HomeMy WebLinkAbout12-13327 CITY OF ZEPHYRHILLS /:
5335-8TH STREET
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ANNUAL ASSEMBLY PERMIT
Permit Number: 13327 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: 3425-21-0010-00100-0000
Improv. Cost:
Date Issued: 8/10/2012 Name: RUBY TUESDAY RESTAURANT
Total Fees: 50.00 Address: 7909 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/10/2012 Phone:
Work Desc: PLACES OF ASSEMBLY- RUBY TUESDAY- EXP 8/2013
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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. .1.2
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PERMIT OFFICER
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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�isaao-oo2o City of Zephyrhills Fire � Fax-813-780-0021
Permit Application
Date Received Phone Contact for Permit � �� `� p� . ���"'�
Owners Name � � Owner's Phone Number ��f�� ,�j� ���
Owner'sAddress (J W • k.r C-h �'�,. ( �(, ! '� p �
Fee Simple Titleholder Name Titleholder Phone Number � � �
Fee Simple Titleholder Address
Job Address � � ` Q —1 �� � �� �• `� h r h 1 (�S 3�� Lot# �
SubDivision Parcel# -�Z �Z�� (��a" lJV j �t.r'"� ��
� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
aControlled Bum Q Hood Installation
� Emergency Generator<30 kw � LP/Natural Gas-Installation
� Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL �laces of Assembly-ANNUAL
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Sprinkler � ❑ ❑ ❑ � Recreational Bum 2�
Fire Alarm � ❑ ❑ ❑ � � Sparklers � ��
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
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Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
aFire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Valuation of Project
� Fuet Tanks
Q Other:
Contractor Company
Signature Registered Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER �n, �Q Company
Signature W�r v � � Registered Y/N Fee Current Y/N
Address License#
Directions:
Fili out application completely
Owner 8 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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