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<br />JAN-08-2008 10:47 <br /> <br />rROM-SHAI.eAUGH <br /> <br />F:~'. ' <br /> <br />T-507 <br /> <br />P.004/008 F-206 <br />Fax.il13-7BD-D021 (!(l)..l.S <br />~~ r"l~m <br />7 I. <2 <br /> <br />2604877991 <br />City of.Zephyrhills Fire <br />'Permit Application <br />, _ . '-0'" Phone C:cntact far permit <br />Owoe" N.m. ~ _ J).! I. /(; h h y . .. _ _ . ] """.... pn"", Number [!j ~ ] I.u J 1 {795"'< <br />o.m,,.. "'.".. L ""330 2." +1,. r; f.. 2.f!!~ f.. r {, J !~ Ft . '3'3 S"tI'P - ; <br />"0 Slmp~ TWenoldet ".m. p~~es ~ V. ~r ~ J\I"r-H, ~ ; <fol1""ldet p,on. Num..,. . ;] C.J I' - <br />.: ~ :':-Id~ _reos ~ ~ 77:;"'; ~ ~.1--:::. ~"; ~ Gorp.. ~ ..,~ h ~ Cr 12 6' 3: :~:, _ ~ Jl ~; <br />. i 4_~;O 2.0-l-t."sf. ~c.pii';r,l,iIi$' Ft., 33s-4-01 Lot. l -: <br /> <br />~ .! . I ~_ ;=.~\__.1 P;*" I l!~';'~i~;.f~~~~J: <br />.D Bio-Hazanl waste Storage - ANNUAL 0 Fumigation Tent <br />o Comm. Exha~!t KItchen HcodJDLJet ' . 0 H~rdou" Matsrr.ll (TIer II Dr RQ Fac:ln~) ANNUAl. <br />o ConU'ollec:l Bum' '0 'HooCllnstallatlcn <br />D I!merganl4Y (:i.nanstor < 30 kw ' D LP/Natullill Gas-Installation <br />D Emergency Genef1ttQ(;o 3D lcw 0 L.P/NEltural Glilii-ANNUAL.Sale: <br />o Firs Protec:tlan' Maintsnan~ . ~NNU~L 0 Places of ASSembl~NUAl. <br />Sprtnkler 0 0 Recraatign;al Sum <br />Fife Alarm 0 . D ' Sparklers <br />HC&:ld Clean/9upp':~ion 0 ~ Sponkler System Installatlol'\$ <br />Fire Alarm ln~ltallation D SlanOplpes (iprlnkler Sys) <br />Aref Pumps' fD Torch Roofing <br />Fire wanes 0 waste Tire S1Dn1ge A~NUAL <br />Flammllble Appllcallo"" ~NN'UAl.. <br /> <br />B1:H80-0il20 <br /> <br />Da~ Receil1ed <br /> <br /> <br />Job Acdress <br /> <br />D" <br />o <br />.0 <br />D <br />o <br />o <br />l&lA;A.1i1 ~_~TV - <br />. ContractOr [ , <br />Slgn~Il\lre <br /> <br />Adoress i <br /> <br />EI..ECTRICIAN, <br />Signature '. <br /> <br />'AddrQSS l <br /> <br />P~UMBER I <br />SIgnature <br />Aadress i <br /> <br />,r "T r . i <br />,] , , compilny \. .. y 1'1'1 J <br />_ R~gi5tereCl . _ FRe curretlt <br /> <br />,]J . ~=n:1 E - <br />_ Regls[ered Y I N _ I Fee curr~nr ,I <br />I Lu:en:>8 ~ l <br />] company ~ <br />Ragistered I Y I N I Fee Current <br />1 .w'"""" I <br /> <br />: 1 . ~n;:':a I Y IN] Feo CutTent <br />ACldre:ss r : ] Ucense' I ' I ' <br />, L:. __ " . ~--;o I Campan)' r ~8Avc,H f S"c:::>~ J l-.Po <br />~~~:ra I ~~ 7._~' Regl~ered [ Y J N:r FeeCurrent L ~J <br />~i;t~;~ili:/'t.4?~~~.t)~lA~~/~ ~~ r uce~c:' l ~.v'ff!?~J~~~ J.- <br />Fill aut application comPletely.. , , ' '. ' , ' <br />Owner & Ccntnll::tar 51gn D8C~ a1 appllcjitico.'notanzed (Or, copy of lilsned con~c:t wi1n Qwner) <br />If over $2:10Q, a ND1ico gf CammenCillTleot Is reqUirad (MecnDnlcal work aver $5000) <br />SupPI1 '!Wo (2) sets of arawin9& wlth appliCilble documCln~tlon <br />Allow '0..14 Cla)'$1or~rilvlew flftElr suDmlttal datEs.. <br /> <br />Fuel T",:nks , <br />Other: I <br />If r "I ~".r1~1 <br /> <br />.Ii 2.., ~ () ~O. Of)' t ValtJztion of Project <br /> <br />- <br /> <br />.. <br /> <br />, <br />~. <br /> <br />-1!Rf.l <br /> <br />u 1Ii"~~--- 1" ~ <br /> <br />Y/NT <br />J <br /> <br />y IN I <br />I <br /> <br />MECMANICAL.[ <br />Sisnalllre . <br /> <br />I Y I N I <br />1 <br /> <br />. L~Y/N'T <br /> <br />--= <br /> <br />...... <br /> <br />= <br /> <br />- <br />