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<br />813-780-0.020 <br /> <br />Date Received <br /> <br />City of Zephyrhills Fire <br />Permit Application <br /> <br />Owner's Name IShree Sai LLC <br />Owner's Address 16815 Gall Blvd. Zephyrhills, FL 33541 <br /> <br />Fee Simple Titleholder Name I Pankaj Patel <br />Fee Simple Titleholder Address 129341 Rhodin Place Wesley Chapel, FL 33545 <br />'XPy.....':,:-;'::\....'Ynri0 ""'Aif)'" <br />16815 Gall Blvd. Zephyrhills, FL 33541 <br />I <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />o <br />o <br />o <br />o <br />o <br />EJ <br /> <br />"'f;jjTijHC:("'--' <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br />Comm Exhaust Kitchen Hood/Duct <br />Controlled Burn <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANNUAL <br />[g!!!lJ ~ ~ ~ <br />Sprinkler D 0 0 0 L.J <br />ru 0 0 xc:=J <br />Do ooc:=J <br />Do ooc:=J <br /> <br />Fire Alarm <br /> <br />Hood Cleaning <br /> <br />Hood Suppression <br /> <br />o Fire Alarm Installation <br />Do Fire Pumps <br />Fire Works <br />D Flammable Application- ANNUAL <br />o Fuel Tanks <br />o Other: I <br /> <br />L~~~~.~ <br /> <br />Contractor <br />Signature <br /> <br />Address I <br /> <br />ELECTRICIA1 <br />Signature <br /> <br />Address I <br /> <br />Fax-813-780-0021 <br /> <br />.~ PJJD~ <br /> <br /> <br />Phone Contact for Permit I <br /> <br />I <br /> <br />Owner's Phone Number <br /> <br />Titleholder Phone Number <br /> <br />Parcel # <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br />o <br />o <br />o <br />o <br />D <br />D <br />I <br /> <br />727," ( <br />81311 <br /> <br />57311 <br />76211 <br /> <br />uou1556J <br />20001 <br />I <br />24211 <br />I <br />"'V<J'ftF1Yl S;:#%k%i <br /> <br />I <br />I <br /> <br />81311 <br /> <br />97311 <br /> <br />Lot # <br /> <br />Fumigation Tent <br />Hazardous Material (Tier II or RQ Facility) ANNUAL <br />Hood Installation <br />LP/Natural Gas-Installation <br />LP/Natural Gas-ANNUAL Sale <br />Places of Assembly-ANNUAL <br /> <br />7,(-;tj" <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />PLUMBER <br />Signature <br />Address 1 <br />MECHANICAL/ <br />Signature I <br />Address I <br />OTHER <br />Signature <br />Address I <br />Directions: <br /> <br />Recreational Burn <br /> <br />Sparklers <br />Sprinkler System Installations <br />Standpipes (Sprinkler Sys) <br />Torch Roofing/Tar Kettle <br />Waste Tire Storage ANNUAL <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Valuation of Project <br /> <br />r Xd <br /> <br />:::1Yi:illLXJY:i5%!i0&1(00'LrJ_;It-t';:'iMtf:rkVzXd <br /> <br />"Ji+Uii:U <br /> <br />"'E/i<h\C'-'/ <br /> <br />TjAi'i/\lY'-;S 0k0;/;;n":- <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />,--,.'.';; '/ij '-~:_- '1tu:tj$'(;?4f@,t&J]UiH2YJiWiJJiji;'L;;::tF Cr::J.JdkyLL":;J':titL3J);t0,;'ltfTLtbx'2f';;X:Tililliffiiffi <br /> <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y IN I <br />1 <br /> <br />;'/;,?:ZJfAf0Wi0.;? <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Fill out application completely. <br />Owner & Contractor 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 drawings with applicable documentation <br />Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />