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813-78D-0020 City of Zephyrhills Fire Fax-813-780-Op21
<br /> , : Permit Application
<br /> Oate Received �'--/,7`,5. � Rhone Co�tact for Permit �2� 567 734�
<br /> Ownefs Name LuiS ACeVeclo I Owners Phone Number 813 263 8078
<br /> {Jwcter's Address ���$��BIVt� Z� �1 T�11�S F� �
<br /> Fee 3lmpls Tikleholder Name Titteholder Phone iVumber � �._._� !��
<br /> Fee Simple Titleholder Address I
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<br /> Jo4Address 5048 Gall Blvd � ' 3��3�2 Lot# ��
<br /> &ub Diuision Parcei# ��-2s-2�-000aoiaoo-0000
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<br /> � Bio-Hazard Waste Storage-ANNUAL , o Fumigatian Tent
<br /> Q Comm Exhaust Kitchen}ioodtQuct Q Nazardaus Material(Tisr it or RQ Facility}ANHUAL
<br /> � Controlled Bum ' � Hood Installation
<br /> QEmergenoy Generator<30 kw � � LPlttiafurat�as=lns#altaGon
<br /> � Emergency Generator>30 kw ; � I.PMatural Gas-ANNUAL Sale
<br /> � Fse Pra#ection Maintenance-ANNUAL � � Places of Assemb{y-ANiVIlA!
<br /> , ry emi �n er �.7 ,j
<br /> Sprinkler � ❑ O C] � � � Ftecreationa!eum 7t (,.� '���
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<br /> Fire Alarrrs � � ❑ q � � Q Sparkiers � � {
<br /> Hood Cleaning � ❑ Q Cl � � Sprink(erSystem installaSons
<br /> Hood Suppression � ❑ ❑ ❑ � , � Standpipes(Sprinkler Sys)
<br /> � Fire Aiatm insta!lation � � 7orch RoofingfCar Ksttle
<br /> Q Fire Pumps � � Waste Tire Sto2ge ANNUAL
<br /> �re Wodcs
<br /> � Flammable Application-ANNUAL $�,ssa.oa�, VafUatiOfl Of ProjeGt
<br /> � FueYTanks
<br /> Q �ther Fire Su ression S stem Inst ation
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<br /> Canttaotar ; Campany
<br /> Signakure � Registered Y/N Fee Current Y/N
<br /> Address � License#
<br /> ELECTRICIAN Company
<br /> Signature � ! Registered Y(N Fee Cursent Y 1 N
<br /> Address � License#
<br /> PLUMBEft � Company
<br /> Signature Registered Y/N Fee Current Y I N
<br /> Address License#
<br /> MECHANICAL i Company
<br /> Signature Registered Y/N Fee¢urrent Y/N
<br /> Address License#
<br /> pS�}�}•{{ Company Securit Fire E i ment LLC
<br /> Signature � ,./1.��'�X� Registered Y/�1 Fee Current Y/N
<br /> Address 18330 LawrenCe Rd Dade Ci FI Llcense#
<br /> DirecGons: ' _._... .,.,,:r..::�:..:._ -<- •,:>... . .,.._. ., _ . ......:_ ,_...,_.n.._._�. > -I : ._,...,,�,-_ :....-.. , t _ .,_. .. ,. . a...,. . . _... ..._ _....�. _.
<br /> Fili out appiicatian completely.
<br /> Owner&Confractar sign back of application,natarizsd{Or,copy oE signed contract wi#h owr2er}
<br /> if over$2500,a Notice of Commencement is required{Mechanical work over$5060)
<br /> Supply two(2)sets of drawings with appiiceble documentatian
<br /> A1tow 10-'14 days for revtew after submittal da#e. Parcef#-obiained irom Property Tax iVotics(hitpltappraiser.pascogov.com}
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