HomeMy WebLinkAbout11-11592 , CITY OF ZEPHYRHILLS ✓
, 5335 - 8TH STREET
(s13) �so-oo20 11592
ANNUAL ASSEMBLY PERMIT
Permit Number: 11592 Address: 5034 18TH ST
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: 11-26-21-0010-21500-0260
Improv. Cost:
Date Issued: 3/03/2011 Name: LIL STAR LEARNING CENTER
Total Fees: 50.00 Address: 5034 18TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/03/2011 Phone:
Work Desc: PLACES OF ASSEMBLY- LIL STARS LEARNING CENTER- EXP 3/2012
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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
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 �-� Phone Contact for Pertnit ���
Owner's Name � � �.+ZQI'Zl/� � -'� �--� Owner's Phone Number ���
Owner's Address � ��J �l ` � +� S �
Fee Simple Titleholder Name Titleholder Phone Number ���
Fee Simple Titlehoider Address
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Job Address Lot # �
Sub Division Parcel #
� Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator < 30 kw � LP/Natural Gas-Installation
� Emergency Generator> 30 kw � LPMatural Gas-ANNUAL Sale
� Fire Protection Maintenance - ANNUAL Places of Assembly-ANNUAL
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Sprinkler � ❑ ❑ ❑ � Recreational Bum
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations �J �-1 � �
Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) (� I
� Fire Alarm Installation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Appiication- ANNUAL �-� Valuation of Project
� Fuel Tanks
Q Other:
Contractor [`-�--��- Company
Signature � " Registered Y/ N Fee Current Y/ N
Address License #
ELECTRICIAN Company
Signature � Registered Y/ N Fee Current Y/ N
Address License #
PIUMBER Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
MECHANICA Company
Signature Registered Y/ N Fee Current Y/ N
Address License #
OTHER Company
Signature Registered Y/ N Fee Cument 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 woric 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)