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07-7091
Zephyrhills
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2007
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07-7091
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Last modified
3/6/2009 4:32:56 PM
Creation date
1/16/2008 10:35:08 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
07-7091
Building Department - Name
Z-HILLS DEPOT MUSEUM
Address
39110 SOUTH AV
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<br />City of Zephyr hills Fire <br />Permit Application <br /> <br />~~;&.~:,~,:.__L$@~~~L~1~~",^_,L___~~~~~~"'4,^_*~,,,~,,lL<,,,,*,~:LL-,,,",,~~,.,,,,,,,,I <br /> <br />Owner's Name I City of Z~phyrh;ll!'; I Owner's Phone Number 1813 117RO 110000 <br /> <br />I <br /> <br />813-780-0020 <br /> <br />Owner's Address <br /> <br />Fax-813-780-0021 <br /> <br />Fee Simple Titleholder Name <br />Fee Simple Titleholder Address <br /> <br />I Titleholder Phone Number I <br /> <br />II <br /> <br />II <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />Zenhvrhills Depot Museum <br /> <br />3Clt\ \b ~~ Ao'L I Lot# <br /> <br /> <br />Parcel # I \3 -- 2l..'-LI - 0000 --60506-66601 <br />(UIj I AlI\lcU rKUM t"'KUt"'cK I Y I AJI. I\lU Ill-C) <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br /> <br />Comm Exhaust Kitchen Hood/Duct <br />Controlled Bum <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANNUAL <br />Sprinkler D <br />Fire Alarm D <br />Hood Clean/Suppression D <br />Fire Alarm Installation <br />Fire Pumps <br /> <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />D Fumigation Tent <br />D Hazardous Material (Tier II or RQ Facility) ANNUAL <br />D Hood Installation <br />D LP/Natural Gas-Installation <br />D LP/Natural Gas-ANNUAL Sale <br />rn Places of Assembly-ANNUAL <br />D Recreational Bum <br />D Sparklers <br />D Sprinkler System Installations <br />D Standpipes (Sprinkler Sys) <br />D Torch Roofing <br />D Waste Tire Storage ANNUAL <br /> <br />Valuation of Project <br /> <br />Other: <br /> <br />Company I <br />Registered <br />License # I <br />Company I <br />Registered <br />License # I <br />Company I <br />Registered <br />License # I <br />Company I <br />Registered <br />License # I <br />Company I <br />Registered <br />License # <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Contractor <br />Signature <br /> <br />Address I <br /> <br />ELECTRICIAN <br />Signature I <br /> <br />Address I <br /> <br />PLUMBER <br />Signature <br /> <br />Address I <br /> <br />MECHANICALI <br />Signature . <br /> <br />Address I <br /> <br />OTHER <br />Signature <br /> <br />Address <br />Directions: <br /> <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Y I N I Fee Current <br /> <br />Y IN -I <br /> <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. <br />
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