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s�s-7sa-oozo ' City of Zephyrhills Fire Fax-813-780-0021
<br /> Permit Application
<br /> )ate Received� �i�� _ r Permit y 407 7�4 � 6900
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<br /> )wners Name ZEPHYFZ E!LLC Owner's Phone Number � � �
<br /> )wner's Address 7162 REApING RD STE 730 CINCINNATf OH 45237-3845
<br /> �ee Simple Titleholder Name Titleholder Phone Number �� �� �
<br /> �ee Simpte 1'itleholder Address
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<br /> ob Address T `5939 GA�.L BLVD�ZEPNYRHI��S FL 33452-3464'N �ot# C�
<br /> 9ub Division Parcel# 10-26-21-002�-040Q0-0050
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<br /> � Bip-Hazard Waste Storage-ANNUAL � Fumigation Tent
<br /> � Comm Exhaust Kitchen HoodtDuct Q Nazardous Mate�ial{Tier II or RQ Facility}AiVN[1AE.
<br /> � Controlled Burn � Hood Installation
<br /> � Emergency Genera#or<30 kw � LP1Natural Gas-Instattation
<br /> � Emergency Generator>30 kw o LP/Natural Gas-ANNUAL 5ale
<br /> � Fire Protection Maintenance-ANNUA� � F'Iaces of Assembty-ANNUAL
<br /> tr y emi � t er
<br /> Sprinkier � O C� ❑ � Recreationa!6urn /� Q� ��
<br /> ❑ Cl ❑ .�'�r�� �.�
<br /> Fire Alarm Q CI ❑ Sparklers
<br /> Hood Gleaning � D ❑ 0 � � Sprinkler System I�statlations
<br /> Hood Suppression � O ❑ ❑ � � Standpipes(Sprinkler Sys)
<br /> � Fire Aiarm Installation � 'Corch RoofingtTar Ketfle .
<br /> � Fire Pumps � Waste Tire Storage ANNUAL
<br /> � �lammable Apptication-ANNUAL �,7op.pp�� Valuation af Project
<br /> � Fuel7anks
<br /> � OtheC:
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<br /> ;ontractor FZ'{� � Company FIRETRONIGS
<br /> iignature �, ��y` �� Registered N Fee Current Y/N
<br /> Address �p3g p(IyE FtOLLOWPOlNT QR.AL.TAMONTE SPRINGS FL 32714 �icense# EF000�423
<br /> _LECTRICIAN Campany
<br /> �ignature Registered Y!N Fee Current Y 1 N
<br /> Address License#
<br /> 'L.l1MBER Company
<br /> iignature " Registered Y/N Fee Current Y/N
<br /> Address License#
<br /> 4ECHANICAL Company
<br /> rignature Registered Y/t�l Fee Cvrrent Y/N
<br /> Address LiCense# `
<br /> )7HER Company
<br /> iignature Registered l�/N Fee Current Y/N
<br /> Address License#
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<br /> )irections: �ry_� ����w����L� �-.
<br /> Fiii out applica#ian comptetety. _� _s., �:,.., .�,_,~, .,,
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<br /> Owner&Contractor sign back of.application;;notarized;,(O�,{copy of signed contracfwith owner)
<br /> !f over$2500,a Notice of Gommencement is reguired.{tV�echanicai wark�auer;�5000}
<br /> g�hµ�Yt . .
<br /> Supp�y iwo(2)sefs of drawings with 8ppiicabie.documentation ;.`;,,., `,� =• #'
<br /> Allow 10-14 days for review aftersubmittaLdate.��.�;;;, . „��,;_ Parcel<#`;obtairied from Propefty 7ax Notice(http://appraiser.pascogov.com)
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