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21-1679
Zephyrhills
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2021
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21-1679
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Last modified
5/9/2022 12:16:24 PM
Creation date
5/9/2022 12:16:24 PM
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Building Department
Company Name
LIFE'S HARBOR CHURCH INC
Building Department - Doc Type
Permit
Permit #
21-1679
Building Department - Name
LIFE'S HARBOR CHURCH INC
Address
7645 GREEN SLOPE DR
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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit <br /> Owner's Name L a Owner's Phone Number <br /> Owner's Address L 74 <br /> Fee Simple Titleholder Name Titleholder Phone Number F <br /> Fee Simple Titleholder Address <br /> Job Address Lot# <br /> Sub Division Parcel# <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 /> MEmergency Generator<30 kw F-1 LP/Natural Gas-Installatior <br /> 0 Emergency Generator>30 kw = LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> Ego ® Ot er <br /> ElSprinkler ❑ ❑ ❑ Recreational Bum <br /> Fire Alarm El ❑ ❑. ❑ Sparklers (J <br /> Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Torch Roofing/rar Kettle <br /> aFire Pumps Waste Tire Storage ANNUAL <br /> R <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> 0 Other: . <br /> Contracts Company <br /> Signature//` U& Registered Y/N Fee Current <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current <br /> Address License# <br /> MECHANICAL Company <br /> Signature F Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current <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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