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<br />Date Received <br /> <br />1/15/200R <br /> <br />City ofZephyrhills Fire <br />Permit Application <br /> <br />Contact Phone Nbr <br /> <br />352-424-0906 <br /> <br />Owner Name I <br />: Th, Codd, Shock <br />Owner Address . <br /> <br />Fee Simple Title Holder <br /> <br />Owner Phone <br /> <br />R13 I I 7R2 I I 0714 <br /> <br />D Bio-Hazard Waste Storage - ANNUAL <br />D Comm Exhaust Kitchen Hood - Duct <br /> <br />o <br />o <br />D <br />o <br /> <br />Controlled Bum <br /> <br />Emergency Generator <30 KW <br /> <br /> <br />Emergency Generator> 30KW <br /> <br /> <br />Fire Protection Maintenance - Annual <br /> <br />I Titleholder Phone Nbr <br /> <br />II II <br /> <br />Fee Simple Titleholder Address <br /> <br />o <br />o <br />IKl <br /> <br />o <br />o <br />o <br />o <br />o <br />o <br /> <br />Sprinkler <br />Fire Alarm <br />Hood Clean - Suppression <br />Fire alarm Installation <br />Fire Pums <br />Fire Works <br />Flammable Application - Annual <br />Fuel Tanks <br /> <br />Job Address <br /> <br />SQ..~ <br /> <br /> <br />39248 B Avenue, Zephyrhills, Fl <br /> <br />Subdivision <br /> <br />Parcel ID <br /> <br />o <br />o <br />o <br />o <br />o <br />o <br /> <br />Fumigation Tent <br />Hazardous Material (Tier II or RQ Facility) Annual <br />Hood Installation <br /> <br />LP - Natural Gas Installation <br /> <br />LP - Natural Gas Annual Sale <br /> <br />Places of Assembly - Annual <br /> <br />B <br />B <br />B <br /> <br />Recreational Bum <br /> <br />Sparklers <br />Sprinkler System Installations <br />Standpipes ( Sprinkler System ) <br />Torch Roofing <br />Waste Tire Storage Annual <br /> <br />Value of Project <br /> <br />$ I I <br /> <br />Other: I <br /> <br />Contractor Sign Company <br />Address Registered y N I Fee Current I <br />Electrician Sign. License <br /> Company <br />Address I Fee Current <br /> Registered y N I <br />Plumber Sign License <br />Address Company <br />Mechanical Registered y N I Fee Current I <br />Address [/<=- ;<;:~ License <br />Other Sign Company <br />Address I 18330 Lawrence Rd. Dade City, Fl Registered y N I Fee Current I I <br /> License <br />Directions: <br />Fill out application completely. Company Security Fire Equipment, LLC <br />Owner & Contractor sign back of application, notorize ( Or signed I & N I Fee C,""", I <br />Copy of contract with owner) Registered <br />If over $2500.00, a Notice of Commencement is required <br />Mechanical work of ( $5000.00 ) requires a Notice of Commencent <br /> 502552000220004 <br />Supply two (2) sets of drawings with applicable documentation <br />Allow 10-- 14 days for review after submittal date. <br />