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<br />OCT/31/2007/WED 02: 18 PM <br /> <br />Fee SImple Titleholder Name I <br />Fee Simple Titleholder Address j , <br /> <br />:~:_ -- ~~; i- .~ <br /> <br /> <br />Sub Division _ __ _ <br /> <br />~..4 u, I <br />.D Blo-H!l;I;arcl Waste Storage" ANNUAL <br /> <br />D Comm Exhauflt Kitchen Hood/DUct <br /> <br />D Controlled Bum <br /> <br />o <br />D <br />o <br /> <br />813-780-0020 <br /> <br />Date ReceIved <br /> <br />OWner's Name <br /> <br />Owner's Address <br /> <br />'lII'lIiIA..-'RIIlIIIi\1_ <br /> <br />D <br />D <br />,D <br />D <br />D <br />D <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No, 813-780-0021 <br /> <br />-# 1qz;o <br /> <br />p, 002 <br /> <br />Fax-813-7'80-0021 <br /> <br />City of-Zephyrhills Fire <br />Permit Application <br /> <br /> <br /> <br />Phone Contact for PermIt <br /> <br />4- <br /> <br />....1' <br /> <br />. Emergency Geneflitpr < 30 kW <br />emergency Generator:> 30 kw <br />Fire Protectlon Maintenance. ANNUAL <br /> <br />D <br />D <br />~ <br /> <br />sprinkler <br />Fire Alann <br />Hood CleanlSupprssslon <br />Fire A1ann Installation <br />Flrg Pumps <br />Fire Works <br />Flammable Appllcatlop- ANNUAL <br /> <br />Standpipes (Sprinkler Sys) <br />Torch Roofing <br />Waste Tire Storage ANNUAL. " <br /> <br />Fuel Tanks <br />Other: <br /> <br />I . <br /> <br />'.~ <br /> <br /> <br />:~~~~::r '~~;:~:d 82~ j Fe~~~t i ~ ~NC IU~ .' <br />~~~;;~~,o~i'1~ P~M Qr/~~ n"~l ~~!v~~~':::7:,::f'7"d6bllD~ <br /> <br />Address r I License # " I I <br /> <br />pL.UMBeR. I _J Company [ <br />Signature., _ _ Reglstergd r . Y I N Fee Current Y ! N [ <br />Addrel>$ r J . License # 'I I <br />MECHAN, ICALjI company I, . ~ <br />Signature ' I ' Registered , Y I N r Fee Currant c- Y I N I <br />Address I I L.lcense # . I I <br /> <br />~~~;:re [ I ~;:~~dl Y I ti.J Fee Current I Y I N I <br />~=~:'~'V~:~r~-~ 1.'.'.:' -,' .~~.,,--=~ --~ r ~~. .~:~~~#~L~~~_~_.~ <r~~~-.._..~J-..'- ~~ <br /> <br />Fill out appllcatJon oompletely" " , <br />Owner & Contra~or 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 draw1ngs wIth applicable documentation <br />AllOw 10-14 days for review after submltta' date. <br />