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813-780-0020 <br /> , City of Zephyrhills Fire FaX-813-780-0021 <br /> � Permit Application <br /> Date Received Phone Contact for Permit <br /> Owner's Name ZepKyrhills Plaza LLC Owner's Phone Number <br /> Owner's Address 5236 Commercial Way Spring Hill FL 34606-1995 <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address 7425 Gall Blvd. Zephyrhills FL. Lot# <br /> Sub Division Parcel <br /> ;B:T;AN�DF M�_F.�TiY_ -�NOTI <br /> mu'*azard Waste Storage AmwuxL Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier xnreu Facility)ANNUAL <br /> Controlled Burn Hood Installation <br /> Emergency Generator=oomw LP/wotura|oas-msmxat/or <br /> Emergency Generator"oo** Lpvwamra|Gas-ANNUAL Sale <br /> Fire Protection Maintenance xmmuAL [ � Places mAssembly-ANNUAL <br /> r7trly F—enil rA—nil <br /> Sprinkler o o o Recreational Burn <br /> p/remonn o o o F7 Sparklers <br /> Hood Cleaning o o o �pnnmoravm�mm��|�mons <br /> �� ___— <br /> * o ^ /*vouaupp�umvn L_] o o � ] [ 1 ��nun�e�(aponmu,or� <br /> | / <br /> Fire Alarm Installation Torch noonnonarKettle <br /> Fire Pumps ---- Waste'rine Storage ANNUAL / <br /> Flammable Application-ANNUAL $ 1,506 Valuation ofProject <br /> rmmrenx <br /> -- _ —F_X]__other: Adding 1 Sprinkler to existing sprinkler system. <br /> '_— <br /> Contractor Company Wayne Automatic Fire Sprinklers In�j <br /> Signature ure Registered _Y/N�] Fee Current _),/N�] <br /> Address 3226 Cherry Palm Dr. Tampa, FL License <br /> sLscTn|omw Company <br /> Signature Registered Y/lV_1 Fee Current _Y'/«�] <br /> Address License# <br /> puymosn Company <br /> Signature vre Registered _Y/1N_] Fee Current _.//`N_� <br /> Address License# <br /> mEoxxw|cAL Company <br /> Si <br /> gnature Registered [_Y/N_ Fee Current (/N] <br /> xuoreoo License# <br /> or*sR Company <br /> Signature on ure Registered _Y/N Fee Current Y��_] <br /> Address License#J <br /> Directions: <br /> Fill out uppmxatiuocompletely. . <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$25mo'a Notice n,Commencement is required(Mechanical work over*soo0) <br /> Supply two(2)sets o,drawings with applicable documentation <br /> m/vw 1u-14 days for review after submittal date. Parcel#'obtained from Property Tax Notice(hup:xonpraisecnascoom//mm) <br />