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12-13260
CITY OF ZEPHYRHILLS _ 5335-8TH STREET (813)780-0020 13260 ANNUAL ASSEMBLY PERMIT Permit Number: 13260 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: Seation: Square Feet: Subdivision: ZEPHYRHILLS COLONY Est. Value: Parcel Number: 02-26-21-0010-05000-0030 Improv. Cost: Date Issued: 7/18/2012 Name: SLEEPY HOLLOW MOBILE ESTATE INC Total Fees: 50.00 Address: 38615 LANSING AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/18/2012 Phone: (573 253-9799 Work Desc: PLACES OF ASSEMBLY- SLEEPY HOLLOW RV 2 EXP 7/2013 �� � , � / � , /� � - 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, NFPAlOi, Section 7. .1.2 • � PERMIT OFFICER 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�?�?ao-oo2o City of ZephyrhillsFr�::�'=•==� �ax.8�3..7ao-ooz� Permit App(ication Oate Recelved . 'Pt�orie Contachfor Permft Owner's Name t+t) �b) ES/Q� .2.S Owner's Phone Nwnber ��' �poc � �� Ownsrs Addtess ��{,�_ �A Yl`�J 1 rl V.Q.tI(�� ` j'i f�� F L- 33Sµo! Fea SimpleTitlaholder Neme Tilleholder Pha�e Number � � C Fee Simple'Iitiehulder Address �-`�` � � ��a �� c� s � . � -e �, i ' FL 33S Z Cs� �)I�w ��� C �Fr�4ddress Sub Division Parc:el# � H3o-Hazard Waste Storage-ANNUAL � Furniga8on T�t a Comm Exheust I�tchen HoodlDuct • � Hazardous Material(Cer II or RQ Facility]ANNUAL QConholled Bum - � Hood InsteNation � Emergency Generator<30 kw � LP/NaWral Gas-InstallaUon � Emergancy Gen�ator>30 kw � LPflaatural Gas-ANNUAt Saie � Fire Protection I�ir�tenance-ANNUAL • � -P�ces of Asse�nbly ANNUAL � �'� ° � 3Z(p a 5prtnlder D ❑ 0 O a R�tio��91an -�'r` l Fire Alaem � ❑ C3 ❑ �- � 5parklers Hood Cleanirtg � O O ❑ � � SpdnlderSystem tnstalhations Hood Suppreasion � O D D • o S1andPIPeR(Sprinkler SYs) � Fire Alartn tnstapation � Torch Roo�glTar Kedle Fre p�mps � Waste 7fte Storage ANNUAL Fire Works Flammabfe Appl�ation-ANMUAL � Valuation of Project Fuel Tanks Q Other. contractor �''�• Comparry Sigrnaiure ' G:eC�GL�/ Registe►ed Y/N Fee Gmerrt Y/N Address License# FlEC1'RICIAN � Company signature � Rsgistered Y!N Fee Cwrrent Y/N Address Lh:ense# PLUMBER Company signawre r�egism�ed Y/N�Curtenc—�Y/N�— Address ' License# MECHANI Company 5ignatwe � Reg� Y/N Fee Currerd Y-/N �— Add�ess -Li�nse# OTF'�ER '. C�nY Sig�aWr� Registered Y!N . Fee Curtent� Y/N ndd� r uc�# �� - ai��uuons: _ . FI�o�n appscaHw,comp�ately. Owner�Contrador sign badc of aPP�iceFicn.�ata�zed(Ur.coPY of sigrred cnntract wtfh ovmer) tf over 52500,a Modce af Cortut�rt�entis req�dred.(Me�heNcal work over S50D0) SuPP�Y�(2)ssts of diawings wi8�applicable doc�anardation Allow 10-14 cisy,for review af�r St�bmiCal dHffi. Paroal#-obtained ftCm Property T3x Notice{hUp:llsPP��-�9�-�)