HomeMy WebLinkAbout13-14445 CITY OF ZEPHYRHILLS
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ANNUAL ASSEMBLY PERMIT '
Permit Number: 14445 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: 34-25-21-0010-00100-0000
Improv. Cost:
Date Issued: 8/12/2013 Name: RUBY TUESDAY RESTAURANT
Total Fees: 50.00 Address: 7909 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/12/2013 Phone:
Work Desc: PLACES OF ASSEMBLY- RUBY TUESDAY
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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
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PERMIT OFFICEI��
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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� �sis�so-oozo City of Zephyrhills Fire Fax-813-780-0021
� Permit Application
Date Received Phone Contact for Pertnit � � ��
Owner's Name �� � Owners Phone Number � ��'f� ��
Owner's Address ��� �' � '�.. � l�(� fd r'�.'!"� /TV{ �Q�'�1/� �('� � a ��
Fee Simple Titleholder Name Titleholder Phone Number �
Fee Simpie Titleholder Address
Job Address � � 0—1 Q<< �1� (Jl Z,.�Q r �1�IS �L, �35 Lot# �
Sub Division Parcel#
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� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation
� Emergency Generator<30 kw Q LP/Natural Gas-Installation
� Emergency Generator>30 kw �^/LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL �Places of Assembly-ANNUAL �
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Sprinkler � ❑ ❑ ❑ � Recreational Bum � �
Fire Alarm � ❑ ❑ ❑ � � Sparklers
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Fire Works
� Flammable Application-ANNUAL Valuation of Project
� Fuel Tanks
Q Other:
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Contractor , '��C mpany
Signature � �� � Registered Y/N Fee Current Y/N
Address (,v V/� �'Y�� (� � � License#
ELECTRICIAN Company
Signature Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y!N Fee Curre�t Y/N
Address License#
MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
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 Mro(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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