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08-7493
Zephyrhills
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2008
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08-7493
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Last modified
3/6/2009 4:47:22 PM
Creation date
5/1/2008 8:35:09 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
08-7493
Building Department - Name
ALLIANCE SENIOR
Address
6701 DAIRY RD
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<br />City of Zephyrhills Fir.e' <br />Permit Application <br />t~=;i;!il~\~c:~~:,c;.~_mJ''''0i'':_'~,"~''0i..@",,-L--_w;__~~o~;Co~t~ct for!ermit m,ly___Ll"'0i,","i0iM"JJ''''m~_",~~,,1 <br /> <br />I II II I <br />oS /- 5~/ <br />I II <br /> <br />, , . <t1 :1->80-0020 <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Fee Simple Titleholder Address <br /> <br />D Fire Alarm Installation <br /> <br />D <br />B <br /> <br />D Fuel Tanks <br /> <br />D~I I <br /> <br /> <br /> <br /> <br /> <br />ELECTRICIANI Company <br />Signature . Registered Y I N Fee Current Y I N <br /> <br />Address I License # <br /> <br />PLUMBER Company <br />Signature Registered <br />Address I License # <br />MECHANICAl_I Company <br />Signature Registered <br />Address I License # <br />OTHER Company <br />Signature Registered <br />Address License # <br />Directions: <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />D <br />D <br />D <br />D <br />@ <br /> <br />Bio-Hazard Waste Storage - ANNUAL <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 />. ~~~~ <br />Sprinkler D 0 0 0 L-J <br />Doooc=J <br /> <br />~ ~ ~ ~B <br /> <br />Fire Alarm <br /> <br />Hood Cleaning <br /> <br />Hood Suppression <br /> <br />Fire Pumps <br /> <br />Fire Works <br /> <br />Flammable Application- ANNUAL <br /> <br />Lot# <br /> <br />I <br /> <br />Parcel # <br /> <br />o <br />o <br />o <br />o <br />o <br />o <br />D <br />D <br />D <br />D <br />o <br />o <br /> <br />Fumigation Tent <br />Hazardous Material (Tier II or RQ Facility) ANNUAL <br />Hood Installation <br />LP/Natural Gas-Installation <br />LP/Natural Gas-ANNUAL Sale <br />Places of Assembly-ANNUAL <br /> <br />Recreational Bum <br /> <br />Sparklers <br />Sprinkler System Installations <br />Standpipes (Sprinkler Sys) <br /> <br />Torch RoofingfTar Kettle <br />Waste Tire Storage ANNUAL <br /> <br />Valuation of Project <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <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. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />
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