HomeMy WebLinkAbout11-11976 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
� (sis) �so-oozo 11976
ANNUAL ASSEMBLY PERMIT
Permit Number: 11976 Address: 38620 LANSING AVE
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: 02-26-21-0260-04500-0000
Improv. Cost:
Date Issued: 6/09/2011 Name: SLEEPY HOLLOW
Total Fees: 50.00 Address: 38620 LANSING AVE
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/09/2011 Phone:
Work Desc: PLACE OF ASSEMBLY SLEEPY HOLLOW CLUBHOUSE EXP 6/2012
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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
s�3-�ao-oo2o City ofZephyrhillsFi�:- _•. Fax-sisaso-oo2�
` ?emtit App(ication
Date Received -' Phone Cordactfor Pertnit
, O�mer'sName bt� �b1 � �S1Q .�S Ownet'sPhoaeNumber � � �
OwnersAddress 38c�ao h.Vt11' 1�-Q�r11�� ` �'1 1�� F� 3��'a�
Fee SimpleTiUeholder t�tame Tideholder Phrone Numbe� C] ��
Fee Simple'titleholder Addrsss
Job Address Lot# C
Sub Dirision Pa�el #
� Bio-Fiazarcl Waste Storage -�ANNUAL � Fumigation Tent
� Comm Exhaust Kltchen HoodJDuct • ����� ��I (Tier II or RQ Facility) ANNUAL
a Co�olled Bum � Nood Ir�taiMatlon
� Emergency Ge�rator < 30 kw � LPMatural Gas-Insiallafion
� Emergency Generator> 3U kw � LP/Natu21 Gas-ANNUAL Saie
� Fire Protection MainGenance - ANNUAL Q p�� °� �����
� emi �n er
5prinkler � ❑ ❑ ❑ Recreational Bum
Frs Alartn � ❑ ❑ O C� � �5patlders
Hood Cleaning � D ❑ ❑ C� � Sp�inklerSystem Instaliations
Hood Suppression � ❑ 0 O�� ���PiP� (Sprinkler Sys)
� Fire Aiartn Installatlon � Torch RootinglTar Kattle
�� P � Weste lite Storage ANNUAL
Fre Works
Flammable Application- ANNUAL Valuation of Project
FuelTanks
� Other.
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cor�oco� � , , ��m
Signature Reyistered Y/ N Fee Current Y/ N
Address l.icense #
ELECTRICIAN � COmparn -
Signature Registered Y I N Fea C.tirrerrt Y/ N
Address , Lie:ense #
PLUMBER COm�^Y
s� Reyistered _ Y/ N� Fee CuRern Y/ N
Address ' license #
MECtiANICAL Company
signature � Registered Y/ N Fee Currerrt Y/ N
Address License #
OTHER �p�
signature Registe�nd Y/ N• Fae Gurrant Y/ N
Address License #
Directioru: �
FiU out appfleation eompletefy.
Owner & Coritrador sign back of application. mtar¢ed (Or. copy af signed contraet with owner}
Ifi over 52500. a Notice of Cort�mencemerrt is required.(Mechardcal work over 55000)
suaplr two (2) sata af arawira�s wla, appiicable da«,mer�n
Ailow '1 Q14 days for review aRer subrt�tal date. Paroel #- obtained from Properiy Tax Notice (fitlpJlapprai�.pascogov.com)