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<br />Date Rec<~ived <br /> <br />I 1 d&'200R <br /> <br />City of Zephyrhills Fire <br />Permit Application <br /> <br />I <br />I <br /> <br />Owner Nlune <br /> <br />Contact Phone Nbr <br /> <br />352-424-0906 <br /> <br />Hole In One Donut Shop <br /> <br />Owner Phone <br /> <br />R13 <br /> <br />I I 46R I I 5R03 <br /> <br />Owner Address <br /> <br />Fee Simple Title Holder <br /> <br />I Titleholder Phone Nbr <br /> <br />II <br /> <br />II <br /> <br />Fee Simplle Titleholder Address <br /> <br />Job Addn:ss <br /> <br />5048 Gall Blvd, Zephyrhills, Fl <br /> <br /> <br />Subdivision <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br />Coram Exhaust Kitchen Hood - Duct <br /> <br />D <br />D <br />D <br />D <br /> <br />Controlled Bum <br /> <br />Emergency Generator <30 KW <br /> <br /> <br />Emergency Generator> 30KW <br /> <br /> <br />Fin: Protection Maintenance - Annual <br /> <br />Parcel ill <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Fumigation Tent <br /> <br />Hazardous Material (Tier II or RQ Facility) Annual <br /> <br />Hood Installation <br /> <br />LP - Natural Gas Installation <br /> <br />LP - Natural Gas Annual Sale <br /> <br />Places of Assembly - Annual <br /> <br />D <br />D <br />~ <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Sprinkler <br />Fire Alarm <br />Hood Clean - Suppression <br />Flire alarm Installation <br />Fire Pums <br />Fire Works <br />Flammable Application - Annual <br />Fuel Tanks <br /> <br />E3 <br />E3 <br />E3 <br /> <br />Recreational Bum <br />Sparklers <br />Sprinkler System Installations <br />Standpipes ( Sprinkler System) <br />Torch Roofmg <br />Waste Tire Storage Annual <br /> <br />Value of Project <br /> <br />$ I I <br /> <br />Other: I <br /> <br />Contractof Sign <br /> <br />Company <br /> <br />Address <br /> <br />Address <br /> <br />Electrician Sign. <br /> <br />Plumber Sign <br /> <br />Address <br /> <br />Other Sign <br /> <br />Address <br /> <br />Address <br /> <br />Mechanical <br /> <br />Registered <br /> <br />18330 Lawrence Rd. Dade City, Fl <br /> <br />y <br /> <br />N I Fee Current I <br /> <br />License <br />Company <br /> <br />Registered <br /> <br />y <br /> <br />N I Fee Current I <br /> <br />License <br /> <br />Company <br /> <br />Registered <br /> <br />y <br /> <br />N I Fee Current I <br /> <br />License <br /> <br />Company <br /> <br />Registered <br /> <br />I <br /> <br />N I Fee Current I <br /> <br />y <br /> <br />License <br /> <br />Directions: <br />Fill out application completely. Company <br />Owner & Contractor sign back of application, notorize ( Or signed <br />Copy of ccmtract 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 />Supply two (2) sets of drawings with applicable documentation <br />Allow 10 - 14 days for review after submittal date. <br /> <br />Security Fire Equipment, LLC <br />Y N I Fee Current <br />502552000220004 <br />