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Security Fire Equipment$525677340 p.02 <br /> s+�-Aso-oaao City of Zephythiits Fire Fax-e113460-00211 <br /> Permit Application <br /> Date Received Phone Contact for Permit 55Z 5G7 7340 <br /> Owner's Name Zvhr Sunrise,LLC Owners Phone Number 8 i 3 782 0401 <br /> Owner's Address 5883 Gall Blvd Zophyrhills,F1 33$42 <br /> Fen Simple Titleholder Name Titleholder Phone Number <br /> Fee Sim pig TI(lah=er iWOres$ <br /> Job Address 5883 Gall Blvd Ze hITHIS F1 33 4 tot# <br /> Sub Division Parcel# 10.26-21-0020-00000-0090 <br /> (DWrAJNW <br /> ❑ ft-Howd WOW$$ago-ANNUAL � Fumryvtivn Tent <br /> Comm F-:xhauct Kitchen Hood/Ouct Hazardous Material(Tier It or RQ Facility)ANNUAL <br /> Controlled Bum ❑ Hood Installation <br /> Emergency Generator<30 kw Q LP/Natural Gas-Instatiatior <br /> ❑ Emergency Gt nerator?30 kw ❑ LPINaturel Gas-ANNUAL Sale <br /> ❑ Fire ProtecWn MOintenance-ANNUAL Q Places of Assembly-ANNUAL <br /> ® mr ® er <br /> Spnnkaar ❑ n n ® Recreational Bum <br /> FhAlarm ❑ ❑ Ci Q Sparklers <br /> Hood Cleaning ❑ ❑ ❑ Q Q SprinKtef System Installetiona <br /> Hood Suppression I X1 17 ❑ ❑ NeW ❑ Standpipes(Sprinkler Sys) <br /> ❑ Fire Atarminstalatlon Q TorohReoringlrarKettle <br /> ❑ Fire Pumps 0 Waste Tire Stoma a ANNUAL <br /> Flammable Application-ANNUAL Valuation of Project <br /> R Fuel Tanks <br /> I <br /> ❑ Other; <br /> Contractor Company ' <br /> Signatura L Registered I CQN Fee Cument I C2N <br /> Address Llwnce# 1 502552t1t]f 12004 <br /> ELECTRICIAN Company I <br /> Signature Registered Y/N Fee Current I Y/N <br /> Andrew License tiY <br /> PLUMBER Company <br /> 5ignetura Registered YIN I Fee Currant I Y/N <br /> Address Ueense# <br /> MECHANICAL Company <br /> signatwe I Regiotered I YIN Fee Cvnent Y/N <br /> Address License# <br /> OTHER Company <br /> signaturee � Registered I Y/N Fee Current Y/N <br /> Address 118330 Lawrence Rd Dade City,Fl 33523 License# <br /> Dizotions: ' <br /> Fig out applicaton completely, <br /> Owner S Contractor sign back of application,notarized(Or,copy or signed cbriftol with owner) <br /> If ovpr$2500,a Notice of Commencement it roquirad(Mochanlcal work.over$60001, <br /> Supply two(2)sets of drawings with applicable documorltatlon <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tex Notrc9(http;l1appra1ser,pa8cogov.rom) <br />