HomeMy WebLinkAbout15-16349 �ITY OF ZEPHYRHILLS
; 5335-8TH STREET
- �ai3��so-oo20 1 349
- �� ANNUAL ASSEMBLY PERNIIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16349 Address: 5610 GALL BLVD
Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL.
Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-05700-0255
Improv. Cost: OWNER INFORMATION
Date Issued: 6/08/2015 Name: BURGER KING
Total Fees: 50.00 Address: 5610 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/08/2015 Phone:
Work Desc: PLACES OF ASSEMBLY- BURGER KING EXP 6/2016
CONTRACTOR S APPLICATION FEES
OWNER FIRE PERMIT FEES 50.00
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Ins ections Re uired
FIRE SITE INSPECTION-Final
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
PERMIT OFFIC
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
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�8�3aso-oozo City of Zephyrhills Fire Fax-813-780-0021
Permit Application .
Date Receive� ' � —� Phone Contac.t for Permit � � �
Owner's Name r �.i Yj`,�, {� �,(' �! L((j7C/ Owners Phone Number ��� � �U�
Owner's Address 0�/� �!'�'ls�L`1"� �,1- do`� '�10�d
Fee Simple Titieholder Name � . Tiileholder Phone Number � � �
--r'C S:f��;':�;.t{e!':C4:r3�:�:tire�s �-- — �--- ----- - -- -- '- - � -_ ----- - - --- --- — - - - - -- --� -
JobAddress . - �j�(r, 1"J1�� �G� C��}'}1S � �` ,�U(���,� ^ ������ `Lot# �
Sub Division Parcel#
� Bio-Hazard Waste Storage-ANNUAL � Fumigation 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 � LPMatural Gas-ANNUAL Sale
� FireProtectionnAain;anance-Af�PP:A! - -- �-Pl�ce�ofAssembly-�;�!p7U�:�---- `��-j�''j-.00�--- - --- - -
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5prinkler � � O ❑ ❑ B � Recreational Bum
Fire Alarm � ❑ ❑ ❑ � � Sparklers �r1�� j� ��
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Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppressfon � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch RoofinglTar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Flammable Application-ANNUAL Valuation of Project
� Fusl Tanks
_ Q Other: -
Contractor /� !. ,��� Company :-,-. ,
Signature 0 /�'i�-/v Regfstered 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/(� Fee Current Y/N
Address License#
MECHANICAL Company
Signature Regfstered Y/N Fee Current Y/N
Address License#
OTHER Company
Signeture Registered Y 1 N Fee Current Y/N
Address License#
Directions:
Filf out application completely.
avner&ConVactor sign back of application,notarized(Or,copy of signed ConVact with owner) '
, If over$2500,a Notice of Commencement is required(Mechanical work over$5000) _� __
_ ... _ Supply two(2)sets of drawings with applicable documentation � � � _ _ __ __
- � __ Aliow 10.14 days for review after submittal date. Parcel#-obtalned from.Property Tax Notice(http://appraiser.pascogov.com) '
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