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14-15648
� CITY OF ZE HYRHILLS � 5335-8T STREET .�" A (sis)� o-ooza 15648� ` ANNUAL ASSE BLY PERMIT �/ , ��'�a�t;>:��:��.'.�';�P�ERMIT��INFORMATION LOCAT,ION'INFORMATION � � Permit Number: 15648 Address: 38741 CR 54 2A 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: ZEPHYRHILLS COLONY Est. Value: Parcel Number: 02-26-21-0010-05000-0030 Improv. Cost: ` . OWNER:INFORMATION'' Date Issued: 9/12/2014 Name: SLEEPY HOLLOW MOBILE ESTATE INC Total Fees: 50.00 Address: 38615 LANSING AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/12/2014 Phone: (573)253-9799 Work Desc: PLACES OF ASSEMBLY- SLEEPY H LLOW MH PRK RV 2- EXP 9/2015 �CONTRACTOR S APPLICATION FEES FIRE PERMIT FEES 50.00 l � � � � � ( � � ' . � ,. _ :� ; µ�� Ins ection` Re uired d FIRE SITE INSPECTION-Final OCCU PA CY LOAD: Occupancy by more than the numbe of persons above shall be considered dangerous and unlawful. Occup nt load determined by Florida Fire Prevention Code, NF A101, Section 7.3.1.2 ,��f� � �ka PERMIT OFFICE PERMIT EXPIRES IN ONE (1) EAR FROM DATE OF ISSUANCE THIS PERMIT NEEDS TO BE POSTED IN V SIBLE LOCATION IN MAIN ASSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT - 6907 Dairy Rd, Zephyrhills, FL 33542 From: 08/27/2014 12:29 #903 P.001/002 813-78{7-OQ2G City o�Zephyrhills Fire Fax-813•784-0021 � Per it Application Date Received ��� Phone ConWct for Perrnit �-�+.---T--t ._. . .... , ........_.__.............._.�..._.,-. ..._..,.....,..,. -_.,...,. r .•;,,.;�.... __:..r:=-<<:- .. .... ...._ _� ,,,_.., ,. _„��rr�a Ormer's Name . ��.e�{� ��� !�O LL.� f� IQ�J t i� - �,Q,S Cfwnets Phane Number p� . ��� � j � Ownet's Address ��fo l n� i >� J� - h�I I F-L_ 5�-I� Fee Simpte Titiehatder Narne Titiehotder Phone Number �� �� �� Fee Simple Titleholder Address ,.. - -,. ......"' ::'r'�' "t'� "%"�.�"? - =1x:=.'.f�4Y._-i:.:-a:t.::1tsS�5: °x'C;r��i?:`w.�=i�� -:Lt>-1.%"�iY.-^ ..a`7f'° , :';F.r::-::.v.�'.mrr:'_L'i�.Tc:` ��C��•-�ob'Address f�g�1 L_':.�C h-# � *�S T 'G--e.r `, ��1 r� }-�~.� �I,Z.- ^C. F-��..: �.L.ot#, L� -� f Sub Divlslon Parcel# , F:.s.:.v:r:^:> -. _..-�i....,, . - ?;t,:'�-r... . _._..t`vs'.;.,'.:...rAC�. �..^:N^%':2:t.. .:�C:'::iN� ..,_ c. �.. - ?O•.i_.� _,.M1""r:�'S....Y�:t ?.?Tr^-_.uL4';}NW:.xP:�wG»:'6'e�•._wMA=k:^•. `,'Hy:°r:2f.Ya;'.::t: � Q Sio-hf�zatti Waste Storag8-fWNUAI r � Fumigafion Ten! � Gomm Exhausl Kilchen HoodlDuct � Ha�ardous Materiaf(7ier II or RQ Faaliity)ANNUAL QControlted 8um � Hood InsfaiiatiflR � �mergency Generator�30 kw � LPlNaWra!Gas-Installation i � Emergency�eneratar>30 kw Q LP1ht�tutal G8s-ANNt1AE.Sale � Fire Proteailon iVlaintenance-ANNUAL � Piaces of Assembly-ANt1ttAL � em `A�Tn r Sprinkier � � G� CI ❑ � Rscreetionai 8um J�j�� Pite Alarm � Cl Cl d &pa�rklets r f Hood Cleaning � ❑ p ❑ � Sprinkler System fnstallations �, Hoad Suppression a C7 t� C � Standplpes{SprinklerSys} � Fire Alarrn Instalistlon � Tarch Rooflng/TarKettie QKire f'urnps � tMaste 7ire SEorage A�1NUAl � �1re WotkS � Ftammable Applic8tion-ANNUAL r�� �� Valuation of Proje�t Q � ��, � �usi TEnkB [� Other: . ... . " z" ...��_. �-.:..... ra= _....' . .,r. """ ':1..-..- :.. ... ."'" •.-" -- ..'rf,.""" _- -. . :F'�.. . .. .g;:^.�� ._ _.ri��'=:.-=.2t..;'s's'-'«=..!:3° o:Sfie�_. . . ��..... � . . _ . . .tiy.�. ... , . ,..._ _ , .. �. . . P y.,..... <. .. � �-, .-:, . :..,..w ..� Conlractar Com an � �� 3ignature Etegistered Y t(tt Fee Gurrent Y!N Address License# EE.�Gif21GlAN Gompany Signature Registered Y,/N� Fee Current Y/N Addrass L"tcense# PLUMBER • Company 3ignaNte Reg�siered Y/N Fae Current Y 1 N Address License# MEGHANECAt Gampaay �� �� Signature Registered Y/N Fee Curr�nt Y/N Address License# OTHER Campany Slgnature �teg�stered Y!N Fe6 CURORi Y 1 fti! Address License# Oirections: ,.. ... . . ._ . ... _..� .-- , . . - . -. . . __ -, .- ,..�_.._ . . �. .. . ,._ ...,_....._..� .,., .._ _ - ._. �. ,,.. ,_ . Fii aut apptication comptete4y. C7wner&Contrador sign back of application,notarized(Rr,copy ot igned canUact wilh ovunerj t€over$2500,a Naiiee af Comrr3eneement Is raquired{Mechanieal rk over�500Q) Suppiy twa(2}seis of drswings with applicabie dacumerriation Allqw 10-14 days for reviewakersubmlttal date. Pa ce1#-obtalned from Propeny Tax Ntatice(httpJlappraiser.pascogov.com) I �