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18-20102
Zephyrhills
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Building Department
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Permits
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2018
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18-20102
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Last modified
9/19/2019 8:18:45 AM
Creation date
9/18/2019 9:55:20 AM
Metadata
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Template:
Building Department
Company Name
BEAR STEARNS COMERCIAL MORTGAGE
Building Department - Doc Type
Permit
Permit #
18-20102
Building Department - Name
BEAR STEARNS COMMERCIAL MORTGAGE
Address
7306 GALL BLVD
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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> FQ Permit Application <br /> Date Received P Phone Contact for Permit D 25 S <br /> Owner's Name </ ti D �L 1 �+ Owner's Phone Number E= r <br /> Owner's Address <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address 2 / (� <br /> Job Address ✓6 �j l' �} L�- �✓I V Lot# <br /> Sub Division C <br /> /� I l Parcel# agoC�- (Jo /y <br /> G 1 h <br /> .. - ., •133AID1ED.:E,�011ti_ef3° . _ ,< .� E, _ „ ,. <br /> Bio-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> Controlled Bum Hood Installation <br /> Emergency Generator<30 kw LP/Natural Gas-Installatior <br /> Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> 0 Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> Qtrl Semi Anl Other <br /> Sprinkler El ❑ ❑ ❑ Recreational Bum <br /> Fire Alarm ❑ ❑ ❑ Sparklers `J <br /> Hood Cleaning El ❑ ❑ ❑ n Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Torch Roofing/Tar Kettle <br /> Fire Pumps Waste Tire Storage ANNUAL <br /> eFlammable Application-ANNUAL I LIEU Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> Contractor Company <br /> Signature Registered Y/N Fee Current I Y/N <br /> Address 0 2 5/ 5-1 Ir yp IAI In 6&� L License# Y oUo n6 <br /> ELECTRICIAN �( 167 Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL[-------7— Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address F License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <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 />
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