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<br />Jun 04 08 08:28a <br /> <br />Jay Brown <br /> <br />567-7340 <br /> <br />p.1 <br /> <br />City of Zephyr hills Fire <br />Permit Application <br /> <br />Conlact Phone Nbr <br /> <br />~1qW <br /> <br />I ::\52-424-0906 <br /> <br />I <br />I <br /> <br />Datc Received <br /> <br />I 6.'31200R <br /> <br />Owner Name <br /> <br />Little Peoples Christian Day Care <br /> <br />Owner Phone <br /> <br />Owner Address <br /> <br />38303 NOM Ave. <br /> <br />Fei: Simple Tille Holder <br /> <br />R13 I I 779 I I 2767 <br /> <br />I Titleholder Phone Nbr <br /> <br />II <br /> <br />II <br /> <br />Fee Simple Tilleholder Addrcss <br /> <br />Job Addrcss <br /> <br />I 3.303 N_ M. <br /> <br />Parcel 10 <br /> <br />Subdivision <br /> <br />Lot Nbr. <br /> <br />B Bio-Hazard Wasle Smrage - ANNUAL <br /> <br /> <br />Comm EKhaust Kitchen Hood - Duct <br /> <br />o Controlled Bum <br /> <br /> <br />D Emergency Generator <30 K W <br /> <br />o Emergency Generator> 30KW <br /> <br /> <br />D Fire Protection Maintenance. Annual <br /> <br /> Qtrly Semi Anul Other <br /> Sprinkler <br /> Fire Alarm 0 0 D 0 0 <br /> Hood Cleaning 0 D 0 D 0 <br /> Hood Suppression [f} 0 ~ 0 0 <br />0 Fire alarm Installation D 0 0 0 0 <br />D Fire Pumps <br />D Fire Works <br />D Flammable Application - Annual <br />0 Fuel Tanks <br />0 Other: I <br /> <br />D <br />o <br />o <br />D <br /> <br />Fumigation Tent <br />Hazardous Malerial (Tier U or RQ Facility) Annual <br />Hood Installation <br /> <br />LP - Natural Gas Installation <br /> <br />E3 <br />o <br />D <br /> <br />LP- NillUral Gas Annual Sale <br /> <br />Places or Assembly - Annual <br /> <br />Recreational Bun <br />Sparklers <br /> <br />Sprinkler System Installations <br /> <br />D Standpipes ( Sprinkler System ) <br /> <br />B Torch Roofing <br /> <br />Waste Tire Storage Annual <br />Valuation S I <br /> <br />Contractor Sign Company <br />Address Registered <br />Electrician Sign. License <br /> Company <br />Address <br /> Registered <br />Plumber Sign License <br />Address Company <br />Mechanical Registered <br />Address License <br />Other Sign Company <br />Address Registered <br /> <br /> <br />License <br /> <br />Directions: <br />Fill out application completely. Company <br />Owner & Contractor sign back of application, notolize ( 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 ) requileS a Notice of Commencent <br />Supply two (2) sets of drawings with applicable dDcumentation <br />Allow 10 - 14 days for review after submittal <br /> <br />Y N I Fee Current I <br /> <br />Y N I Fee Current I <br /> <br />Y N I Fee Current I <br /> <br />Y <br /> <br />N I Fee CUlrent I <br /> <br />I <br /> <br />Security Fire Equipment, LLC <br />Y N I Fee Current <br />502552000220004 <br />