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813-780-0020 City of Zephyrhills Fire x-B113-780-0021I <br /> Permit Application <br /> Date Received ....... _Ph...e or 4963 <br /> Owner'ii Name PUKEF-A-44-K tc-17Hf e-H ILLS L.L Owner's.0hone Number y7 <br /> Owner's Address 00 OUTH F1 12o) H 1 <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> 48 1 30 Pretty Pond Road,Zephyrhills.FL 33540 <br /> Job Address, # <br /> Sub Division 35-26-21-0010-07100-0000 <br /> -'rY-T AK OTI W <br /> 0 Bio-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> 0 d Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> Controlled Bum Hood Installation <br /> c Generator<30 k <br /> r7 LP/Natural Gas-Installatior <br /> � <br /> Emergency General w LP/Natural Gas-ANNUAL SaW <br /> ire Protection Maintenance-.ANNUAL: Places of Assembly-ANNUAL <br /> t ['Semi�Im: M507 X <br /> Sprinkler 0 RecreationdBum <br /> Fire Alarm Sparklers <br /> Sprinkler Hood Cleaning System Installations <br /> Hood Suppression Q 0 rs Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Torch Rooflngfrar Kettle <br /> - I Fire�Pumps Waste_Tlreti6rage ANNUAL <br /> 17 Valuation of Project Flammable Application-ANNUAL <br /> Fuel Tanks <br /> F -A <br /> Other: <br /> Contractor Company, 777711; <br /> Signature Registered Fee Current 1—Y INA <br /> Address'! License# <br /> �N mpany ELECTRt Cc 'JA&KEI66tricservlces,Inc., <br /> Signature Registered f-IMN ry Fee Current !•:Y/N, , S <br /> S,� '09 IN ECOU 7S9, <br /> License#Address,, <br /> PLUMBER Company <br /> Current <br /> Signature <br /> ense Registered <br /> Lic #Adclrass� <br /> _ <br /> IMECRAMAL, Company <br /> Signature Registered Fee Current <br /> _ -N T'_e rre <br /> Address License# <br /> OTHER Company <br /> Signature Registered a Current <br /> Address?;l- 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 dais for review after submittal date; Parcel#-obtained from Property Tax Notice(hftp://appraiser.pascogoy.:,,com) <br />