HomeMy WebLinkAbout10-10873 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 10873
ANNUAL ASSEMBLY PERMIT
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Permit Number: 10873 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:
Improv. Cost: ,a..
Date Issued: 8/31/2010 Name: RUBY TUESDAY RESTAURANT
Total Fees: 50.00 Address: 7909 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/31/2010 Phone:
Work Desc: FPM- PLACES OF ASSEMBLY- RUBY TUESDAY- EXP AUGUST 2011
- - - M f 50.00
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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
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
V44- 30 f Z
813 - 780 -0020 City of Zephyrhills Fire Fax -813- 780 -0021
Permit Application
Date Received J Phone Contact for Permit 3 1. o •
Owner's Name I ' RL b I l 1.�.' C
SG r / 'J -4 C. + Owner's Phone Number Ig4O J ` I 079 I I S-7001 Owner's Address (!"T'�'1Y1 _ - e iL*- L t C eASt 1 �i w C.h u.rCk ► f lct (l.' V 1 l t-e 3 7 t)
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Q om ,... � : <<„
Job Address -1 -! 09 c 11 ( U a 2-eph h %1 Is FL *35 2 Lot #
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FL.
Division Parcel # Z S I-'oc Lo --o loo `QOOO
I — I B io- Hazard Waste Storage - ANNUAL Ii Fumigation Tent
El Comm Exhaust Kitchen Hood /Duct = Hazardous Material (Tier II or RQ Facility) ANNUAL
I] Controlled Burn Li Hood Installation
n Emergency Generator < 30 kw I LP /Natural Gas - Installation
Emergency Generator > 30 kw P /Natural Gas - ANNUAL Sale
I1 F ire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL
try (Semis ma Other
Sprinkler I ❑ ❑ ❑ n Recreational Burn
Fire Alarm 0 ❑ ❑ ❑ I I I7 Sparklers
Hood Cleaning I] ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Suppression n ❑ ❑ ❑ I I I] Standpipes (Sprinkler Sys)
r F ire Alarm Installation r---] Torch Roofing/Tar Kettle
I] Fire Pumps I7 Waste Tire Storage ANNUAL
E Fire Works
0 Flammable Application- ANNUAL ( ( Valuation of Project
Fuel Tanks
I] Other: I
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. } "' ,:x ....4.. . ' > man;`, 4- N :.. . ......R.,
Contractor / •,''L,' �//i'jJ/ // N/A Y / A � C III Registered Signature , � . �� t / / //J Registered Y / N I Fee Current l Y/ N I
•
Address I I License # I
ELECTRICIAN Company
Signature Registered Y/ N I Fee Current I Y / N I
Address I I License # I
PLUMBER Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address ( I License # I
MECHANICAL Company
Signature Registered Y/ N I Fee Current I Y/ N I
Address ( I License # I
OTHER Company I
Signature Registered Y/ N I Fee Current 1 Y/ N I
Address I License #
Directions: 1.
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 JJEPHYRHILLS, Vendor ID / Location Reference Number
0002682189
Check Sort Code: I TAXES
Unit Number/Name Invoice Invoice Gross Discount Net
Number Date Amount Amount Amount
7178 7178 11 PUB ASSEMBLOB /27/2010 50.00 0.00 50.00
50.00
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M S Package or above(. ledewo ld: or any gualdying International service bundle, which shall . ind e the PREFERRED CHOICE programming package (valued at $38 994mo.'. DVR service ($7Imo l required for OR and HO OVP lease. HO Access feel $101mo) required for HO and HO DVR tease LIMA
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redemption
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b e s valid email address. Re4te 0' n.6.8 wcess of tot Iec egt g rsha'e;ubmissn'n online mby phone. Itming of promotional price depends on redemption date. Aceount must be In good standing, as determined by 0241014 el its set ,setetion, to remain eligible 011f I4
nsnoLesCOnsible responsible for late host, ,ilegibl. mot 4,040 IncornotEts, 00100044504 nesting, red of postage due main lFBY THE END OF PROMOTIONAL PRICE PERI00(SI CUSTOMER DOES NOT CONTACT DIRECTV TO CHANGE SERVICE THEN ALL SERVICES WILL AUTOMATICALLYCONTINUE 0.T THE THEN-
PREVAILING RATES INCLUDING THE$5 /MO. LEASE FEE FOR THE 2ND AND EACH ADDITIONAL RECEIVER IPE del h tootTe wh at 01 n h+. Is. l! an tlmmike( t,p ownning/0 :Ong 014, vsit
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