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813-780-0020 City of Zephyrhills Fire Fax-813-780- <br /> Permit Application <br /> Date Received 5/30/18 Phone Contact for Permit 813 630 0303 <br /> Owner's Name NESTLE WATERS NORTH AMERICA INC Owner's Phone Number <br /> Owner's Address PO BOX 120029 STAMFORD CT 06912-0029 <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address F 4330 20th St. Zephyrhills, FL. 33542 Lot# <br /> Sub Division Parcel# <br /> N I±U_F ROW.PRO EER-7777 rAX NO ICE)----- <br /> F-1 Bio-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> Fj Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier 11 or RO Facility)ANNUAL <br /> F-1 Controlled Burn Hood Installation <br /> F-1 Emergency Generator<30 kw LP/Natural Gas-Installatior <br /> F-1 Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> FQN-1y] rS_em7, An l'Uffi—er—1 <br /> Sprinkler F-1 0 0 0 F-1 Recreational Burn <br /> Fire Alarm F-1 0 0 0 Sparklers <br /> Hood Cleaning F-1 0 0 1-] Sprinkler System Installations <br /> Hood Suppression El 11 13 0 Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Torch Roofingf-rar Kettle <br /> Fire Pumps Waste Tire Storage ANNUAL <br /> Flammable Application-ANNUAL $ 15,000 Valuation of Project <br /> Fuel Tanks <br /> Other: c, f-to A A t- <br /> Contractor Company Wayne Automatic Fire Sprinklers Incl <br /> Signature Registered = Fee Current I Y <br /> Address 3226 Cherry Palm Dr. Tampa, FL License# FPC17-000106 <br /> ELECTRICIANI Company <br /> Signature Registered Y/N Fee Current L�/N <br /> Address License# I <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y N J <br /> Address License# <br /> MECHANICALI Company <br /> Signature Registered Y/N Fee Current Y N J <br /> Address License# F_ <br /> OTHER Company I I <br /> Signature Registered I Y/N Fee Current L_L/N J <br /> Address License# F_ <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 <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />