HomeMy WebLinkAbout09-9869 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9 869
. _ ANNUAL WASTE TIRE STORAGE PERMIT
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Permit Number: 9869 Address: 754 GALL BLVD
Permit Type: FIRE WASTE TIRE STORAGE ZEPHYRHILLS, FL.
Class of Work: FIRE -WASTE TIRE STORAGE Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35- 25 -21- 0130 - 00000 -0100
Improv. Cost: � Pc-c' - :::77,77-7Z , °:
Date Issued: 12/07/2009 Name: NOM ZEPHYRHILLS LLC
Total Fees: 50.00 Address: 3841 GREEN HILLS VILLAGE DR ST 4
Amount Paid: 50.00 NASHVILLE TN 37215
Date Paid: 12/07/2009 Phone: (615)269 -5444
Work Desc: WASTE TIRE STORAGE - 7540 GALL - NATIONAL LIBERTY RECYCLE- 300 USED TIRES
IRE - - F 50.00 0766*
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I - E IN - TION- final
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review, administrative fees, and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
TIRE REMOVAL COMPANY:
PHONE NUMBER: FREQ OF REMOVAL:
P IT OFFICER
PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813 - 780 -0041
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813- 780 -0020 City of Zephyrhills Fire Fax -813- 780-0021
Permit Application (ll ��'
Date Received 1 Phone Contact for Permit (` )( 0 + I3 ` I Irk )
Owner's Name I \ \ (1 t ,m LW I Owner's Phone Number I I3 S3 I alOO
Owner's Address U7 Donald O 5 - ?CU kAylo brats n 1 (3
Fee Simple Titleholder Name I 1 Y' 1t( 0 i \ t LLC, Titleholder Phone Number O`� 1 1 ] i L' CC
Fee Simple Titleholder Address dBB[elliCa �'s'7[1TiMV '1 i 'Well&IS
Job Address Lot #
Sub Division Parcel #
I Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
PI Comm Exhaust Kitchen Hood /Duct n Hood Installation
0 Controlled Burn n LP /Natural Gas - Installation
Ii Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale
E mergency Generator > 30 kw n Places of Assembly- ANNUAL
n F - ire Protection Maintenance - ANNUAL n Recreational Burn
ry 'Semi' Estill Other
Sprinkler El ❑ ❑ ❑ E Sparklers
Fire Alarm El ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Cleaning El ❑ ❑ ❑ I I n Standpipes (Sprinkler Sys)
Hood Suppression El ❑ ❑ ❑ I I n Torch Roofing/Tar Kettle
El Fire Alarm Installation EKI Waste Tire Storage ANNUAL
El Fire Pumps
I Fire Works
E Flammable Application- ANNUAL I I Valuation of Project
CD Fuel Tanks
Q O ther: I
Contractor Company
Signature Registered Y / N I Fee Current I Y / N
Address I I License # ( I
ELECTRICIAN Company I
Signature Registered Y / N I Fee Current 1 Y / N I
Address I I License # I
PLUMBER Company I
Signature Registered Y / N I Fee Current I Y i N I
Address I I License # I
MECHANICAL Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address I I License # ( I
OTHER Company I
Signature Registered Y / N I Fee Current 1 Y / N I
Address I
1 License # I
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)
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'TIRE KINGDOM
mEhir s. NATIONAL TIRE It BATTERY
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A near ANNWOM COMPANY it1Y a P71117 14711047040 C W4P4xr
November 18, 2009
City of Zephyrhills
Fire Marshal
5335 8` Street
Zephyrhills, FL 33542
Dear Sir or Madam:
As requested this letter is to provide collection information for a new scrap tire permit application
for the Tire Kingdom, LLC located at 7540 Gall Blvd, Zephyrhills, FL 33542.
The scrap tires at this location are stored in a separate storage area and on the average can hold
300 used tires.
Liberty National Tire Recycling removes the scrap tires from this location once every two weeks.
Liberty's corporate address is 1515 Huffman Road, Suite 203, Birmingham, AL 35215, 800 -323-
9614.
If you need anything else regarding the scrap tire permit please feel free to reach me at 800 -926-
8473, extension 2201.
Future correspondence for this location can be sent to the following corporate address:
823 Donald Ross Road
Juno Beach, FL 33408
Attn: David Zolnowski Director of Risk
Sincerely,
Kelly -Marie Van Leuven
Risk Associate
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823 Donald Ross Road
o r _ o Beach , FL 33408
Tn|: (561) 383'3000
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823 Donald Ross Road Check No. - 000145627
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ez; FL 33408 h Juno Beach ,
• Check Date - 11/25/09
Tel: (561) 383 Paid on behalf of Tire Kingdom / NTB / Merchants
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111809-106 11/18/OS scrap tire permit 50.00 50.00
50.00 50.00
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+ REMOVE DOCUMENT ALONG THIS PERFORATION
PLEASE DETACH AND RETURN
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