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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Date Received 01/19/2021 Permit ApplicationPhone Contact for Permit 813 980 3282 <br /> Owners Name Adventist Health System/Sunbelt Inc. Owners Phone Number <br /> Owners Address 7050 Gall Blvd.,Zephyrhills,FL 33541-1347 <br /> Fee Simple Titleholder Name !Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address 7050 Gall Blvd.,Zephyrhills,FL 33514-1347 Lot# <br /> I <br /> Sub Division Parcel,# 35-25-21-0010-10500-0000 <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-Installation <br /> Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> ®y emi ®n er <br /> Sprinkler 0 ❑ ❑ ❑ ® Recreational Bum <br /> Fire Alarm ❑ ❑ ❑ Sparkle <br /> Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations <br /> Hood Suppression El ❑ ❑ ❑ Stand i e r Sys) V <br /> Fire Alarm Installation Torch Roofing/rar Kettle <br /> Fire Pumps Waste Tire Storage ANNUAL <br /> Fire Works <br /> Fj Flammable Application-ANNUAL $1,871 Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> Contractor Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature I Registered Y/N Fee Current Y/N <br /> Address License# <br /> J <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Q ", Company Cox Fire Protection, Inc. <br /> Signature ir(i/'<c�v Registered I Y/N Fee Current <br /> Address 7910 Professional Place,Tampa, FL 33637 License# FPC14-000005 <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 />