HomeMy WebLinkAbout14-15202 CITY OF ZEPHYRHILLS
5335-8TH STREET
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ANNUAL ASSEMBLY PERMIT �,.`
Permit Number: 15202 Address: 7333 DAIRY 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: CITY OF ZEPHYRHILLS
Est. Value: ' Parcel Number: 35-25-21-0010-07400-0000
Improv. Cost:
Date Issued: 7/14/2014 Name: FLORIDA CAO SEVENTH DAY
Total Fees: 50.00 Address: PO BOX 2626
Amount Paid: 50.00 WINTER PARK FL 32790
Date Paid: 7/14/2014 Phone:
Work Desc: PLACES OF ASSEMBLY - EAST PASCO SEVENTH DAY ADVENTIST `� �p• - Zo���
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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
813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021
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Permit Application
Date Received Phone Contact for Permit
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Owner's Name � f" — �r's Phone Number �,� � �
Owner's Address ^ 3�
Fee Simple TiUeholder Name �L, Jb� Titleholder Phone Number I'�FI'� 1 I L.�.2. �
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Fee Simple Titleholder Address n
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Job Address �
Lot#
Sub Division Parcel#
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� Bio-Hazard Waste Storage-ANNUAL � pumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Burn � Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
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Sprinkler � ❑ ❑ ❑ Recreational Burn �� � (�
Fire Alarm � ❑ ❑ ❑ � � Sparklers ` t
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkier Sys)
� Fire Alarm Installation � Torch Roofing/Tar 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 I�'
Company �
Signature Registered Y/N Fee Current Y/N
Address
License#
MECHANICAL Company
Signature Registered I Y�N I Fee Current Y/N
Address
License#
OTHER �
Company
Signature Registered Y/N Fee Current Y/N
Address License#
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Directions: �` �"'� " �
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Fill out application completely.
Owner&Contractor sign back of application,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 aker submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)