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HomeMy WebLinkAbout16-17720i � �� _ :.,. -: : �� CITY OF ZEPHYRHILLS , 5335-8TH STREET ', (813)780-0020 177 0 � ANNUAL ASSEMBLY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit�Number: 17720 Address: 7909 GALL BLVD Per¢nit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL. Class of Work: FIRE-PLACES OF ASSEMBLY Township: Range: Book: Proposed Use: COMMERCIAL � Lot(s): Block: Section: Squ�are Feet: Subdivision: CITY OF ZEPHYRHILLS E�t. Value: Parcel Number: 34-25-21-0010-00100-0000 Impr'ov. Cost: OWNER INFORMATION Date Issued: 9/08/2016 Name: RUBY TUESDAY RESTAURANT Total Fees: 50.00 Address: 7909 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/08/2016 Phone: Work Desc: PLACES OF ASSEMBLY- RUBY TUESDAY EXP 8/2017 248 SEATS C�JNTRACTOR S APPLICATION FEES WNER FIRE PERMIT FEES 50.00 I� r r � �. V �/ N I� I ,= Ins ections Re uired ' F RE SIT INS ECTION-Final I OCCUPANCY LOAD: � , � Oc ��upancy 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 J � s�s-ieo;,0020 -;_� City of Zephyrhilis Fire � �JD ( �� Fax-813-780-0021 � Permit Application Date Received Z� �� Phone Contact for Permit�� 3 � _ ��(� r_-- ---- -- ---- - -- -- -- — Owner's Name � �-�.`e�JC�.Ct ,�--(�C Owner's Phone Number �� ��� S1Db Owner's Address� � _J� (�t7. `�k�C�'1 !�w'� ` '� `�r V l���C � 31�a� I Fee Simple Titleholder Name Titleholder Phone Number � � � ' Fee Simple Titleholder Address C,-0- - - - ------ �-----�- -- —�- -- -- ------- - ------- --- ----=----- -__�- ------�-- -- ------�---- -•- - Job Address , � ��� G�i ,� �1 J W 'e h f � 1 ��S ��+ ��Sy2 Lot# � � Sub Division Parcel# �-----�--g----- ___ _ � 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 � LP/Natural Gas-ANNUAL Sale __ ____ � Fire Protection Maintenance-ANNUAL _ _ _ �Places of Assembly-ANNUAL_ _ _ _ � tr y emi �n t er < ' , Sprinkler � ❑ ❑ ❑ B � Recreational Burn I� Fire Alarm ❑ ❑ ❑ S arklers �/ , � � � P Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations II Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) I � Fire Alarm Installation � Torch Roofing/Tar Kettle , � Fire Pumps � Waste Tire Storage ANNUAL � Flammable Application-ANNUAL V81U8t1011 Of PfOJ2Ct I � , � Fuel Tanks !, Other: � _______gT Contractor � � Company Signature G Registered Y/N Fee Current Y/N Address ��� (� ��C h �t �Lfw! �1«'C -T�-�1 1�►License# ELECTRICIAN . Company Signature Registered Y/N Fee Current Y/N Address �� ' License# PLUMBER { Company Signature I Registered Y/N Fee Current Y/N Address �j - License# MECHANICAL I Company Signature Registered Y/N Fee Current Y/N Address �j License# OTHER I Company Signature Registered Y/N Fee Current Y/N , Address �� License# � r----- _ _ f —_ _. ---� Directions: � , Fill out application completely. I Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) i If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation iIlow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) I �