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<br />r <br /> <br />City of ZephyrhilIs Fire <br />Permit Application <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br />Contact Phone Nbr <br /> <br />352-424-0906 <br /> <br />Date Recelived <br /> <br />1/IS/200R <br /> <br />I I 7R2 I I 277R <br /> <br />Owner Phone <br /> <br />Owner Name I <br />Ron's NY Deli <br />Owner Address <br />Fee Simple: Title Holder <br /> <br />R13 <br /> <br />I Titleholder Phone Nbr <br /> <br />II II <br /> <br />Fee Simple: Titleholder Address <br /> <br />Job Addre.ls 136946 SR 54 W <br />Subdivision . <br />B Bio-Hazard Waste Storage - ANNUAL <br />COlIlm Exhaust Kitchen Hood - Duct <br /> <br />Lot Nbr. <br /> <br />Parcel ID <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Fumigation Tent <br />Hazardous Material (Tier II or RQ Facility) Annual <br />Hood Installation <br />LP - Natural Gas Installation <br /> <br />D <br />D <br />D <br />[] <br /> <br />Controlled Burn <br /> <br />Em:rgency Generator <30 KW <br />Emergency Generator> 30KW <br /> <br />LP - Natural Gas Annual Sale <br /> <br />Fire, Protection Maintenance - Annual <br /> <br />D <br />~ <br /> <br />Places of Assembly - Annual <br /> <br />Sprinkler <br />Fire Alann <br />Hood Clean - Suppression <br />Fire alann Installation <br />Fire Pums <br />Fire Works <br />Flammable Application - Annual <br />Fuel Tanks <br /> <br />B <br />B <br />B <br /> <br />Recreational Burn <br />Sparklers <br />Sprinkler System InstaIlati"ns <br />Standpipes ( Sprinkler System ) <br />Torch Roofing <br />Waste Tire Storage Annual <br /> <br />D <br />D <br />D <br />D <br />D <br />D <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 I <br /> Registered y N <br />Plumber Sign License <br />Address Company <br />Mechani(:al Registered y N I Fee Current I <br />Address License <br />Other Sign Company <br />Address 18330 Lawrence Rd. Dade City, FI 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 <br />Copy of Cl)ntract with owner) R~_I y N I Fee Current <br />If over $2500.00, a Notice of Commencement is required <br />Mechanical wor1< of ( $5000.00 ) requires a Notice of Commencent 502552000220004 <br />Supply two (2) sets of drawings with applicable documentation <br />Allow 10 --14 days for review after submittal date. <br />