HomeMy WebLinkAbout18-20120 CITY OF ZEPHYRHILLS :
5335-8TH STREET ✓'
(813)780-0020 20 20
ANNUAL ASSEMBLY PERMIT
PERMIT INFORMATION °= LOCATION INFORMATION
Permit Number: 20120 Address: 7909 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: 34-25-21-0010-00100-0000
Improv. Cost: OWNER INFORMATION
Date Issued: 8/16/2018 Name: NATIONAL RETAIL PROPERTIES LP
Total Fees: 50.00 Address: 450 S ORANGE AVE STE 900
Amount Paid: 50.00 ORLANDO FL 32801-3339
Date Paid: 8/16/2018 Phone:
Work Desc: PLACES OF ASSEMBLY RUBY TUESDAY EXP 8/2019
CONTRACTORS APPLICATION FEES
OWNER FIRE PERMIT FEES 50.00
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FIRE SITE INSPECTION-Final Ins ections Required
OCCUPANCY LOAD: 2
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
813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date Received Phone Contact for Permit
Owner's Name Owner's Phone Number
Owners Address ATTN: Tax and License
Fee Simple Titleholder Name Maryville, TN 37804 Titleholder Phone Number
Fee Simple Titleholder Address
Job Address \��� KX, K\\ U\r-1) Z9. h� "\��S �L 7 5� Lot#
Sub Division Parcel# T' :' oZ O010 00�00 -Op
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 50 _Cj�
try emi ®n ter
Sprinkler ❑ ❑ ❑ Recreational Burn (2C�
Fire Alarm ❑ ❑ ❑ Sparklers
Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations
Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys)
Fire Alarm Installation Torch Roofing/Tar Kettle
Fire Pumps Waste Tire Storage ANNUAL
Flammable Application-ANNUAL Valuation of Project
Fuel Tanks
0 Other:
Contractor Company
Signature Registered 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/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER c) JL Company
Signature l� / Registered Y/N Fee Current Y/N
A dress b ,W Q �� \1� �1 Lice nse#
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)