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�`___. <br /> s1,3aeo-oo2o City of Zephyrhills Fire � -813-780-0021 <br /> � Permit Application ' <br /> Date Received � 4/22/�01E�— Phone Contact for Permit 407 n 744� 3 <br /> L--�-----•—.::.�...,r--.-,=___�,.::�.�._.�..�- -- - - --��;= _ - .— �...._. _- — - - - -- -��.m.___°�.. <br /> Owner's Name �Summerset A artments Limited P ershi Owners Phone Number <br /> Owner's Address 3550 South Tamiami T� uite 301,Sarasota, FI 34239 <br /> Fee Simple Titleh i der afie—^�'"----� Titleholder Phone Number � � � <br /> Fee Simple TiUehol er Address \ <br /> � � _._ . Y.�.�� <br /> Job Address 6627 Fort Kin s Rd,Ze h rhills, FI �ot# � <br /> Sub Division Parcel# I <br /> ���� Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LPMatural Gas-Installation n 2�I <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale �� 1 .J <br /> I � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> tr y emi � er � <br /> Sprinkler � ❑ ❑ ❑ B � Recreational Bum ,� � ` � <br /> I � � <br /> , Fire Alarm � ❑ ❑ ❑ � � Sparklers � � <br /> Hood Cleaning � ❑ ❑ ❑ � X❑ Sprinkler System Installations � � � <br /> Hood Suppression � ❑ ❑ ❑ � an pipe l�' <br /> � Fire Alarm Installation � Torch Roofinglfar Kettle �� <br /> � Fire Pumps � Waste Tire Storage ANNUAL � <br /> ii Flammable Application-ANNUAL �' G.� �� C7� Valuation of Project <br /> � Fuel Tanks <br /> Q{ Other: , <br /> e_ � 8 - - ' __ __ -- — �— " _ �_u.�.. .'_�..�:� �� <br /> Contractor I Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address � License# <br /> ELECTRICIAN Company <br /> Signature I I Registered Y/N Fee Current Y/N <br /> i ' <br /> Address � License# <br /> PLUMBER Company <br /> I Signature Registered Y/N Fee Current Y/N <br /> Address � License# <br /> MECHANICA Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address � License# <br />'I OTHER i Company Swanson Fire Protection <br />, Signature �� Registered YeS Fee Current Y/N <br /> Address 2220 CR 210 W Ste 108-139,JaCksonville, FI �icense# 194448-0001-2003 <br /> -----�---v�_ .�.. _ �._.--=---�--,---� <br /> Directions: <br /> Fill qut application completely <br /> Owner&ConVactor sign back of application,notarized(Or,copy of signed conUact with owner) <br /> If over$2500,a Not�ce of Commencement is required(Mechanical work over$5000) <br /> SupQly 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 />