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08-7777
Zephyrhills
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Building Department
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2008
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08-7777
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Last modified
3/6/2009 4:45:51 PM
Creation date
8/14/2008 11:27:31 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7777
Building Department - Name
URAGALLO,TONY
Address
40343 AIR TIME AV
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<br />813-780-0020 <br /> <br />Date Received . <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />City of ZephyrhillsFir-e <br />Permit Application <br /> <br />#1111 Fax-813-78o-oo21 <br /> <br /> <br />Fee Simple Titleholder Name <br />Fee Simple Titleholder Address <br /> <br />Phone Contact for Pennit <br /> <br /> <br />Owner's Phone Number <br /> <br />11l~<? <br /> <br />I Titleholder Phone Number I <br /> <br />II <br /> <br />II <br /> <br />~ <br /> <br />Job Address <br /> <br />I Lot# <br /> <br />Sub Division <br /> <br />Parcel # <br /> <br />D <br />D <br />D <br />D <br />~ <br /> <br />D <br />~ <br />D <br />D <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br />Comm Exhaust Kitchen Hood/Duct <br />Controlled Bum <br /> <br />Emergency Generator < 3D kw <br />Emergency Generator> 3D kw <br />Fire Protection Maintenance - ANNUAL <br />~~~~ <br />Sprinkler ~ 0 0 0 L-J <br /> <br />Fire Alann '0 0 0 c=I <br /> <br />Hood Cleaning 0 0 0 c=I <br /> <br />Hood Suppression 0 0 0 0 c=I <br /> <br />Fire Alann Installation <br /> <br />Fire Pumps <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Other: <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Fumigation Tent <br />Hazardous Material (Tier /I 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 /> <br />Sprinkler System Installations <br /> <br />Standpipes (Sprinkler Sys) <br /> <br />Torch RoofinglTar Kettle <br />Waste Tire Storage ANNUAL <br /> <br />Valuation of Project <br /> <br /> <br />I <br />~ <br />~1Ci. "tC\. <br /> <br />Contractor <br />Signature <br />Addre" I ~,qlq N<q-lN~ <br />ELECTRICIAN <br />Signature <br />Address I <br /> <br />bodk C.(~, F't 3?:''S;;)S <br /> <br />PLUMBER <br />Signature <br />Address I <br />MECHANICALI <br />Signature . <br />Address I <br /> <br />OTHER <br /> <br />Signature <br /> <br />Address <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br />I~UCdlu 'i21-t&~lt'c:. S<AS~n<., <br />~N I "'Vee Current ~ N J <br />I I <br /> <br />I Y I N Fee Current Y IN' <br />I I <br /> <br />I Y IN <br />I <br /> <br />I Y IN <br />I <br /> <br />I Y IN <br /> <br />Company <br />Registered <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Directions: <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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