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<br />DilleF~O"al"Qd~ ' f,.' .P~rieContaClt'f;'rPermJl .J:m:U~~ ~.~: <br /> <br />7==~~: .hL" .~' ~ e J~:~N~" ~~~113soi <br />Owner'ahddreS5 .~, ~ _ _(;~Jl ~~; z_P~yrh\~c-~ . _ <br /> <br />Fee S,mplE: Tlllehold.r Nllme . r . ] Titleholder Phone Number I II 1 C <br /> <br />F.." Slm~le TilIeholder Addreu <br />I!i <br /> <br />[~; 5 .. 2 J ~~~ 7/':'11 ETJ <br /> <br />!J 13-7 80-0020 <br /> <br />Job Adt1(!Jss <br /> <br />Svt. Division <br />l!..ljJ~' <br /> <br />CJ <br />[J <br />o <br />D <br />.~ <br />scWt)~ <br />roe.. ' <br />eJi)t>J08 <br />.~ <br /> <br />o <br /> <br />C('nh'l,tM r-:. <br />6iiir.atur-e L-.k <br /> <br />rq, 71 1\.' <br />...". . _.. ..",,1V. <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX r~o, 813-730-0021 <br /> <br />'1 Iii)! <br />t, '-' . <br /> <br />City of Zephyrhills'IFIr'e': ...' <br />. Permit Application <br /> <br />Fax-813.760.0021 <br /> <br />5SD <br /> <br /> <br />~t" ~ <br /> <br />'L <br /> <br />aio.Ha~ard W8St~ Storage ..ANNUAL <br />Comm Exhaust Kitl;hen HoodlDlAc;:t <br />, . ' <br />CDntrolled Bum <br /> <br />Emergency Generator <; SO kw ' <br /> <br />Em'ergenl;Y G,nenttor;. 30 kw <br />Fire ProtectIon Malnw"anc~~. ANg'~ ~ <br /> <br />Sprinkler . 0 [J 0 <br /> <br />FIre Alllfln ) Cl 0 Cl <br /> <br />Hood CleanIng J( 0 Cl <br /> <br />Hood SUPPl'ell$lon '0 D 0 <br /> <br />Fire AI"TTl Installation <br /> <br />Fire "'limps <br />Fir& ~oric:, <br />Flammable Application- ANJIlUAl <br /> <br />FUIllI Tanks <br />Other: <br /> <br />D FumllJatl~n Tent <br />D HaZ'lIrQaU8 Material (Tier 11 or RQ Fal;l/Ity) ANNUAL <br />D Hood ,tnetallatlon <br />~ lPlNatura' Gu-lnstallalion <br />LP/Watunll GlID-AHNUAL Sale. <br />. Piece. of AS"~bIY-A~NUAI. <br /> <br />~ Rlcn!lalla,.1 Bum <br />, Sparkle'" <br />. SprfnklerSYSI~m In,Iell.tIons <br />Standpipe. (Sprinkler Sye) <br />'8 Toreh Rooling/l'.r Keltle <br />. WaIte Tire Storage ANNUAL <br /> <br />I J Veluatlon of ~roject <br /> <br />rornet <br /> <br /> <br /> <br />;.~):';:~ <br /> <br />A,IjCTv.:; <br /> <br />[; l.t..:;:-r f~ICIMll <br />:':;191~ulvfEl _ <br /> <br />Ad.;lra5~ r- <br /> <br />PLUMBER <br /> <br />r <br /> <br />:;:Ignil'ufe <br /> <br />.e.ddreM [ <br />Mf;CHANICAL[- <br />S!9rl~lure <br />Moros!; r-:-= <br /> <br />f <br /> <br />cm-/EH <br /> <br />Si;~i'ol\Jrf:f <br /> <br /> <br />- <br /> <br /> Company <br /> Revlsterea <br /> 1cJ. Llc;:e~.e. *., . <br /> CornpahY I <br /> Regi.wnld <br /> Lloense fl. t <br /> Company I <br /> Relililltltred <br /> Ucense # I <br /> Company I <br /> Registered <br /> Ll~".. ." I <br /> Company I <br /> Regi.18r.d <br />1, llana, # l <br /> <br />- r T__m::J J alii P <br /> <br />L '(IN 1 <br />I <br /> <br />Y/N. r <br />I <br /> <br />Y./N I-- <br />I <br />LY~ <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Fee CUrrent <br /> <br />~ <br /> <br />y IN 1 <br /> <br />Fee Curlllnl <br /> <br />Y/N <br />~ <br /> <br />"ee Current <br /> <br />., - <br /> <br />=L_~ <br />..~~.. . <br />'.~)I:a~hons: <br /> <br />, "",.,,~iI"~~'r ITW- <br /> <br />~ <br /> <br />Fill out application completely. <br />Owner & ConnctOl' ,Ign bIl(lk of .ppUcatlon. notarill:lId (Or, copY of signed contnact with own.r) <br />I' over $2:100, , Notle. of Ccmmenc:em.nt I. reqlJlred,{Meoh.m04ll wol'k ovtr $600D) <br />Supply twQ (Z) setl of drawing. with apphoable dooumentBfiol1 ' <br />Allow 10-14 days for nwi8W after submittal date. Pareel"". obtained from Property Tax Notice (htlp:l/appralser.pa'oogov,tlotn) <br />