HomeMy WebLinkAbout13-14265 CITY OF ZEPHYRHILLS
5335-8TH STREET
< (813)780-0020 14255
ANNUAL ASSEMBLY PERMIT '
Permit Number: 14265 Address: 38634 HWY 54 EAST
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:
Improv. Cost:
Date Issued: 6/10/2013 Name: FAITH BAPTIST CHURCH
Total Fees: 50.00 Address: 38634 HWY 54 EAST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/10/2013 Phone:
Work Desc: PLACES OF ASSEMBLY- FAITH BAPTIST CHURCH- EXP 7/2014
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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
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PERMfT OFFICE
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, tephyrhills, FL 33542
s�saao-oo2o City of.Zephyrhilis Fire Fax-813-780-0021
Permit Application
Date Received � Phone Contact for Permit
Owner's Name /"�i-/J'/yr ,' ��C/�,Sr%' �'ly/f{�1�� f ���e pN,ner's Phone Number � •7 �, Q' p �
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Owner's Address ��1n 3 f{u,/ �I�G,�.�ST ��� �L�1L�ss ,�C ���1L�
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Fee Simple TiUeholder Name ' Titleholder Phone Number �� � ��
Fee Simple Titleholder Address
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Job Address ����7" /��W 7 J ��/�f.�% 2 L^/p� Y/��i7 �t.�.U Y"�[� ���� Lot# �
Sub Division Parcel#
a Bio-Hazard Waste Storage-ANNUA� � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Comm Exhaust Kitchen HoodlDuct � Hood Installation
� Controiled Bum � LP/Natural Gas-Installation
� Emergency Generator<30 kw LP/Natural Gas-ANNUAL Sale �-�~�
� Emergency Generator>30 kw Places ofAssembly-ANNUAL
� Fire Protection Maintenance-ANNUAL Recreational Bum -
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Sprinkler ❑ ❑ ❑ Sparklers QG
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Fire Alarm ❑ ❑ O Sprinkler System Installations 1
Hood Cleaning � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) l,�
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Hood Suppression O ❑ ❑ ?orch Roofing/Tar Kettle Q�
� Fire Alarm Instailation � Waste Tire 5torage ANNUAL � ^/ �
� Fire Pumps �j � GtP
� Fire Works ��'
� Flammable Application-ANNUAL r—�-1 Valuation of Project
� Fuel Tanks
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Contractor Company
Signature i C{Jqf Registered Y N Fee rre t Y/M—
Address
License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address
License#
PLUMBER � ._ ' Company
Signature Registered Y/N Fee Current Y/N
Address
License#
MECHANICAL
Signature
Company
� Registered Y/N Fee Current Y/N
Address
License#
OTHER
Signature
Company
Registered Y/N Fee Current Y/N
Address
License#
Directions: ,
Fill out application completeiy
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Suppiy two(2)sets of drawings with applicable documentation
Allow 10-1q days for review after submittal date. Parcel#-obtained from Property Tax Notice htt ://a
( p ppraiser.pascogov.com)