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l <br /> 813 780-0020 City of Zephyrhills"Fire- Fax-813780-0021 <br /> l Permit Application <br /> Date Received <br /> ' March 5, .0_1 9 Phone <br /> cCu�on5tact. o.r'PC ermit 81�3 �.2an3�4 <br /> 2264 owner's Name Zephyr L JC owner's Phone Number 513 531 7997 <br /> Owner's Address 7162 Re !Oing,Rd STE 730 CINCINNATI•,OH 45237 <br /> Fee Simple?itleholderName I . Titleholder.Phone Number <br /> Fee Simple Titleholder Address <br /> ..:�!,�xes.�""+�"`.3`.�r "�'te'Rig':�a. Z���';`ss%�:aur�,!''�":e";�....� sY�": � <br /> Job Address 5953 Gal Boulevard, Zephyrhills Lot# 0 <br /> Sub Division Shoppin ' Center Parcel# 10-H-21-0020-00000-0030 <br /> -��> .avw <br /> Bio-Hazard Wa ,�, Storage—ANNUAL Fumigation Tent <br /> Comm Exhaust tchen Hood/Duct Hazardous Material(Tier II or'RQ Facility)ANNUAL <br /> ' <br /> Controlled Bum Hood Installation <br /> Emergency Genrator <br /> <30 kw LP/Natural Gas-Installation <br /> Emergency Gar Lim>30 kw LP/Natural Gas-ANNUAL Sale <br /> Fire Protection P lifitenance-ANNUAL Places of Assembly-ANNUAL <br /> rU ry" em ®npinu, <br /> Sprinkler ❑ ❑ ❑ ❑ Recreational Bum <br /> 1 <br /> Fire Alarm j:. ❑ ❑ ❑< ❑ ❑ —&sadcle� <br /> Hood Cleaning ❑ ❑ ❑ ❑ ❑ Sprinkler System Installations <br /> Hood Suppress) i h ❑' '❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire'Alarm Insta 1ption Torch Roofingffar Kettle <br /> s Waste Tire Storage ANNUAL <br /> 'X Fire Works <br /> ---Flammable App ication-ANNUAL 750 Valuation Of Project <br /> Fuel Tanks <br /> Q Other: <br /> �..t"tt;m°'=1"m 3n..�:.i�,..cm' ,i..:..��+. ::s�aa. _.,r..w - ��.. ".LaF•'s�'�`u`€$9.r"��.rn."'". '� "�""� ;1�'tY " i': �:ASSn:..s_��n�-`-�k-+r��mxsszyti., 5::_xi <br /> Contractor �^` Company <br /> Signature V V \(e�� / Registered Y/N Fee Current <br /> Address License# <br /> ELECTRICIAN j Company <br /> Signature j Registered Y/N Fee Current Y/N <br /> Address i License# <br /> PLUMBER i Company <br /> Signature { Registered Y/N Fee Current Y/N <br /> Address _j License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER ! Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> +w^ -ec.�..va�.x:rs..xaz,.�.:xa:.r,..a,v .,_ .- .-.:.�;,�i,�•a'�'-�"zs.�m.` ,i.,.<..v. _,..,_aa:.v�,.:.._-a..=..,xr�::�aw�--.uw^vu.'_^,..z� 'n`�'x=-" 1 <br /> Direcbons: <br /> Fill out application com I�tely. <br /> Owner&Contractor sigback of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice&Commencement is required.(Mechanical work over$5000) <br /> Supply two(2)sets of d wings with applicable documentation <br /> Allow 10-14 days for rei iew after submittal date. Parcel.#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br /> 1 <br />