HomeMy WebLinkAbout09-8977 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 8977
ANNUAL ASSEMBLY PERMIT
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Permit Number: 8977 �_ Address: 8 , _
ess: 7809 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- 0150 - 00000 -0020
Improv. Cost: . i �z>_ 7 ^ L, , . :1_ ; >. _ °• i
Date Issued: 4/01/2009 Name: WHAT A BURGER
Total Fees: 50.00 Address: 7809 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/01/2009 Phone:
Work Desc: PLACES OF ASSEMBLY - WHATABURGER
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OWNER FIRE PERMIT FEES 50.00
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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
FIRE MARSHAL OFFICE: 813 - 780 -0041
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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 aq '7 7 Fax- 813 - 780 -0021
Permit Application
Phone Contact for Permit
Date Received
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Owner's Name A. Iii. _ l& . , 1 Owner's Phone Number ,
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Owner's Address j __V '"t -
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Fee Simple Titleholder Name
Titleholder Phone Number ( g�_) / / 5 06 3 - 7
Fee Simple Titleholder Address
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Job A.d.d.., CZ O l 0 5
,y. , 0 ,4. -Y -) . U c\ J� A t ' / • 4- ( 3 3 ) .1 Lot*
Job Address 1 r�'e��_' �`j/ `
Sub Division Q rr�r �.�.. .
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' I Bio-Hazard Waste Storage - ANNUAL Fumigation Tent
I 1 Comm Exhaust Kitchen Hood /Duct I I Hazardous Material (Tier II or RQ Facility) ANNUAL
- Controlled Bum ( I Hood Installation
n Emergency Generator < 30 kw I I LP /Natural Gas - Installation
1 Emergency Generator> 30 kw LP /Natural Gas - ANNUAL Sale
l I Fire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL
1Utrly1 lSemij J T i uther (
Sprinkler n ❑ ❑ ❑ 1
1 Recreational Bum
Fire Alarm n ❑ ❑ ❑ I 1 1 I Sparklers
Hood Cleaning n ❑ ❑ ❑ I I I Sprinkler System installations
Hood Suppression n ❑ ❑ ❑ I 1 I Standpipes (Sprinkler Sys)
Fire Alarm Installation I I Torch Roofing/Tar Kettle
Fire Pumps I Waste Tire Storage ANNUAL
n Fire Works
Flammable Application- ANNUAL I I Valuation of Project
I Fuel Tanks
n Other: I
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Contractor / Company • Signature Ok-a' [ ,[ t-U\AJ 10. mil t Ar/,k._ Registered Y / N Fee Current I Y / N
Address I License* I
ELECTRICIAN Company
Signature Registered Y / N Fee Current [ Y / N
Address 1 I License # i
PLUMBER Company
Signature Registered Y / N Fee Current Y / N
Address 1 I License #
MECHANICAL Company
Signature Registered Y / N Fee Current Y / N
Address I License*
OTHER Company
Signature Registered Y/ N Fee Current I Y/ N
Address
( License #
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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