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13-14357
CITY OF ZEPHYRHILLS � 5335-8TH STREET (sis)�so-oozo 14357 ANNUAL ASSEMBLY PERMIT Permit Number: 14357 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: 7/16/2013 Name: SLEEPY HOLLOW Total Fees: 50.00 Address: 6616 WIRE RD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/16/2013 Phone: Work Desc: PLACES OF ASSEMBLY PERMIT FOR SLEEPPY HOLLOW PARK#1 5 . �, �� � � � � , - 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 .-,, �� -� } ' , �� � � ,t.� �- '� �a••� PERMIT 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, Zephyrhills, FL 33542 � e���ao-ob2o City ofZephyrhilisF�=:f:.::::- Fax-sis-7eo-oo2� Petmit Appiic:ation Date Recaived Phorie ConEactior Pertnit Owner's Name t�t� ��� �. � �a .2 S Owners Phone rhunber �5�3 / C� 1 �t o��rSAda�� :��/, v �•.at�5i n v.��l u2. - li f +�� FL 33S'�1'ot Fse Simple?itleholder Name Ttdeholder Phone Number � � � Fee S�nple'TitieFmider Address �a�� i�(Ai fQ ti��t '�, h ') �3Sy� �'V I SIeE� H ��# C sub DNision r�ancel# ' � Hio-Flazard Wasts 5tprage-•ANNUAL � FurttigaH�TeM Q Camm Exhaust f�tchen Hoodl�et - � �dous Materis�(Tier��or RQ Facqity)ANNUAL a ContrnUed Bum � Hood Instailation aEmergency Ge�erator<30 kw � LP/Nadiral Gas-InslBUation oEmergency Gerterabor>30 kw � LPMahxal Gas-ANNUAL Saie � Fire Ptotechon INairrtenant�-ANNUAL � Placss oE Assembty-ANNU r �i g�ef . n� �� Rsaeational Bum �/� Rre Alarm � O ❑ O �SPa� Hood Cleaning � ❑ O ❑ SP���Y���� /�/ (�� � � �•(. H�d Suppre�ion � ❑ ❑ 0 •� a ��(�P�n�r Sys) � aFfre Alatm InstaUsUon � Tor�h RaoMg/Tar Kettle Fte Pumps � Waste Tire Storage ANNUAL Ftre Works Flammable Appltcation-ANNUAL �--� Vaivation of Project Fuel Tanks Q Other. Contractor �Pa�Y SignaWre , (�,�c,�/ ` � - Ragisterad Y/N Fee Current Y/N Address � L�canse# �crRicw � -c��r S;gnawre Regisbared Y/N Fse c:�rent Y/N Address LkkxrBe# PIUIU�FFt Comparry — — Sig�wre Registered Y/N• Fes currant Y/N Addrass ' Ucense# AAECNANI Company Signature � Reglstered Y 1 N Fee Curtent Y�!N Address •License# on�� � co�m� � Signature � Registe�ed { Y/N . rroe Gurtent Y!P! Address / Lic�nse# �d� �: – - FiU out appfleetion complately. Oumer 8 Cattr�sign badc uf appticatian.notar�d(�:caopY of signed conbact w�h owner) If over 52500,a MoUce af Cortur�nentis re�irad.(Med�t work o+�550�} Supply two(2)aets vF drawings with applicade doctnne�ation - Ailow'10-14 days for review aFEer submitlal dat$. Parcxi#-obtained irom Propecty Tau Notice(htkp://appralser.pascogov.�m)