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HomeMy WebLinkAbout14-15649 CITY OF ZE HYRHILLS 5335-8TH STREET � � �sis)�s -0020 ,'15649 ANNUAL ASSE BLY PERMIT ' � :PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15649 Address: 38620 LANSING AVE 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: SLEEPY HOLLOW MHSUB DIV Est. Value: Parcel Number: 02-26-21-0260-04500-0000 Improv. Cost: OWNER INFORMATION Date Issued: 9/12/2014 Name: SLEEPY HOLLOW Total Fees: 50.00 Address: 38620 LANSING AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/12/2014 Phone: (813)782-1111 Work Desc: PLACES OF ASSEMBLY- SLEEPY H LLOW RECREATION HALL EXP 9/2015 CONTRACTOR S APPLICATION FEES FIRE PERMIT FEES 50.00 � ��( ' . � 1� � Ins ections Re uired '` 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 � �L., �" r.�..a... 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 Fram: 08127/2014 12:29 #903 P.0011002 s�s-�aQ-oo2c City at ephychilis Fire �ax-sia-?aa-oo2t � } Per it Applic�tion Oate Raceive� ��� , .. ...�•. :._... . :....,._.�_ ..„ _.. ...._ ��.:..,...;,:>�:..�...�....�... . ..�,._. ., ,.�_,,. __.-...-,...- ., ..-..-- -. ..._.-._�..�..:..s ��.,,.._. ., ..� �... _,->.. Phone Gantact for ermit Qrmer's Name ���� ��f C)+.{) ��� �� �i `�" . .Q.S Chmer s Phone Number � t�f c.�� t �f t Owner's Address $t� 1 S 1--r��s� � �.� - r �h ► 1 I �,� 5�I2. Fee Simpie Titiehoider M1fame Titlehoider Phone Number � � �� Fee Sirnple 7itleholder Address F3� ,...... ."- -- - -t:f�" _-- � - _ .�.?i;i'� — f_i: " _' _ +tii:-:=' :L�-y" _ -:�,'„ ��,:• '�.-`"'.�:?.�a�T✓�:: h��Q�-�A dress `K,�Uo�� A� .� ;JQ � n,�_�.- 11•,;��� �w ���'12t� NLU}+,l.ot# 'L� � 5ub Divlslon PBroel� -,. F:vr..t.�.a..n..r'.,. . ,-.:r•_:;_.� .... . .. .......:c-v.T„x.: . .�:s:�. ._:'-:tc::... .. .:r-':.:.:. -..._.__� ,:'X-^f< .. -.�_. _. �.._'-'h„.,.�,.._.. -�r-_^;; �: ,.ar'_1L->.���r..;..az.:e,±�-;,•z:r�,.'-���'•�': �:t• � 8Eo-Fiazard Waste Starage-ANNllAt•+ Q Fumigafian Teni � Comm Fachaust Kitchen Haod/Ouct � Harardous Materia((Tier II or RQ Facility}ANNLIAL � Cor�tro3ted Bum � Noad Ensiailatlan � ErnergenCy�enerator<30 kw � LPlNatara!Gas-Inslallation Q Emsrgenay{'senet'�tar>30 kw Q �PlRtaturai Gas-ANNUAk.Sais ���,-f� � Fire ProtecUon Meintenanca-ANNUAL � F'laces of Assembly-ANNt{AL. f� r \� � ertt A�`T�n r � Sprinkier Q CI C7 [7 � Racreationai Bum Fire Alarm � O p d � SparlcleFs fiood Cleaning � Cl ❑ O � Sprinkier System Installations Hood Suppression � ❑ Ci G� � Standpipes(SprinklerSys} � Fire Alarm Installation � Tarch Roc�flng/Tar Kettle Q �ire�'umps � Wasts Tire Storage At�NUAl. �ire Works o Ffammable Application-ANNUAL ��_��� Valuation of Projeet QFuet Tanks [� Qther: , . . . __ .._::r_:-» :�_ �.,w __ . - _ �_. _». ... .- ---- �::_-... -_ ;. _ .- . :� .:�:.,z:����...�=-:r.--��-a��--�;r��.. ._- . _._�_ , �.. _._ , .-_ ,,. .,. h-=. , .- - - - - . , . ..,,-�_. . . . . _ '�- -•r- ..�r: .. - . .-. , .... .,... . . _ . .. ,. .. .- _-,. . _ . _. Conlractor Company ���,�� Signature Ragfstered Y/(�E �ee Guaent Y/3� Add�ess License# Ei.�CTFitG�Aid Company Signature Registered Y,/N Fee Curnent Y/N � Address License# pLUMBER Company Signature Regisiereci Y/N Fee Cutrent ...._Y/[� Address License# MECHANICAt �ffmPas�Y Signature Registered Y/N Fee Current Y/f'+I Address License# OTtiER Company SlgrtaWre Regisfered Y/E�1 Fee Curreni Y/fV�— Address Liaense# �Ctirectiar�s: ... ..... . ....... .. ... _. . . ._. .,. . . . .. _.. �.. . _ _ , -. - - _ ,. _. � � _ ,...- .. ....,, �.,. .,� . - ,.. � ,._ .. Fi1t aut apptication complete4y. Owner&Cpntracior sign back of appl3cation,notarVed(Or,copy of ighed cantract with crwner) tE over$2St?0,a Noftce af Commencement!s required{Nfechan�cal rk aver 55004} Suppiy twt,(2}seis of drewings with applicabie documentation Allow 10-14 days for review after submittal d�te. Pa ce1#-obtafned irom Property Tax Hotice(httpJ/appraiser.pascogov.com)