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<br />MAR/2~/2007/WED 07:20 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No, 813-780-0021 t{ P.OOI <br />City of,ZephyrtlIll6'Fi~, A 1q Fax..s,a.7BD.QQZ1 <br />""""" """"_ ' -r . . z, <br />1.,..) , " 'Pha:.~ctf~rpermH.'~ ~F' <br />owno.........~lf~t> . ! """",......_, ] .. I r II . I <br />Owner'eAdd~ ,L'1_, -i(;q' , ~, 1~rh!~ ' : ' ] <br />.....mpI."...,......- . i =:-. . . 'I ,,-,-- I -II II J <br />Fee Slmpls iJlIel'llllder AddreN . '. .:.- ' ' 1 <br />:= p~'r.:l~vt l:~ - Ii .....;": ,D~~;:[ '1 <br /> <br /> <br />H --"::1. -' ... <br />o BIQ--W'.lZ8rd WSIlte S1Ora;e ..A...uAL ' 'D Fuml1l1l801'l1lllnt <br />o Oomm Ezh..ust Kill:hen HoodlDuet . . D. Hazardous Malllrfal mer II or RQ Facll~) ANNUAl. <br /> <br />'D Corrtrolled liIum D Hood Inslallellon <br /> <br />o emergency Ganerlltor < 30 kw D LP;~turill ~.lnBtallallon <br />"D 'e~e"lly GEIn"rator > 30 kw D ,1.PINatun\l Gas.-Atol"':'AL 6111" <br />D "1m Prataction Malnterence 4 ANNUAL . " D Places of Assembly.ANNUAL <br /> <br />. _,1l1~~~D B -'''''' <br /> <br />FIII;IAI:owm 'DO' 00" co' oD,'8 D <br />Hood Cleaning <br />o tl 0 0 c::::J 0 <br /> <br />B <br /> <br />1l13.7.8o.~ <br /> <br />!.! <br /> <br />~~. <br /> <br />Date Rst:elved <br />JIlV" - <br /> <br />Fire A1Bnn '_""folln <br /> <br />SpBllcI8rs <br /> <br />SIlrinldor '9)'!l\19(n installations <br /> <br />SlBrnlplpes (SprtnklerS~) <br /> <br />1'1l1eh Roofingrrllr Kellis,' , <br />Wute Tint Slor.me ANNUAL <br /> <br />~:dfb, <br />, 1,' '0'0'2 <br /> <br />Hood Slolpp.-slon <br /> <br />,I <br />I <br />I <br />I <br />.1 <br />J <br />, 1 <br /> <br />Addre~ I J '~e# I . I <br /> <br />:..~... ~=~ <br />_&..-,"";';. c- ~ u~ - .. .\\"""". - - - . - ~_ <br /> <br />FIll OUI agpliCDtion completely, <br />OWMIl' eo ~r Bign balllt of appllclllle", nollAlowd (Or. copy of algnlld colltl'Bl;t Wlth oWne~ <br />If over S25OO. a Notice at Commlll"tCllFllOnt ill n;qulrecl.(Mechenical wolle IlVIIr $6000) , <br />Supply two (2) en of c:ImWlr;oll wit., lll'pnc.ble docuTnenllltlon , <br />Allow '0.14 IIll)/lOfar nnIieW dsr submlllBl date. PSI'ClII fl.. ObtalltCllI fl'al'll Property "lIll No.co (htlp:/laPIXBissr.p9QOgov.CQII1) <br /> <br />~. <br />D <br />L <br /> <br />I=lrePumps <br />Fire Worke . <br />F111mmable ~tlC\.n. ANNUAl <br />Fuel TanIc& . <br />. ,other: j <br /> <br />.~ .t'Y\ .~' Valu9tion of Project <br /> <br />1ll!...A <br /> <br />Alii <br /> <br />.tI.U =- ~ <br />Company I ~ ., <br />~ Y I N':::I Fee CUlT1!lI\l <br />".. l.i~~#_,. L <br /> <br />=d ,r YfN.1 feeCUnnt,. <br />UclInte" I <br /> <br />r'ON <br /> <br />.1 i_ <br /> <br />~ <br />I <br /> <br />Conll'actor <br />Signetu'" <br />A~""& I <br />eL~R1CIANI <br />Sillnatu~ <br />Addreea L <br /> <br />PI.UMB5R I <br />Slgnsluo6 <br />Addres:; I <br />MECHANICIIL\ <br />sign:\nn <br /> <br />Y/Nl <br />I <br /> <br />Y/!!..!' <br />J <br /> <br />Compa~ <br />Ralllal8nllf <br />Lleenell# . ,I <br />Co~y I <br />Registered <br /> <br />Feo Curnont <br /> <br />,-::Y/N I <br />I <br /> <br />j <br /> <br />Y I N I FlI8 Current -L Y I N <br />