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13-14319
_ _ CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 14319 ANNUAL ASSEMBLY PERMIT Permit Number: 14319 Address: 38615 LANSING AVE Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: MOBILE HOME PARK Lot(s): Block: Section: Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV Est. Value: Parcel Number: 02-26-21-0260-00000-1200 Improv. Cost: Date Issued: 6/26/2013 Name: SLEEPY HOLLOW MOBILE EST INC Total Fees: 50.00 Address: 38615 LANSING Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/26/2013 Phone: Work Desc: PLACES OF ASSEMBLY SLEEPY HOLLOW MH-exp 6/14 I I �� ��- �,(Z-( � � - 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 .- , C ,l- ,; ��� ��...,_�� t � � _ PERMIT OFFICEF�� 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�saso-o320 ' C'ity ofZephyrhiilsFir�:-�:':,-� F��i�� Pennit Application Date Received .- Phone Ca�ctfor Permk Owners Name Lt� �b� �S"1Q .�S Owners Phone Number �� 3 7�$ � � , Ownets Address ���, �_ �.[�115 i rl V-Q.l1 Lt.Q., � }t f i�� F Z- 33Sµa Fse SimpleTiUeholder Nama T�leholder Phone Numher � �� � Fee SimpleTitiehotderAddrass �`��°n 38 dt.0 �ot.n S i� - h�1 FL / ��# C Sub Division Parael# � Bio-Hazard Waste 5torage-•ANNUAL Q Furtdgafl�Tr.nt � Comm Exhaust F�tchen Hood/Duct • � H�artio�s Maberial(Tier II or RQ FacilUy)ANNUAL � CoMrolled Bum a Hood InsfaUation � Emerge�y Generator<30 kw � lPMah�ral Gas-insfallation QEmergency Generator>30 kw � LP/Natural Gas-ANNUAL Safe � Fire Protsction Mairdenance-ANNUAL • � P�ces of Assernbly-ANNUAL ` � emi � r SpriNder � ❑ ❑ ❑ � Reaeational Bum / �7� Rre Alarm � o p p � � .g��e� � �J Hood Cleaning ❑ ❑ ❑ � 5prinkler 5y�em InstaUations � Hood Suppression � O ❑ O � � Standpipes(SprinklerSys) � Fre Alartn lnstallatlon � Tot�h RooflngrTar Kettie I ���� �ire Pumps � Waste Tire Storags ANNUAL � Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks Q Other. Contractar Cpm��y S�9^�� Recjistered Y/N Fee CuRent Y/N Address License# ELECTRICIAN . -- ��nY SignaW2 Registered Y/N Fee Cucrerrt Y/�1 Address License# PLUMBER Company Signature Registered Y/N� Fee Currerrt Y/N Address ' License# MECHANICAL ��m signature ' Registered � Y/N Fee Curretrt Y/I�I Address License# • - OTHER �mPa�Y S'9^at"re Regisstieered Y/N � Fee Curtertt Y/N Addre4s License# D�rections. � "� Fill out aPpication eompletey Owner 8�Co�"actor sign badc a#applic�fion.twmrized(Or.copy of signad coMract wiTh ovvner) !f ovor 52500.a Atoti�of Corturienc:emertt�is req�dred.(Me�anical work ove�55000) S�PP�Y�(2)sets af drawings wtth applicabie documerrtation - Allow 1 Q14 days ior review aRer submittal date. Paroel#-obhain�i from Property Tax Notice(ttttpJ/appraiser.pascogov.com)