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<br />APR/02/20C7/SUN <br /> <br />'::8? AM <br /> <br />ZEPHYRHILLS BUILDING FAX No. 813-780-0021 <br />city OfZephYrhIllS,FiN; '. .' # ~n ~ rV <br />PermIt Application <br /> <br />POOl <br /> <br />Fax-813-78D-0021 <br /> <br />~ ;t <br /> <br />81 ~700:'!l020 <br /> <br /> <br />,....-----. <br />.Pborie CoIU<llWr PelTllll <br />I <br />o"ll8r'6 Phone Number <br /> <br />OwneJ's Name <br /> <br />Qwnel's AddfBlJIl <br /> <br />Job Address <br /> <br />D <br /> <br />~. <br /> <br />Blo-Haurd Waste Stanage ..ANfoIUAL <br />. Comm exhaUlt Kitr:nen Hood/DuCt <br />ConrroUed BUm <br />Emetgency GeneralXlr < 30 kw <br />Emergency Genw1I\CIf:> 30 1M . <br />FIf9 pratectlon MllintllnadCe . ANNUAL <br />-~. ~.~~ <br /> <br />.o/a .0 <br />. It'" a a <br />. 0 o. 0 <br /> <br />. <br /> <br />F~"eftl <br />tWlIrdous MelBl1al (TIer 11 << RQ FedlJty) ANNUAL <br />Hood Inslallalion <br />LPlNetUraI a.a-lnlllllatiorl <br />LP/NBtuI;Il ~NU~ ~ <br />PIecBs of Aseembly-ANNl)A1. <br /> <br />Sub Oivi&lon <br /> <br />UII1IIl" <br /> <br />Ptre Alarm <br /> <br />~'1!SUm <br />Sperlder'S <br />Sllrink18"SySt8m lndlllalion& ' <br />Slandplpes ~nlc* 5)11I). . <br />Torch. RaolIne/l'ar l<8tIIe <br />Watte Tire Slor.,e ANNUAL <br /> <br />SpMkler <br /> <br />.~. <br /> <br />o <br /> <br />Hood Cleanlnfl <br />Hood SuppN$Sion . <br />Are AIamt Inst1IIIatIon <br />Fire ~ <br />FIfe Wor\c& <br />Flammable AppllCllllon-- ANNUAL <br />Fuel T&nIcs <br />. Other:' r:- <br /> <br />'l Valuation of Project . <br /> <br />Contnldor <br />SIgnature <br /> <br /> <br />MECHANICA <br />stgntltUre <br />Address ,. <br /> <br />OTHER I <br /> <br />~ne:re&& ; <br /> <br />Oi",ctIotls: <br /> <br />I <br />I <br />'-1 <br /> <br />QxnpanY b/N-J Fee Current 1 I .~ <br />RlIg...d Y/N <br />_. ~!"'8*- ..I .-.l ..... <br />Company Fv I N.:::J":'" Fee ~rnK1t 1 <br />Regi&t&lH Y/N I <br />LIceMe * . I ~ <br />Company F V I NT'I=.., Current l <br />Regi'" Y/N , <br />Lallie , L I <br />~ I I <br />Reg...d Y/N Fee Current Y/N r <br />-L~# l. I <br />Company I ) <br />Regi&1lll'ed Y/N~ Fee CUIfOfll Y/N I <br />UCenIe * J~ .~ <br /> <br />FII out &pplI<<*lon t:amplelBly. . <br />Owner a Connctor sl9n beck '" appIAeIon. nolIIrimd (Or. COp)' of lIIgned ~ wIIh 0WMr) <br />If OWl( $2tSOO. . Notice tA Con\melIClllNll.ls requkBi.(MBcIlllnlceI'Mlfk over $5000) . <br />Supply two (2) sets of drawings 'fIAIh appllceblB doeun.eIl'.Oh . - <br />AIow 10.14 days for NIIIew.n.r aubmmal dine. Pen::eI #. obQIi~ from Property TM NotIca (htIp:l/apprsiser.pascogov.com) <br /> <br /> <br />J##lA~,p-~ /k!;~,v. <br />.,4tJ,~)t //1'7' ". <br />Iflflf/l46J/!/t5 ~; PI .3jl.~S- <br /> <br /><., <br />