HomeMy WebLinkAbout09-9452 CITY OF ZEPHYRHILLS
5335 - 8T1-1 STREET
(813) 780 -0020 9452
ANNUAL ASSEMBLY PERMIT
Permit Number: 9452 Address: 6816 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: 02- 26 -21- 0010 - 02400 -0020
Improv. Cost:
Date Issued: 8/20/2009 Name: PIN CHASERS BOWLING
Total Fees: 50.00 Address: 6816 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/20/2009 Phone: (813)782 -5511
Work Desc: PLACES OF ASSEMBLY -PIN CHASERS
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(50
IRE - RMIT F 50.00
F RE SI INSP TI * N- final
OCCUPANCY LOAD:
Occupancy by more than the number of persons above shall be considered
dangerous and unlawful. Occupant Toad determined by Florida Fire
Prevention Code, NFPA101, Section 7.3.1.2
FIRE MARSHAL OFFICE: 813 - 780 -0041
I IC R
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
S13-78047020 City of Zephyrhills Fire Fax- 813 -780 -0021
Permit Application
Date Received )
P hone Contact for Permit I
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Owners Name �, _ 5 � C�SG J Owners Phone Number
Owner's Address I& (>q // &Or 2e, /y //s /%L ,)
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address 1
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T � C. // Of ✓d 2 . "— C. Lot #
Job Address ii+s �SGJ `—YY
Sub Division Parcel #
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I I Bio -Hazard Waste Storage - ANNUAL r ---- 1 Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
Controlled Bum n Hood Installation
n Emergency Generator < 30 kw n LP /Natural Gas - Installation
n Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale
1 Fire Protection Maintenance - ANNUAL 7 Places of Assembly- ANNUAL
IUtnyl ISemII fGLV Other
Sprinkler ❑ ❑ ❑ n Recreational Bum
Fire Alarm 1 El 0 12 I ( I I Sparklers
Hood Cleaning n ❑ ❑ ❑ ( I Sprinkler System Installations
Hood Suppression n ❑ ❑ ❑ 1 1 1 Standpipes (Sprinkler Sys)
n Fire Alarm Installation I 1 Torch Roofing/Tar Kettle
I I Fire Pumps I Waste Tire Storage ANNUAL
I I Fire Works
Flammable Application - ANNUAL I ( Valuation of Project
Fuel Tanks
n Other: 1
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Contractor - _
Company I
Signature ./G— Registered Y / N I Fee Current 1 Y / N
Address I I License #
ELECTRICIAN Company
Signature Registered Y / N 1 Fee Current I Y / N
Address
I License #
PLUMBER Company
Signature Registered Y / N . 1 Fee Current I Y / N
Address I License #
MECHANICAL Company
Signature Registered Y / N _ Fee Current I Y / N J
Address I
I License #
OTHER
Company
Signature Registered Y / N j Fee Current I Y/ N j
Address License #
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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)