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14-15650
ClTY OF ZEP YRHILLS �"�� 5335-8TFt EET �'� '°' � (s��)�s aozo ,.�'1565q r ANNUAI.ASSE BLY PERMIT �,,��''� °,�`�;< ',� ���PERMIT;INFORMATtON , L.00ATlQN INFORMATlZ?'N � ' Permit Number: 15650 Address: 6616 WIRE RD Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Boak. Praposed Use: NOT APPLICABLE Lot(s): Block: Sec#ion: Square Feet: Subdivision: S�EEPY HOLLtaW MHSUB DIV Est. Value: Parcel Number: 02-26-21-p010-04500-OOQp _ . ., mprov. Cost; � OWNER'INEQRMi4TIC}N._ ,��;";�, -:��,,. � Date Issued: 9J12/2014 Name: SLEEPY HOLLOW Total Fees: 50.Q0 Address: 6616 WlRE RD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/12/2014 Phone: Work Desc: PLACE� OF ASSEMBLY- S�EEPY H �L41N MH RV 1 EXP 912015 CONTRACTOR S APPLICATION FEES � � FIF2E PERMIT FE S 50.44 � �� �1� /� � f Ins ections Re uired FIRE SET�iNSPECTION- inal \ G1CCU PA CY LC�AD: , Occupancy by more than the numbe of persons abave shalt be considered dangerous and unlawful. Occup n� load determined by Flarida Fire Prevention Code, NF A101, Section 7.3.1.2 �.�7�.�� �- ,.���.., PERMIT OFFlC— E�- PERMIT EXPIRES IN ONE (1) EAR FROM DATE OF ISSUANCE THIS PERMIT NEEQS TQ BE P05TED IN V SIBLE �OCATION IN MAIN QSSEMBLY AREA ZEPHYRHILLS FIRE RESCUE DEPT 6907 Dairy Rd, Zephyrhilts, FL 33542 From: 0$l21I2014 12:29 �903 P.001 /002 813-7$(1-002G Clty O# �pttyfhillS FitB �ax-813-18t}-dt}21 ;. � Per it Applicatiart Date F2eceived �� � Phone Ganiact for Permit �� ... : .. . ... .. ......c.. ._._.._�,i _,...--�n^_..,. ,.,�......�..... .. _ __.�.,._.. - . -. _..,, __.v.,.-,.... : .: ..-,.� _..!�.—:��:,�.o,.,,.�^rz��••>�� ',�. Ovmer's Name �j Q a�,� �a����- t G�.�-Q� Chnmer s Phone Numser �1�j ��}o� 4� �� Ovme�'s Address .J�t0�j �..,,�,i Y1 � I 1'l U.Q.. ' �� �" f /11 ��.S ��.... �J ��a. Fee Simpie Tittehotder hiame Tit{ehotder Phone Number �� C� �� Fee Sirnple 7iti8holder Address ,- :Y�:. b _.. . : :'t:: ' " ' _ _ ='-F.R - 's?:sr:tt',� - -'_:a_i: -_ °�.g:i=:.?.;tis3•.'.�:::�:�-�" '�!w.:- ' r.F". ..'"F-+=i�-n,�.,'?�'��r' 5 � LoC�`�+�"�Aaa,�SS �la(vj��n „"`'R:��, ��_ �:Z.-�—Qi,.a.::� � t�s. -�L-��35�l2 C �Vti ,�ot# L.� Sub Divlslon Paroel# r F:�"r'::•.�.i-'.., f :......� ...,. : .r r"-.. .. .._..v-:�.:.. ....i.!'�.r..,..�TFf:: .a:....: :T-_:..' .- -._:�.r.v..'1=�:- ..... �_.. :.:-;.r�iT=s...5"�t . ....`:1;itr.i1�" �._. ....^-.'KYw_�,.yS2,'^.'-"''�`.��r•Y'S.�'v`':2: � B!a-NBZacct Waste Starege-,�t,lt�tllAi. � Fumigat+on Tenf � Comm Fachausi Kilchen HoodlDuct � Hax�rdous Materia((Tier II or RQ Facility)ANhIUAL QCor�#rolfied 8um � Hood InstaE(ation � Ernergency Generator c 30 kw � LP/NaWra!Gas-installation � Q Emergency�eneratar>3d kw Q �Pl�taturai�as-ANNtlA1.Sale � Fire Protection Maintenance-ANNUAL � Plaoes of Assembly-ANNttAL. _ �� �y ema �ri j,/�„ 3prinkier � CI C7 ❑ � RaCreationat 8um / � l�1 / Fir�Alarm � � C) CI � Sparkters � tiood C►eaning � ❑ ❑ ❑ � Sprinklar System instatlations Hood Suppression � ❑ [� G� � Standpipes{SprinkierSys} � FireAlartn Instailadan � Tarch RoofinglfarKeftie � �ire Pumps � Wsste Tire Storage ADlNUk! � Fire Works Q Fiammable Application-ANNUAL � � V8lU3tIOT1 Of PC4j8C1 . � Fuet TBnkg �] Other . �_ . . -:- �.-�.._ �..� _.. . �.= --�.K,.--,.-.: - ...,.. :.�__. . �_ . .�..._ _,�:.�_.�. _ _. , . ., .. ... _:�_...-:�-_- -����..�-�:�,n�-._�:<,.��•.r: _,:�.:��.�,.::,.:....., �_ Contractor Company r 1... Signature Reg�stered Y t A+f � Fea Guner�t � Y 13�1 Address License# EG�Gi'RIGlAN Gampany Signature Registered Y/,N Fee Current Y/NTy Addcess Ltcense# PLUMBER • Company ( st�nature t�e�ist�red Y/N Fea Current Y!N Address License# MECHANIGAI Compas�y Signature Registered Y/N Fee Current Y/N�� Address license�t OTHER Cqmpany Slgnature RegiStered Y!N Fee Current Y i f�! Rddress License# ,. . ,n:: - ,;.....,.,..�..,...... .._.._ .. .-.. ... . � - �.. ... . _. _ - : --.: .:._ . � „_.,r.. - . .. �. .� .., _ �Ctirections: _ ... __ . . ..._ , . ._ . _ > .. F:tt out apptication compieteiy. Owner&Contractor sign back of applfcation,notarized(Or,copy ot si ned conVact with owner) , 1€over$250D,a Naitca of Cammer�cernent!s required{Mechanicai wi k avar$5040} Suppiy iw4(2}seis of drawings wiih appllcabte documeniaiipn Allow 10-14 days for raviewaker submittal data. Par f#-obtalned irom F'roperty 7ax Notice(http://appraisecpascogov.com)