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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> DateReceived PhoneConladforPermit 727 530 4521 <br /> _ _ _� . -,., , <br /> � __.___---._� ._._..�..____. _r_..._.._____----�.:�,_..,._ _.�____. .__..._.�_.,_ ._._. _,.-.=--._uw......_..��,__._-_:..��._._�,__.__....-_:__..__..� __.__.- -_--.__..._.,._._ ___. ___..,._.____;__�__., <br /> Owner's Name Stahl Family Farm5 LLC Owners Phone Number 7z� 530 4521 <br /> QwnersAddress PO BOX 550, Ja11e LEW, WV 26378-0550 <br /> Fee Simple Titleholder Name Titleholder Phone Number � � I�J <br /> Fee Simple Titleholder Address <br /> . . . _._...--------- ._.___-_. . _ � <br /> �.._._.. c.� <br /> Job Address 4 0119 County Road 54 , Zephyrhi 11 s , FL �ot# <br /> subDivision Parcel� 06-26-22-0000-01500-0020 <br /> ._.._.---�—__ ----- ---- --.�_.__ --- ------- --_- ------- ------------------__--__ . _-- ----__ ..�_- -_ __ _----- -- -- --_.-- _ _�-_ _..___��____ __ ., <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Dud � Harardous Material(Tier II or RQ Faality)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Inshalla6on <br /> � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale <br /> � Fire Protedion Maintenance-AfVNUAL a Places of Assembly-ANNUAL <br /> �y ern � er � /� � Q/ <br /> Sprinkler � ❑ ❑ ❑ � � Reaeational Bum `� <br /> Fire Alarm � � ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler 5ys) <br /> � Fre Alartn Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br />' � Flammable Application-ANNUAL 21 275 Valuation of Project I' <br /> aFuel Tanks <br /> QOther: <br /> ---_._.._._�....---- ---- .___._ -�____—_ -- --- -- - - -- - - <br /> _ _ ._j._ <br /> A <br /> Contrador Company Commercial Fire & Communication Inc. <br /> Signature Registered Y/N Fee Current Y/N <br /> Address 6510 125th Ave N. ar o FL 33773 License# EF0000785 <br /> ELECTRICIAN Company <br /> Signature I Registered Y/N Fee Current Y/N <br /> Address License# <br />, PLUMBER Compaoy � <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Corr�any <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License� <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> - --�- - ._-- - -' __ ' — -- � - . , . _..- - ... _..._ _. ..._ _. __ __ <br /> ---- ---- --- __: __.._____ - ._-__- __ _._.— -=--.._._._._ . . • , <br /> Directions: _ _._.._._ __�. . _ _ . _ . . .--.- - .- - <br /> Fill out appliption completely. <br /> Ovmer&Contractor sign badc of application,nohar¢ed(Or,copy of signed contrad with owner) <br /> If over$2500,a Notice of Cortvnencement is required(Mechanical work over$5000) <br /> Supply two(2)sets of drawings w8h applicable documentation � <br /> Allow 1a14 days for review after submitial date. Parcel#-obiained from Properiy Tax Notice(httpJlappraiser.pascogov.com) ', <br />