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<br />Contractor Sign I Company <br />Address I Registered y N I Fee Current I <br />Electrician Sign, License <br /> Company <br />Address I I Fee Current I <br /> Registered y N <br />Plumber Sign License <br />Address I Company <br />Mechanical I Registered y N I Fee Current I <br />Address I/cg~ License <br />Other Sign Company <br /> - <br />Address I 18330 Lawrence Rd, Dade City, FI Registered y N <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 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 502552000220004 <br />Supply two (2) sets of drawings with applicable documentation <br />Allow 10 -- 14 days for review after submittal date. <br /> <br />City of ZephyrhilIs Fire <br />Permit Application <br /> <br />-tr ~51 <br /> <br />Date Recdved <br /> <br />i l- "l-~ O/j <br /> <br />Contact Phone Nbr <br /> <br />I <br />I <br /> <br />I <br />II <br /> <br />Owner Name <br /> <br />I R13 <br /> <br />Owner Phone <br /> <br />7RR I I 4300 <br /> <br />Zephyrhills Health & Rehab <br /> <br />Owner Address <br /> <br />7350 Dairy Rd, <br />Fee Simple Title Holder <br /> <br />I Titleholder Phone Nbr <br /> <br />II <br /> <br />II <br /> <br />Fee Simple Titleholder Address <br /> <br />Job Addn.'Ss <br /> <br />17350 Dally Rd. <br /> <br />Lot Nbr. <br /> <br />Subdivision <br /> <br />Parcel ID <br /> <br />B Bio-Hazard Waste Storage - ANNUAL <br />Comm Exhaust Kitchen Hood - Duct <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 Bum <br /> <br />Emergency Generator <30 KW <br /> <br /> <br />Emergency Generator> 30KW <br /> <br /> <br />Fire Protection Maintenance - Annual <br /> <br />LP un Natural Gas Annual Sale <br />Places of Assembly - Annual <br /> <br />D <br />D <br />D <br /> <br />D <br />D <br />D <br />D <br />D <br />D <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 />Value of Project <br /> <br />$1 I <br /> <br />B <br />B <br />B <br /> <br />Recreational Bum <br />Sparklers <br />Sprinkler System Installations <br />Standpipes ( Sprinkler System ) <br />Torch Roofing <br />Waste Tire Storage Annual <br /> <br />Other: I <br /> <br /> <br />