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<br />N:jV/ 14 /i'UCi7 IViED Oi: 34 P!I! <br /> <br />ZEPHYRH I L....::3 p.J I W 1 f"lG <br /> <br />!.: c: c-- <br /> <br />_I)J L} <br /> <br />" <br />~' !.) ~ <br /> <br />City of Zephyr hills Fire <br />Permit Applic!ltion <br />~te R!CeiV~__,.C~~~:~c ~':'".~:e<:L...~ -"" <br /> <br />OWne"'5 Name I Arthur H~mlnons _ -. <br /> <br />38047 12 th Avenue, Ze.phyrhilis, FL 33542 <br /> <br />-tY 1013/ <br />1 35Wj~~6 7_"Jl..::~~ <br />I 813 . 1'1783-3~6r- <br /> <br />813-780-0020 <br /> <br />Owners Addr~5 <br /> <br />Fax-813-7S0-o021 <br /> <br />Phone contact for Permit <br />r ~ac!J'__ ..........1Ifl' L <br /> <br />~J OWner's Phone Nu~bel <br /> <br />c- <br />r <br /> <br />J I <br /> <br />[ <br /> <br />"C <br /> <br />~ <br /> <br />Titleholder Phone Nl.rnber <br /> <br />Fee Simple TitlGhQIder NOlIlle <br /> <br />Fee Simple ~itIehoIder Addre$S <br />""'Tln Iii1 ~L <br /> <br />Job Add~ <br /> <br />. S'Jb Division <br /> <br />~ <br /> <br />- Ial <br />.0 <br />o <br />D <br />D <br />D <br />o <br /> <br />o <br />D <br />.0 <br />o <br />D <br />D <br /> <br />-~ <br />ill <br /> <br />n~ -""!iJII <br /> <br />I Lot# . I <br /> <br />\Utlll\ll~LJ t"KVMt"KUt't":tHT L'V\ NUIIC:;;} <br />&11I .- II 1 .lor... rEllfTV <br /> <br />,,~'w~..~J~ <br /> <br />J .. aLLll '1 n <br /> <br />---LLT' . l <br /> <br />38047 12th Avenue, Zephyrhills,FL <br /> <br />3354~ <br />'1 <br /> <br />Parcel ,. <br /> <br />r J1Il'1lIIi5' -~ 'l!:MT <br />EljD..~ Was.te Stor-ago " ANNUAL <br />Comm Exhaust KItchen Hood/OLlCl <br />Controlleq Bum' <br />. Em$rgenay <,;;enersior < 30 kw <br />Eme~ ~tcr;> 30 k\v, <br />FirE! Proteotion Maintenance ~ A.NNUAL <br /> <br />II m 1111 I .. Il ~~I <br />~ FJm,gatlon Tent <br /> <br />o ~ous Materlal(11er II QT RQ Facility} ANNUAl. <br /> <br />o - -Hood Inlllallatilln <br /> <br />D Lf>/NabJml. Gas-lnslallation <br /> <br />. D LF'/NaturaI Gas-ANNUAL. Sale <br /> <br />o Pla= of Assembty..ANNU~ <br /> <br />o ~aaeatiQnaI Bull <br /> <br />D Sparlders <br /> <br />o Spri1k!af System InataIlaUor1$ <br /> <br />o <br />o <br />D <br />. ~ <br /> <br />o <br />D <br />D <br /> <br />Spl1nkler <br />Flre.A1arm . <br />Hocxl Cle.nlSuppre<ivklr: <br />.Flm Alarm'lnlltallation <br />Fire Pumps <br />Are Works <br />Flammable App"~1l0n- ANNUAL <br /> <br />standplpe.i: (Sprinkltr Sys) <br />Torch Roollnl} <br />Wa$le Tire .Stprage ANNUAL . <br /> <br />FueiTank.s <br /> <br />'1 <br /> <br />Valuation of Project <br /> <br />Other: <br /> <br />~ ~ ~ <br /> Company <br /> R$glstered <br /> Ucen:se #- <br />I. Company <br />ReglstQrecl <br /> ~ Uc:en:se # <br /> .~ Company <br /> Registered <br />I UC9I\$fl # <br /> ./ Company <br /> '_ . Raglstere:i <br />I Ucens6 # <br /> . - I Company <br /> Registered <br /> _I =~-ir- Ucense t; <br /> ..mM1 . <br /> <br />~ <br /> <br />Contrilcb" <br />Slanature <br /> <br />Addrells <br /> <br /> <br />ELECTRtClANl <br />Signature . . <br />Addrees f <br /> <br />P~UMBER . [ <br />SIgnature <br />Addl'&Ss. I <br />MECHANI1 <br />Signature . . <br />AeldrflSS I <br /> <br />OiHSR I . <br />Signature <br /> <br />~~rdress L ~..~ .~,~ ',~ ,~..__~:_,_.=: <br />ons: <br /> <br /> <br />Y/N r <br /> <br />Fee cUrYent <br /> <br />I <br /> <br />Y/NJ <br />, <br /> <br />Y IN I <br />I <br /> <br />Fee Current <br /> <br />'- .. . <br /> <br />,. FliIe Current <br /> <br />vjNj <br />:J <br /> <br />FIll out ~loatJon completl!l~. ." <br />Owner & COntrat:tor, sign baak of applJO<lfior..notartted (Or, ::OPY of'$lgned contract WIth owner) <br />if over S2S00, e NlltiC:$ of Commencement;5 rvq1.li~ (Mechanical work over $5000) <br />SUpply two (2) sets of dmwin5110 with appHcahle documenb::tion <br />."How 1 0-'14 dlIy:l for rl\lV'iJl'w after ::;ubmittal date. . <br /> <br />-~ <br /> <br />FH Curreni I Y f N <br />Ill:' ".,Ii,,,,,~~~, -- <br /> <br />l-lJ <br />