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8'13-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> F 8007771 8687] F9151 <br /> Date Received Phone Contact for Permit <br /> Owner's Name FRural King#0101 Owners Phone Number <br /> Owners Address F7422 Gall Blvd,Zephyrhills, Florida 33541 Titleholder Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address F— <br /> Job Address 7422 Gall Blvd Lot# <br /> Sub Division Parcel <br /> F-1 Bio-Hazard Waste Storage-ANNUAL Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> F� Comm Exhaust Kitchen Hood/Duct Hood Installation <br /> Controlled Bum o LP/Natural Gas-Installation <br /> Emergency Generator<30 kw LP/Natural Gas-ANNUAL Sale <br /> F-1 Emergency Generator>30 kw Places of Assembly-ANNUAL <br /> Fire Protection Maintenance-ANNUAL Recreational Burn <br /> P Mry Pe—m-,J Fnq er Sprinkler F-1 11 0 o [X--J Sparklers Inside Retail Sales of State Approved Sparklers <br /> Fire Alarm 0 11 0 Sprinkler System Installations <br /> Hood Cleaning n 0 EI Standpipes(Sprinkler Sys) <br /> Hood Suppression F--1 Torch Roofing/Tar Kettle <br /> Fire Alarm Installation E-] Waste Tire Storage ANNUAL <br /> Fire Pumps <br /> Fire Works <br /> Flammable Application-ANNUAL Valuation of Project <br /> 0 Fuel Tanks <br /> Other: <br /> Contractor Company TNT Fireworks <br /> Signature Registered Y/N Fee Current LY/N <br /> Street, Ocala, FL 34474 License# <br /> AddressFi���i] F <br /> ELECTRICIAN Company F <br /> Signature Registered Y Fee Current <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y <br /> Address License# <br /> MECHANICALI Company F— <br /> Signature Registered Y/N Fee Current Y/NJ <br /> Address _J License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current N <br /> AddressF-- License# <br /> cz "_'_"�" <br /> Directions: <br /> Fill 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 gov'com) <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pasco <br /> -Site plan at store-placement dictated by Fire Marshals office <br />