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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> F877740 Phone Contact for Permit jZ� <br /> Date Received <br /> 782 1957 <br /> Owners Name Wal-Mart#706 Owner's Phone Number <br /> Owner's Address L7631 Gall Blvd,Zephyrhills, FL 33541 Fee Simple Titleholder Name Titleholder Phone Number F - <br /> Fee Simple Titleholder Address <br /> Job Address 7631 Gall Blvd Lot# <br /> Sub Division Parcel# <br /> Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> F-1 Bio-Hazard Waste Storage-ANNUAL <br /> Comm Exhaust Kitchen Hood/Duct Q Hood Installation <br /> Controlled Burn LP/Natural Gas-Installation <br /> Emergency Generator<30 kw LP/Natural Gas-ANNUAL Sale <br /> Emergency Generator>30 kw Places of Assembly-ANNUAL <br /> Fire Protection Maintenance-'ANNUAL Recreational Burn <br /> rC try [S-e7ml F77q 10ter <br /> F7 <br /> Sprinkler F-1 0 13 E] X Sparklers Inside Retail Sales of State Approved Sparklers <br /> Fire Alarm F-1 0 0 0 = Sprinkler System Installations <br /> Hood Cleaning El 0 0 El F-1 Standpipes(Sprinkler Sys) Lil- <br /> Hood Suppression El 0 r7l o Torch Roofingrrar Kettle <br /> Fire Alarm Installation Waste Tire Storage ANNUAL <br /> FJFire Pumps <br /> FX_X_1 Fire Works-SPARKLERS Valuation of Project <br /> F"I Flammable Application-ANNUAL <br /> F-1 Fuel Tanks <br /> F 1 Other: <br /> Contractor Company <br /> Signature Registered Y/N Fee Current Y7N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y Fee Current Y <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current L_�/N <br /> Address License <br /> MECHANICALI Company <br /> Signature Registered Y/N Fee Current =/N <br /> Address License# <br /> Vendor Company <br /> TNT Fireworks <br /> Signature Registered Y/N Fee Current Y/N <br /> Address 16255 SE 78th Street, Ocala, FL34474 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 /> -Site plan at store-placement dictated by Fire Marshals office <br /> -State Sparkler Licence attached <br /> -Product List attached <br />