HomeMy WebLinkAbout14-15009 , CITY OF ZEPHYRHILLS
' S335-8TH STREET
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ANNUAL ASSEMBLY PERMIT
Permit Number: 15009 Address: 39007 COUNTY RD 54
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: 01-26-21-0010-05700-0000
Improv. Cost:
Date Issued: 2/25/2014 Name: PASCO BUSINESS CENTER LLC
Total Fees: 50.00 Address: PO BOX 89395
Amount Paid: 50.00 TAMPA FL 33689-0406
Date Paid: 2/25/2014 Phone:
Work Desc: PLACES OF ASSEMBLY- REFLECTIONS OF LC-EXP 2/2015 FEE WAIVED
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OCCUPANCY LOAD:
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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 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
a�3-�so-oo2o City of Zephyrhilis Fire
Fax-813-780-0021
Permit Application
Date Received � / Phone Contact for Permit �, � �
Owner's Name .,�C�� r d[.//,� � Owner's Phone Number � lf'� �/��
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O wner's A d dress 3�j�9 0 Qu � A �� "
Fee Simple Titleholder Name Titleholder Phone Number �-1 �� ��
Fee Simple Titleholder Address —1
Job Address D C Q�� / ��9 � ��
Lot#
Sub Division
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Parcel#
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� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Matenal(Tier II or RQ Facility)ANNUAL
� Controlled Burn � Hood Installation
aEmergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
❑� emi � er ❑
Sprinkler ❑ ❑ ❑ Recreational Bum
Fire Alarm � ❑ ❑ ❑ �� � Sparklers
Hood Cleaning � ❑ ❑ ❑ C� � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ �� � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofinglfar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL
� Valuation of Project
Fuel Tanks
Q Other:
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Contractor � -
Company
Signature '� Registered Y/N Fee Current Y/N
Address
License#
ELECTRICIAN
Company
Signature Registered Y/N Fee Current Y/N
Address
License#
PLUMBER
Company
Signature Registered Y/I�) Fee Current Y/N
Address
License#
MECHANICAL
Company
Signature Registered Y/N Fee Current Y/N
Address
License#
OTHER
Company
Signature Registered Y/N Fee Current Y/N
Address
License#
Directions
Fill out application compietely.
Owner&Contractor sign back of appiication,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice htt //a
( p: ppraiser.pascogov.com)
REFLECTIONS OF LIFE CHRISTIAN CHURCH
39007 COUNTY ROAD
ZEPHYRHILLS, FLORIDA 33542
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To Whom It May Concern:
This letter is to request the Assembly Permit fee be waived for our church,
Reflections of Life Christian Church. It would be greatly appreciated. Thank you kindly.
Respectfully Yours,
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� P stor Jerry L. Dolinger Sr.
Jacqueline Boges
From: Verne Riggall
Sent: Tuesday, February 25, 2014 11:37 AM
To: Jacqueline Boges
Subject: RE:want to know if could have assembly fee waived
Jackie;
OK to waive fee. ���
Chief j�'f��
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Verne E. Riggall, Chief
Zephyrhills Fire Rescue
6750 Dairy road
Zephyrhills, FL 33542-1631
813-780-0041 -Office
813-780-0044- Fax
813-714-6328-Cell
vrig�all a(�fire.zephyrhills fl us
From: Jacqueline Boges
Sent: Tuesday, February 25, 2014 11:21 AM
To: Verne Riggall
Subject: want to know if could have assembly fee waived
Hey Chief Reflections of life church would like to have fee waived for the assembly permit. See attachment. I
also attach the commercial check that was done.
Jackie Boges-SCSS
813-780-0020 ext 3513
Faith makes things possible...love makes all things easy
Dwight L. Moody
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