HomeMy WebLinkAbout09-9497 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9497
ANNUAL ASSEMBLY PERMIT
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Permit Number: 9497 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:
lmprov. Cost: "7-7771:7'
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Date Issued: Name: RUBY TUESDAY RESTAURANT
Total Fees: 50.00 Address: 7909 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/01/2009 Phone:
Work Desc: PLACES OF ASSEMBLY - RUBY TUESDAY
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•WN R IRE P RMI ES 50.00
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Fl E IN PE TI • N- inal
OCCUPA LOAD:
Occupancy by more than the number of persons above shall be considered
dangerous and unlawful. Occupant load determined by Florida Fire
Prevention Code, N FPA101, 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
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813- 780 -0020 City of Zephyrhills Fire Fax -813- 780 -0021
Permit Application
Date Received 1 Phone Contact for Permit ��3--2 L 5 or)
Owner's Name I ( - l - lrl `PS� f` �/ ly C. 1 Owner's Phone Number q� 5 I 1 37
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Owner's Address I T'Z l�"l� t Q )C. w e. -SQ
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Fee Simple Titleholder Name I Titleholder Phone Number 1 I / 1 1
Fee Simple Titleholder Address I
/ ' �'" � , �/ _
Job Address I — 1 c U q i) r lti Z-e p ■ IN lit I S FL, 33s'ZI Lot #
Sub Division I I Parcel # 134'2J-ooto-.,00L X0-d4Db b
El Bio- Hazard Waste Storage - ANNUAL n Hazardous Material (Tier II or RQ Facility) ANNUAL
Comm Exhaust Kitchen Hood /Duct I Hood Installation
El Controlled Bum n LP /Natural Gas - Installation
El Emergency Generator < 30 kw L._J LP /Natural Gas - ANNUAL Sale
El Emergency Generator > 30 kw Places of Assembly- ANNUAL
0 Fire Protection Maintenance - ANNUAL El Recreational Burn
IQtrlyl ISemiI Will
Sprinkler n ❑ ❑ ❑ I Sparklers
Fire Alarm 0 ❑ ❑ ❑ 1 1 n Sprinkler System Installations
Hood Cleaning El ❑ ❑ ❑ I , 0 Standpipes (Sprinkler Sys)
Hood Suppression TI ❑ ❑ ❑ I I n Torch Roofing/Tar Kettle
El Fire Alarm Installation Ei Waste Tire Storage ANNUAL
L1 Fire Pumps
R Fire Works
Flammable Application- ANNUAL
1 I Valuation of Project
n Fuel Tanks
0 Other: I I
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Contractor A� ) D Signat ure k't Company
(� / , N YI K r / - I Registered Y / N I Fee Current ( Y / N
Address ( I License #
ELECTRICIAN Company '
Signature Registered I Y/ N I Fee Current I Y/ N I
Address ( I License # I
PLUMBER Company
Signature Registered Y/ N I Fee Current 1 Y/ N I
Address ( I License #
MECHANICAL Company
Signature Registered Y / N I Fee Current I Y/ N I
Address I
I License #
OTHER Company
Signature Registered Y / N I Fee Current I Y/ N I
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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CITY OF ZEPHYRHILLS, Vendor ID / Location Reference Number
0002545175
Check Sort Code: I TAXES
Unit Number /Name Invoice Invoice Gross Discount Net.
Number Date Amount Amount Amount
7178 Zephyrhills 2009 -10 PBLC ASSY PRIAM/2009 50.00 0.00 50.00
50.00
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