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s�3-�so-oozo City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received r Phone Contact for Permit �2� 5 3 0 4 5 21 <br /> �---~-- ..__.. _ __,.. .._---_-___ _ _ ..e�� _.....���� <br /> Owner'sName Stahl Family Farms LLC Owner'sPhoneNumber 72� 530 4521 <br /> Owner'sAddress P•O. Box 550, Jane Lew, WV 26378-0550 <br /> Fee Simple Titleholder Name Titleholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> r�"�' __�.� <br /> JobAddress 40119 County Road 54 Zephyrhills, FL 33540� Lot# � <br /> SubDivision Parcel# 06-26-22-000-01500-0020 <br /> �_.. ��. ._._.._ __ _.._.e.._�.�.. e,,__. -�---�:-�--_-� <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> . � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � <br /> r y emi �n er /'� �/ � <br /> ��/ / � <br /> Sprinkler � ❑ ❑ ❑ � Recreational Burn i/%X l <br /> �� <br /> Fire Alarm � ❑ ❑ ❑ � � Sparkiers <br /> Hood Cleaning � ❑ ❑ ❑ � Sprinkler System Instail ' <br /> Hood Suppression � ❑ ❑ ❑ � Standpipes(Sprinkler Sys) <br /> ire -Installa on � Torch RoofinglTar Kettle <br /> mps � Waste Tire Storage ANNUAL <br /> � FlammableApplication-ANNUAL $3,781.00 Valuation of Project <br /> � Fuel Tanks <br />, � Othef: Fire Protection A teration <br /> �.__'.""'_'.. ....____ - __..W.�...v ._.�.. � �.�......n.�.��--�----� <br />', Contractor � Company Commercia Fire & Communications <br /> Signature � Registered Y/N Fee Current Y/N <br />' Address 6510 125t Ave. N. Largo, FL 33773 License# 50901100012004 <br />, ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> i <br /> Address License# , <br /> MECHANICAL Company <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 /> ��-�'' _ .. ___._. __...___, _. �___.� _ - w....�,..�__ "" . ----s <br /> Directions: <br /> Fiil out application completely <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br /> I <br />