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Home My WebLink About11-12122 CITY OF ZEPHYRHILLS 5335 - 8TH STREET f (si3) �so-oo20 12122 ANNUAL ASSEMBLY PERMIT Permit Number: 12122 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: 7/14/2011 Name: SLEEPY HOLLOW Total Fees: 50.00 Address: 6616 WIRE RD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/14/2011 Phone: Work Desc: PLACES OF ASSEMBLY- SLEEPY HOLLOW MP RV1 REC. HALL EXP 7/2012 5. l �-/� �1� S' �� r ,�, - ina 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 si 3aeo-oozo City ofZephyrhillsFir�-: -�. •�.. �� Fax-a�saso-ooz� Pertnit Application Date Received ,- Pfmrie ConfactforPermft :� dwner's Name 1�t� � b 1�. E/(�L .� S Dwnet's Phone Number F5 �� /� oc � 1 � Owners Address ��, � 1�t� 11 `J 1 t1 V�l1 U..Q_. " �1 1' f i� F� �J 3Jy'a� Fee Simpia"titleholder Neme Titleholder Phone Number � C] � Fee Simple?itleholder Address '� �A a��s5 �c�� r� P�, %� 33S4a �v � s�QE� r+ �o° �� 5ub Division Parael # � Bio-Hazard Waste 5torage -�ANNUAL o Fumigatlon Tent � Comm Fxhaust I�tchen HaodlDuct • � Naiardous Material (7ier 11 or RQ Facifity) ANNUAL � Controlied Bum a Hood InsiailaUon � Emerganay Generator < 30 kw � LP1Natural Gas-Insiall88on � Emergency Generator> 30 kw � LPfNatutal Gas-ANNUAL 5afe Fire Protecbon Poiairrtenance - APINUAL Q Places of Assembiy-ANNUAL �,?j �� 0� � � 5prinider n ❑ ❑ p� � Rscreational Bum Fire Alarm � O ❑ ❑ � � �5pariders Hood Cleaning � ❑ p p� � Sprinlder5yst�m Irstaliations Hoad Suppression � p ❑ p� � Standpipes (Sprinkler Sys) � Fre Alartn InstailaUon � Torch Roaflng/Tar Kattla Fre Pumps � Waste Tire Storage ANNUAL Fite Works Flammable Applica6on-ANNUAL Valuafion of Project Fuel Tanks Q Other: Contractor A i �pmPa Sigriature �4 R�istered Y! N Fee Current Y/ N Address � V�� # ELECTRiC1AN " � �� Si9�� Registered Y/ N Fee Cument Y/ N Add2ss License # PLUMBER �� Signature Reyistered Y/ N• Fee Cument Y/ N Address ' License # MECNANIC � — S�9� Rcyistered Y/ N Fee currern Y/ N Address LicensQ # OTHER � Sig�ature • Registered Y/ N. Foe Currerrt Y! N Addiess / License # _ _ _--- D�rections. – Fil out applieation completely. Owner & Coritractar sign badc of aPPUcaUon. nofari¢ed (Or. eopy of signed conbact wRh rnmer) if o�r $2500, a Alotice ot Cortunencemerrt is required.(Mechanical vwork over 55000) S�PP�Y two (2) sets of drawings with appllcable docume�tion Aliow 10-�4 days for review after submttta! date. Par�et #- obtained fmm Pcopecty Tax Notice {httpJ/appraiser.paseogov.com)