HomeMy WebLinkAbout17-18734 CITY OF ZEPHYRHILLS �
. » 5335-8TH STREET
(813)780-0020 1$73�
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ANNUAL ASSEMBLY PERMIT ���
PERMIT lNFORM/�TION ' - LOCATION INFORMATION- �
Permit Number: 18734 Addre�s: 7909 GALL BLVD
Permit Type: FIRE PLACE OF ASSEMBLY ZEPHYRHILLS, FL.
Class af Work: FIRE-P�ACES OF ASSEMB�Y Tawnship: Range: Boak:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0010-00'i00-0000
Improv. Cost: OWNER INFORMATION
Date Issued: 8/08/2017 Name: RUBY TUESDAY RESTAURANT
Total Fees: 50.00 Address: 7909 GALL BLVD
Amount Paid; 50.00 ZEPNYRHILLS, FL. 33542
Date Paid: 8/08/2017 Phone:
Work Desc: PLAGES OF ASSEMB�Y- RUBY TUESDAY EXP 8/2018
CONTRACTOR S APPLICATION FEES
O ER FfF�E P�f�MIT F S 0.00
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Ins .ections Re uir.ed
F RE St !N P CTlO -Fina{
t�CCUPAI�CY Lt�AQ:
Occupancy by more than the number of persons above shal! be considered
dangerous and unlawful. Occupan� load determined by Florida Fire
Prevention Cade, NFPA101, Section 7.3.1.2
PERMIT OFFICER
PERMIT EXPIRES IN C3NE (1}YEAR FROM DATE OF ISSUANCE
THIS PERMIT NEEDS TO BE POSTED IN VISIBLE LOCATION IN MAIN ASSEMBLY AREA
ZEPHYRHILLS FIRE RESCUE DEP'T - 6907 Dairy Rd, ZephyrMills, FL 33542
� s�3-�sa-oo2o City of Zephyrhiils Fire �� `-�t'�" � � �ax-813-780-0021
��� ���� �? Permit Application
Date Received � Z �'� _ __ phone Contact for Permit �` - -1� p� Z
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I 4wnar's Name Ruby TUt'.SC1ay Itic �T�� ' � t�� � �..�� �,���
Qwner's Phone Number (yp
C}wner's Address 333 East Sroadway
Fee Simple Titleholder Name � L� I
Titleholder Phone Number
Fee Simple Tifleholder Address � I
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Job Address 1"1 t�.�� ��C i� 1/�J V � �'� � r h t t 1 s �L. 3 3 ��2 Lot# ��
Sub Divisian Pa«��# -25 2�-c�a�c3-.ao�ao� az
� Bia-Hazard Waste Storage-ANNUAL � a Fumigetian Tent J v
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
' � Controlled Burn � Hood Installation I
QEmergency Generator<3Q kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw L.PlNatural Gas-ANNUAI Sale �
_ _ _ _�__ _Fire Protecfion Maintenance-ANNUAL _ _ �Piaces ofAssembiy-ANNUAL �� , �_� `
tr y emi � t er � , �I
Sprinkler � p O O � � Recreational Sum �
Fire Alarm � ❑ ❑ ❑ � � gparklers
' Hood Cteaning � ❑ D CJ � � Sprinkler System instaliations �'" ����
Hood Su ression ❑ ❑ p �l ��
pp � � � Standpipes{Sprinkler Sys)
QFire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Flammable Application-ANNUAL �—�—� Va(uation of Prpject
Fue!Tanks
Q O#her:
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i Contractor � _—'� Com an
P Y
Signature � � Registered Y/N Fee Current Y/N
Address �icense#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/�1
Address �icense# i
PLUMBER Company
Signature Registered Y/N Fee Current Y/N �
Address License# I
iMECFfANiCAL Company
Signature Registered Y/N Fee Current Y/N
� Address Licenss#
OTHER /� Company
Signawre (�' tl���j j(� �(/�• � ,�r�' Registeted Y/(�I Fee Currenf Y 1 N
Address � ��,� �/ �j D License#
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Directions:
Fill out application completely
Owner&Cantractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Cammencement is required{tu{echanical work over$5d00}
Supply two(2)sets of drawings with applicable documentation
Allow 10-9 4 days for review after submittal dafe. Parce!#-abtained from Property Tax Notice(http:(lappraiser.pascogov.com)
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