HomeMy WebLinkAbout14-14902 CITY OF ZEPHYRHILLS
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5335-8TH STREET
(si3)�so-oozo �14902
ANNUAL ASSEMBLY PERMIT
Permit Number: 14902 Address: 37301 CHAPEL HILL LP
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: SILVER OAKS VILLAGE
Est. Value: Parcel Number: 03-26-21-0010-10200-0010
Improv. Cost:
Date Issued: 1/15/2014 Name: EAST PASCO YMCA
Total Fees: 50.00 Address: 37301 CHAPEL HILL LP
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/15/2014 Phone:
Work Desc: PLACES OF ASSEMBLY- EAST PASCO YMCA EXP 1/2015
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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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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
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, Permit Applicativn
Date Received �-� Phone Contact for Pertnit� (3 C_;_J y�°O�
Owner's Name / n � ly� �� Owners Phone Number � �
ONmers Address ✓
Fee Simple Titleholder Name TiHeholder Phone Number � � �
Fee Simple Titieholder Address
Job Address ✓ � ` t�� ,� �r i� ,l� ` � Lot# �
Sub DiWsian Percel#
oBio-Mazard Waste Storege-ANNUAL a Fumigalion Tent
a Comm Exhaust Kitchen NoodlDuct Q Hazerdous Material(Tier II or RQ Facility)ANNUAL
� ConVoiled Bum a Hood Instaliation 4�
� Emergency Generator<30 kw a LP/Natural Gas-installaHon ° ��
� Emergency Generator>30 kw a /Natutal Gas-ANNUAL Sale �r�� �
aFire Protection Meintenance-ANNUAL ��Pt�ces of Assembly-�
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Sprinkler � ❑ ❑ ❑ � � Recreational Bum ��"/���
Fire Alatm � ❑ ❑ ❑ � � Sparklers �
Hood Cleening � O O � � � Sprinkle�System Installations
Hood Supprossion � Cl ❑ � � � Standpipea(5prinkler Sysj
� Fire Alarm InstailaCwn � Torch Roofi�glTar Ketde
Fire Pumps � Weste Tire Storage ANNUAL
Fre Works
FtammaDle Application-ANNUAL Valuation of Project
QFuel Tanks
Q Other:
Contractor Company
Signature Registered Y/N Fes Current Y!N
Addrass License#
ELECTRICIAN Company
Signature Registered Y/N Fee Curtent Y!N
Address License tt
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAI Company
Signature Registered Y/N Fee Curcent Y/N
Address License#
OTHER Company
Signature Registe►ed Y/N Fee Curtent Y/N
Address Lice�se t!
Directions:
Fill out application completely.
Owner&Conirector sign back of application,notarized(Or,copy of signed contrect with owner)
tF over$2500,a Notice of Commencemeni is rcquired(Mxhanical rw�ic over 55000)
Supply two(2)sets of dravuings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained frnm Property Tax Notice(http•J/appraiser.pascogov.com)