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<br />1\;<) ~ / J '1 (U ',.':' Ti L 11 ') L ' ..:.~ ': i. H': <br /> <br />lSf...r [11 no 1 L~'.) D'.) i L,~,' i ! .'~I.J <br /> <br />r ,'-1. t, I"~; 1.1, (1 ~:I -. ; ::) 1_1 - :_11_1 i.... ~ <br /> <br />City orzephyrhlll:,; Fire Fax~13-7g0-0021 <br />Permit Applic!ltion " <br /> <br />"~CeiV~__.I ,"~.:~~.=~..~.~,.:;L__. r 11' _ rr __._~~~~r_~em'~122:'~ 7 ,11 :;:~= <br />CH/nersName [Elite Property Solutions J DwTler'IiPhoneNU~b"! I 813 " JI. 714 "1f3388- <br />(Nmer'sAddre55 U5215 SR 54,' West, z~phyrhiils, FL' 33541 <br />'.. <br /> <br />813-780-0020 <br /> <br />Sprtnlder <br />FIre,A1arm . <br /> <br />o <br />"0 <br />D <br /> <br />Hood Clttari/Suppre<ivlQ\", <br /> <br />o <br />o <br />:D <br />D <br />D <br />D <br /> <br />"Rill AImm "Irnitallatiol1 <br /> <br />Fire Pumps <br /> <br />FIn; Works <br /> <br />Flammable App!l~t1on- ANNUAl.. <br /> <br />Fuel i~ <br /> <br />other: <br /> <br />COnncbr <br />SignatUre . <br /> <br />Address <br /> <br /> <br />~ . <br /> <br />l. <br />~ <br />.~ <br />J <br />J <br />I <br />I <br /> <br /> <br />-,,-. .~~ <br /> <br />C, ,_: U ~ <br /> <br />I"' <br /> <br />JI <br /> <br />standplpo:l$ (SprinldOl' Sys) <br />Torch Roollng <br /> <br />Com.pany <br />R$glstered <br /> <br />Ucense f. <br /> <br />Company <br />Registered. . <br /> <br />Ucense # <br /> <br />Compi!lny <br />Registered <br /> <br />Ucaose # <br /> <br />Comp;lfW' <br /> <br />'., . Raglstere:i <br /> <br />Ucens6 # <br /> <br />COmpany <br />Registered <br /> <br /> <br />.~~1~~~, <br /> <br />i <br /> <br />P11W8 <br /> <br />ELECTRlctANi <br />Signature . _ <br /> <br />Address r <br /> <br />p~UMaER. .1 <br />Signature . <br /> <br />Addl'Qss r <br /> <br />MECHANICAL.f' . <br />Sigilatl.ll\1 . .1. <br /> <br />Aeldr&ss r <br /> <br />OTHER I <br />Signature <br /> <br />ittltFnrdress L. ..,".. . ~,"I~'" n*'~-~;~- <br />ec ons: <br />Flll Q\lt applbatlon completel).. ". . . . <br />Owne; &. contTactor, sign baol<:. of eppljc;atior..rlota~ed (Or. ::OPt of sIgned contract WIth owner) <br />if Qve, $2500, a No;IIiO$ of Commencement is roq\.lirvd (MliJe.....anicai won.: over $5000) <br />SUpply tw::J (2) sets of. dl'T.iVlioSlo with applicable dacumeniRtion <br />Allow 10-14 days for relli.vw after ::;ubm!ttal date. " <br /> <br />lJJt# <br /> <br /> <br />'1 <br /> <br />Valuation Qf Project <br /> <br /> <br />........ <br /> <br />.. J: <br /> <br />Fee Current 1 <br /> <br />I <br /> <br />Y f N-:J <br />I <br /> <br />Y IN I <br />I <br /> <br />Y I N rFee current <br /> <br />I' Fee Current <br /> <br />y I N j <br />-.J" <br /> <br />!~~~S':.tI'll! I..~ <br /> <br />Y/N <br /> <br />'. .~ <br />Ft)(l Curreni 1 'I' I N <br /> <br />/l'~t,;.,..--~"", ".~~- 1"llSa~7 <br />