HomeMy WebLinkAbout14-14962 - CITY OF ZEPHYRHILLS
5335-8TH STREET 14�f
(813)780-0020 ,
e , ANNUAL ASSEMBLY PERMIT `
Address: 6040 8TH ST
Permit Nurr�ber: 14962 ZEPHYRHILLS, FL.
Permit Type: FIRE PLACE OF ASSEMBLY Ran e: Book:
Class of Work: FIRE-PLACES OF ASSEMBLY Lot(s)h'P. Blo k: Section:
Proposed Use: NOT APPLICABLE Subdivision: CITY OF ZEPHYRHILLS
Square Feet: Parcel Nurr�ber: 02-26-21-0080-OOA00-0010
Est.Value:
Irr�prov. Cost: � Name: FIRST CHRISTIAN CHURCH
Date Issued: 2/10/2054�0��`,�`� Address: 6040 8TH ST
Total Fees: ZEPHYRHILLS, FL. 33542
Amount Paid: 5 . 0 �zv�"'
Date Paid: 2/10/2014
Phone: (813)782-1071
Work Desc: PLACES OF ASSEMBLY FIRST CHRISTIAN CHURCH (FEE WAIVED )EXP 2/15
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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 Fiorida Fire
Prevention Code, NFPA101, Section 7.3.1.2
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PERMIT OFFICE
PERMIT EXPIRES I TED IN V SIBLE LOCATION N�MAIN ASSEMBLY AREA
THIS PERMIT NEEDS TO BE POS
ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542
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Phone Contact for Permit ='��3 �
Date Received [_� LL.�-�
- � Owner's Phone Number �
pavner's Name , � �S `� �
Owner's Address � � 'e � � � �' _ 1I
Titiehdder Phone Number L_.�.---�
Fee Simple Titiehdder Name
Fee Simple TiGeholder Address �
Lot#
Job Address
Parcel#
Sub Division
a Bio-Hazard Waste Stwaqe-ANNUAL � Fumigation Tent
Q Comm Exhaust Kitchen HoodlDud a Hazardous Matarial(Tier II or RQ Facility)ANNUAL
� Controlled Bum a Hood Installation
� Emergency Generator<30 kw a LPMatural Gas-Installation
Qa LPMatural Gas-ANNUAL Sale
Emergency Generator>30 kw
� Fire Protection MaiMenance-ANNUAL �P��of��mbly-ANNUAL
❑� � ��
Sprinkler ❑ O ❑ � Recreational Bum r�, f �
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Fire aarm � 0 O ❑ � � SParfclere � `'C
Hood Cleaning � O ❑ ❑ � � Sprinkler System Installations
Hood Suppression � O ❑ ❑ � � SbndpiPes(SP�nkler Sys) ,
� Fire Alartn Installation � Toroh RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable App��cation-AN1dVAL Valuation of Project
� Fuel Tanks
� Other: . __ ._,.�._
ConUactor Company
Registered Y J N Fee Current Y/N
Signature
License#
Address
ELECTRICIAN Company
Registered Y/N Fee Current Y!N
Signature
License#
Address ,—
PLUMBER Company
Registered Y/N Fee Current Y/N
Signature
License#
Address
MECHANICAL Company �—
Registered Y/N Fee Curcent Y/N
Signat�re
License#
Address �
OTHER Company
Registered Y/N Fee Curcent Y/N
Signature
License#
Address
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized(Or,copy of sig�ed conUact with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawinys with applicable documentatio�
Atlow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)
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Jac ueline Bo es
From: Jacqueline Boges
Sent: Thursday, February 06, 2014 12:04 PM
To: 'FCCZHILLS@VERIZON.NET'
Subject: assembly permit waived
Attachments: zfd permit page 1.xls
Hey Deanna please fill out application and check box for assembly. I will process permit for no fee, mention
someone would have to pick up but no one need to come and pick I will email receipt copy back to this email
address and you keep for your records. I will give the card to the Chief and he will bring assembly card to site
for you.
Thank you Deanna,
Jackie Boges- SCSS
813-780-0020 ext 3513
Faith makes things possible...love makes all things easy
Dwight L. Moody
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� FIRST CHRISTIAN CHURCH OF ZEPHYRHILLS
(DISCIPLES OF CHRIST�
6040 8th Street
Zephyrhills,F7, 33542-3500
Phone
8137s2-1o71 February 5,2014
Email
fcc�lulls@verizon.net To Whom It May Concern
Website We, First Christian Church (Disciples of Christ), request a waive of the fee for the Annual Assembly
www.firsrchristiu�zhills.org permit.
Pastor
Rev.DouglasJ•�cl�udson Thank you for your consideration.
OfTice Adnunistrator
Deazu�aJacobs R ectfully
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Deanna Jacobs
S��y�,�,o��;P Office Administrator
10:05 a.m.
Children's Church
10:05 a.m.
Sunday Monung Growth
(Sunday School)
9:00 a.m.
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"Celebrating Christ's Love" 1912 —2013