directions: canes
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.(Mechanicai 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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