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<br />Jun 04 08 08:28a <br /> <br />Date Received <br /> <br />Owner Name <br /> <br />Owner Address <br /> <br />Jay Brown <br /> <br />567-7340 <br /> <br />11 q 2J.2 <br /> <br /> <br />I 352-424-0906 <br /> <br />I <br />I <br /> <br />6i312001\ <br /> <br />City of Zephyrhil1s Fire <br />Pennil Application <br /> <br />Contact Phone Nbr <br /> <br />Fcc Simple Tilleholdcr Address <br /> <br />Zephyrhills City Golf Course f The <br />39243 B A venue <br /> <br />Owner Phone <br /> <br />I I 7&2 I I 0714 <br /> <br />813 <br /> <br />Fee Simple Tille Holder <br /> <br />Job Address <br /> <br />SubdivisiOll <br /> <br />I Titleholder Phone Nbr <br /> <br />II <br /> <br />II <br /> <br />n Bio-Hazard W~te Storage - ANNUAL <br /> <br /> <br />D Comm Exhaust Kitchen Hood - Duel <br /> <br /> <br />o Controlled Bum <br /> <br /> <br />D Emergcnc;y Generator <30 KW <br /> <br />o Emergency GellCl'lltor > 30KW <br /> <br /> <br />D Fire Protection Maintenance - Annual <br /> <br />I 39248 B A...u< <br /> <br />ParcellD <br /> <br />Lot NbI. <br /> <br /> Oldy Semi Anul Other <br /> Sprinkler <br /> Firc Alarm D 0 0 0 0 <br /> Hood Cleaning 0 0 0 0 0 <br /> Hood Suppression I]2j 0 IB"" 0 0 <br />D Fire alarm Installation 0 0 0 0 0 <br />0 Fire Pumps <br />0 Fire Works <br />D Flammable Application - Annual <br />D Fuel Tanks <br />0 Other: I <br /> <br />o Fumigation Tent <br />o Hazardous Malenal (Tier II or RQ Facility) Annual <br />o Hood Installation <br />D LP - Naloral Gas Installation <br /> <br />B <br />o <br />D <br /> <br />LP - Natural Gas Annual Sale <br /> <br />Places of Assembly - Annual <br /> <br />Recreational Bun <br /> <br />Sparklers <br /> <br />Sprinkler System Installations <br /> <br />D SUlndpipes ( Sprinkler System ) <br /> <br />D Torch Roofing <br /> <br />U Waste Tire Storage Annual <br />Valuation $1 <br /> <br />Contrador Sign <br /> <br />Address <br /> <br />Electrician Sign. <br /> <br />Address <br /> <br />Plumber Sign <br /> <br />Address <br /> <br />Mechanical <br /> <br />Address <br /> <br />Other Sign <br /> <br />Address <br /> <br />Company <br /> <br />Registered <br /> <br />License <br />Company <br /> <br />Registered <br /> <br />Ucense <br /> <br />Company <br /> <br />Registered <br /> <br />Ucense <br /> <br />:/ e. /5' ~ -. <br /> <br />Company <br /> <br />-- <br /> <br />Registered <br /> <br />18330 Lawrence Rd. Dade City, FI <br /> <br />License <br /> <br />Direcliorls: <br />Fill out application ccmpletely. Company <br />Owner & Contractor sign back of application, notorize ( 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) requires a Notice oJ Commencenl <br />Supply two (2) sets of drawings with applicable documentation <br />Allow 10 - 14 days for review after submittal <br /> <br />y <br /> <br />" I Fee Current I <br /> <br />y <br /> <br />" I Fee Current I <br /> <br />y <br /> <br />N I Fee Current I <br /> <br />y <br /> <br />N I Fee Current I <br /> <br />I <br /> <br />Security Fire Equipment" LLC <br />Y N I Fee Current <br />502552000220004 <br />