HomeMy WebLinkAbout09-9468 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9468
ANNUAL ASSEMBLY PERMIT
5 02 7,f ' ®a s ... 3 r st.
68 Address: 744
Permit Number: 94 ... , ' � � ���f,� .
7446 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:
Improv. Cost:, € - R
Date Issued: 8/24/2009 Name: SYBEA,INC.(ARBY'S)
Total Fees: 50.00 Address: 7446 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/24/2009 Phone:
Work Desc: PLACES OF ASSEMBY- ARBY'S RESTAURANT
4
FIR ` - MI FEE 50.00
C (r)Ige
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4.
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I� N PE TIN - N- Fi nal a ..
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
� 14 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
818 780 -00211 City of Zephyrhills Fire Fax- 813-780 -0021
Permit Application
Date Received I act fo
Phone Cont r Permit I 1 I
Owner's Name r-t 1 .--- r-s. 1 Owner's Phone Number
Owner's Address ' �- - tta\ \ Q cti —I—e- t---r-A -' \ 1`— \ -- +\
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address ' ---- 1 ` L \...v C Q--,\ . , c-!.\ Z- P C-----'"--1"---'. 1 \--. x_ \ 3�S ,_S■ \ Lot #
Sub Division Parcel #
Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Bum n Hood Installation
n Emergency Generator < 30 kw I I LP /Natural Gas - Installation
n Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale
n Fire Protection Maintenance - ANNUAL 1 A Places of Assembly- ANNUAL
IUtrlyl }SemiI mg Other
Sprinkler n ❑ ❑ ❑ I Recreational Bum
Fire Alarm n ❑ ❑ ❑ I n Sparklers
Hood Cleaning n ❑ ❑ ❑ I I I I Sprinkler System Installations
Hood Suppression Ell ❑ ❑ ❑ I I Standpipes (Sprinkler Sys)
n Fire Alarm Installation I I Torch Roofing/Tar Kettle
n Fire Pumps n Waste Tire Storage ANNUAL
Fire Works
Flammable Application- ANNUAL
1 I Valuation of Project
I Fuel Tanks
El Other: I
Contractor Company I
Signature 'r -. ____'- -- 9 --� Registered Y / N I Fee Current I Y / N
Address I I License #
ELECTRICIAN Company I
Signature Registered Y / N I Fee Current I Y/ N I
Address I I License #
PLUMBER Company I
Signature Registered Y/ N I Fee Current I Y/ 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
Signature Registered Y / N I Fee Current I Y / N
Address I I 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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