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<br />FAX ~o. 813-780-0021 . 32--0 P,002 <br /> <br />'81~7_ City of z"phyrhil"'!F-i""'" ~ ',,,,,,, ~7,""",' <br />.' ,_, Permit Application ',.,.. " <br />..~ .~;t:l'iG;t~.. .__" ...:_k'~~ -:~ .~=: :~'- -.... ...--- . <br />.Date Received .. ..' , _I _ , ,:" '~~ptjorie ContacHor- Parmlt .. <br /> <br />o..~'",""~~~~ .;Z~~ ,e-~~:.;;~:=: ~/.1~~y~ ~1~6"~:- <br />Owner's AdorasS, ,~.o....- _ $'_( _LW-.o _=.- ~= -{) Z.4cK5D.cJ;~"/.{~, ...::;.. - .{::::: ~~ --: =- =. <br />"" Sim,.",.;;'d~ N_ L .' . , . . ~ _h""~ PhOO~ N....... I Je' TI . . l <br />Fea Slmpla Iltl"holoer Address [ -'.~ ' ~ <br /> <br />':=P;~C~~J filt.'-~~~~~ r!J'1ez.,T ~. 1 em. rwl: 'J <br />_ J _" _ ::: :::; T: ~ ~~ ~- h _..~J <br /> <br />o 'BiD-Hazard Waste Stoiage ..ANNUAL ,'0 Fumigation Tent <br />o Comm Exhaust Kitchen Hood/OUct D Hazardous Material (Tiar II or RQ F'aclllty) ANNUAL <br />D Controlled Bi.im '0 Hood Installation <br />o . Emergancy Genarator " 30 kw D LP/Natural Ga5.'~[;tal~1It1~n <br />'.0 . Emargency Genarator :> 30 kw ,0 LP/Natural Ga&-AN~':IAL Sale <br />D Fire Protection MalntJ;lnanca " ANNUAL " 0 . Places of A$sembly.-ANNUAl- <br />',,~~~~ <br />Do' 0 oL-J <br />: 0 0 0 0 'C::::J <br />[gI Tl ~ 0 c=J <br />D. 0 DO CJ <br /> <br />FEB/20/2007/TUE II: 10 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />Sprinkler <br /> <br />Fin;l Alarm .. <br /> <br />Hood Cleaning <br /> <br />Hood Suppresslon <br /> <br />D <br />.~. <br />D <br />D <br /> <br />----- <br /> <br />~ntractor ,i' <br />SlQnature L <br /> <br />" Addrellll i <br /> <br />ELECTRICIANr <br />Signature L <br /> <br />AddI'BS5\ <br /> <br />I='LUMB~R <br />Signature <br /> <br />Address I <br /> <br />MECHANICALI <br />Signature . <br /> <br />Addre~s i <br /> <br />OTHER I' <br />SIgnature ~ <br /> <br />Address l~ <br />"'Directions: <br /> <br />Fira A1arrtllnetallafion <br /> <br />Fire Pumps <br />Fira works <br />RammablJ;l Appllcanon- ANNUAL.;, <br /> <br />Fuel Tanks <br /> <br />, . ,.:~:::~ <br /> <br />. '.'~a.:;r <br /> <br /> <br />Recrealional,aum. . <br /> <br />Spar1<leiiS , <br />Sprinkler SytJtam Installations . <br />StandpIPJ;lB (Sprinkler sys) <br />larch RoollngfTar Kettle, <br />Waste 'fire Storage AN~uAL <br /> <br />J Valuation of Project <br /> <br />~' <br />..Ii' <br /> <br />. - <br /> <br />~ <br /> <br />other: <br />- <br /> <br />Ii 6 <br /> <br />lI"T'" <br /> <br />- -" -, -_._-~~ ' <br /> <br />i <br /> <br />~I <br />,.' .1 <br />.\ <br />I <br />] <br />.1 <br />I' <br />- J <br />.. ~.l <br /> <br />~om;Y' F <br />Registared' t <br />License # I <br /> <br />'-- ~;:~~ r <br /> <br />Uc&nse # I <br /> <br />Company E <br />Reglalared Y I N I <br /> <br />LIcense # I <br /> <br />company I <br />Registered . Y I N I <br /> <br />. Llcensa #, r:- <br /> <br />comp"'rtY E <br />Registered ~ I N..J <br /> <br />Ucenaa # I <br />_ w.-.q- <br /> <br />Y/N I <br />] <br /> <br />Y IN 1 <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Faa Current I Y/tiJ <br /> I <br />Faa Current I Y/N I <br /> j <br />Fee Currant LV-IN I <br /> I <br />l"ae CUrrent 'I Y/N I <br /> ;:>- :) .. <br /> <br />Fill out application completely. <br />Owner & Contractor elgn back of application, notariZed (Or. copy of sIgned contract wltn owner) <br />It over $2500, a Notice of Commencement Is reQ\lirad .(Mechanlcl'll work over $5000) . <br />S\lPPIy two (2) seta of drawings with applicable documentation , <br />Allow 10-14 days for review after submittal date. Pan::el #~ obtained from Property Tax Notica (http://app[Bi5eT.pascogov.com} <br />