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<br />CIty of Zep hyrh Ills Fire <br />Permit Appllcertion <br />. Dat~ Received . r '3 . .In .. 08 -:1"'.' F'tlone contact for Pen111t <br />~ lriT a__,~,~""L~::~~u~~~ -,::!::!__&....,.....~~.-r ~ - ~ J <br />CNmer'5 Name [!ricia Hall . J Owner's Phone Nl,I~bel <br /> <br />CMner'5Addre:l15 [593417th Street, Ze':ph;rhilis~ FL 33542. <br />',. <br /> <br />~ Titleholder Phone Nu-nber <br /> <br />~1,'. r <br />Zeph~rhills, FL 33542 <br /> <br /> <br />. I Parcel' '1 \Ul:HRII'leLJ t-KUMi"KUt"~"I.T IN> l'4UII\Jl;;} <br />II mln . .. I I ItillUI "illlill I: i ill 1 rv <br />r~] Fum.gEltJQ~ Tent <br /> <br />o HStal'dOU!I Matel111I.(11er II Qr RO Facility) ANNUAl. <br /> <br />. D..Hood InstaJletign <br /> <br />D <br />D <br />o <br />o RecnationaJ Elu"n <br />D Spamers <br />o <br />o <br />o <br />D <br /> <br />I <br /> <br />ELECTRIClAN1 <br />Signature . '_ <br /> <br />Adclrl!l3e r <br /> <br />P~UMBER. .1 <br />SIgnature . <br /> <br />. Adcll'EtS$ ! <br /> <br />MECHANICAL.[ <br />Signature ., L <br /> <br />Address I <br /> <br />OTHeR <br />Signature <br /> <br />~~~~ress L........_~~n_, . , "...~_~:_,_ ~_~ ..."... <br />ons: <br />FIll O\.lt &lpplbatJon campllilt!!l)'. _ _ ' <br />Owner & contrBc.:tO( sign back cfappljoatior.,nota~ed (Or, oopy gr'$!gned controct WIth owner) <br />if over S2S00, a NOliC$ of Commencement is I'6qllinlld (M1JC<"anlcaf wori.: "VI!{ $5000) <br />SUpply two (2) sets of dmwin51l> with awlleMle documentRlion <br />.""Iow 1 0-14 d8y:5 for relfi_ew after :5ubm!ttal date. . <br /> <br />NOV/14/ZU~7/WEr 1J:!:~:4 f':\! <br /> <br />ZEPHYRH I LS B'J! LU ] ["iG <br /> <br />813-780-0020 <br /> <br />Fee Sfmplil Titkh;lIder Nwne <br /> <br />C <br />r <br /> <br />=- <br /> <br />FeeSlmllle T~der Address <br />~-<l 11 11 If melT <br /> <br />.... ,...... iIS __..;l..d ~J;ll <br /> <br />Job Addl'QS:S <br /> <br />. SCJb Oivililion <br /> <br />- <br /> <br />~ <br /> <br />... r J I III :IIIIillr, ""RT <br />_0 Elp..~ W:u1te Sto;age M ANNUAL <br /> <br />o Comm Exhaust Kltchen Hood/Duct <br /> <br />o Controlls;:l Bum' <br /> <br />D <br />o <br />D <br /> <br />. Em.rgenoy Generator < 30 kw <br />Eme~ ~1of;> 30 nv. <br />Fir", Protection M;1lntenanoe ~ ANNUAL <br /> <br />.0 <br />o <br />o <br /> <br />o <br />D <br />.0 <br />o <br />o <br />D <br /> <br />Slll1nlder <br />rITe. Alarm . <br />Hood Cl..nlSuppre<>ill';Il'i <br />.Flm Alarm 'lnllta~ation <br />FIre Pumps <br />f=lre Works <br />Fhilmmable App"~lIon- ANNUAL <br /> <br />. Fuel Tank:s <br /> <br />Con1rlil"igr <br />Slanature <br /> <br />Addrell5 <br /> <br /> <br />I. <br />-J <br />~ <br />.--"--l <br />I <br />J <br />I <br />I <br /> <br />.P1:t!I7~ <br /> <br />r; I:', 21: j-- <br /> <br />~ ! <br />~ 1(1ltf <br /> <br />1352,..~,.J[~ -L1E,9) <br />I 813 . 1'/715 '1 [4239 <br /> <br />~ i r ~ <br />~. ',,: i...) ~ <br /> <br />Fax~13-180-0021 <br /> <br />[ <br /> <br />,., <br /> <br />I! <br /> <br />n r <br /> <br />11 <br /> <br />1 ~ <br /> <br />Lot # <br /> <br />I <br /> <br />L.P/NatuIllI. Gss--lnslallation <br />LP/NatLira/ Gai-ANNUAL Sale <br />P1a~ of Assembly-ANNUAL <br /> <br />SJrl1kIer System InsliIlIaUof1$ <br />standplpG$ (Sprinkler Sys) <br />Torch Rooftng <br />Wa&te Tire .St!:lrage ANNUAL . <br /> <br />'1 <br /> <br />Valuation r;lf Project <br /> <br />Company <br />Registered <br /> <br />lJC8Mc# <br /> <br />I Bo~tln Pest Contra!, IN~. <br />_ Y/N-l Feecurrflnt'LY/rtJ <br />I JB443 I <br /> <br />L-~ I N I Fee Current Y I N I <br />I I <br /> <br />.~ Y / N r Fee current l Y! N I <br />I I <br /> <br />. r .y / N I' Fes Current <br />I <br /> <br />I Y/N <br /> <br />Company <br />Reglsterec1 <br /> <br />Ucen5e * <br /> <br />Company <br />Registered <br /> <br />Weens. # <br /> <br />. Complill'lY <br />. Raglstered <br /> <br />License #. <br /> <br />Y I Nl <br />:J- <br /> <br />Company <br />Rsgilitcred <br /> <br />F$$ Curreni <br /> <br />Y/N <br /> <br />Ucense ~ I <br />! "11 'V <br /> <br />il1 -_.~..:!U~~ ____ t <br /> <br />... <br />