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09/04/2009 10:51 FAX 0008 <br /> 46(e. / . <br /> f <br /> 813-780 City of Zephyrhills'Fir : t Fax -813 -780 -0021 <br /> Permit Application <br /> - <br /> • Phone Contact forPerrntt <br /> STMh <br /> O. 4tees Name • L , F . K G R TNNFLL owners Phono Number litil= 1 2 6 . 115 4 8 2 <br /> rn glees Address 4701 Oak Fair Blvd TAMPA FL 33610 • <br /> Fee Simple Titleholder Name 1 Titleholder Phone Number 1 j <br /> Fe a Simple Titleholder Address I . — - • <br /> JoliAddress - 1 ?z5v N '1)a 1r-1 . ZePhyonitis PL ?-)35‘It Lot <br /> SU 'Division I 1 COI # <br /> Rio - Hazard Waste Storage- ANNUAL n Fumigation Tent <br /> F Comm Exhaust Kitchen Hood /Duct 0 Hazardous Material (Tier If or RD Facility) ANNUAL, <br /> • Controlled Burn 1 1 Hood Installation • <br /> 1 Emergency Generator < 30 kw n LP /Natural Gas - Installation <br /> •.fl - Emergency Generator 30•kw • o LP/Natural Gas-ANNUAL Sale <br /> - - . Fire Protection•Maintenance- ANNUAL - n Places of Assembly-ANNUAL <br /> LRIri7 Lamer <br /> Spunkier, ❑ O. - 0 Recreational Bum . <br /> • <br /> • . .. Fire Alar , 0 ❑ ❑ ❑• 1' ' . Spenders , . • <br /> ;�.. <br /> • Hood Cleaning 1 b ❑ ❑ El Sprinkler System Instellation5 • <br /> - `.; - ..Hood Suppression - : f Q p. A' .1 [ . .. Q • <br /> Standpipes (Sprinkler. y <br /> Ss <br /> �. 1 :J. Fire •ihlarm kislallatian - - Torrli Rdcfihg/i ar Keftle <br /> T - : - Fire Pumps _ _ ...._,__ __..._ . ,• ._ • Waste Tire Storage ANNUAL • <br /> ,;. ?:' p Fire Works ; <br /> .. :;.;:ry; Eill. ',• Flammable Application- ANNUAL U Project I :� Valuation of P ct . <br /> - i!'".•.• ga ,' Fuel Tanks . , . - • - • -• <br /> Q ; • .Other: - • <br /> ma <br /> COT tractor • <br /> / Company 7 Cyr`P• A re. L ' . <br /> • Sig' ature Registered Y/ N 1 Fee Current I. Y 1 N I ' <br /> ELE CTetlC1Al`l *:: ' : ' .. , Company - ,,.. •. :.. , • <br /> Sigi ature , � ,r - Registered f - ;.Y. /•N .. Fea.eurr t 1,..; Y / N I i -% ; <br /> Address I .. I License # <br /> PLtitvlBER I w Company J c' . • ;..., ; <br /> Sigr ature - Registered • Y / N ' I Fee C anent Y <br /> I I. N;% I <br /> Address I . ' I License # • I • . . .• 1 <br /> MEC = HANICAt. - Cor - <br /> Sign stare - - Registered Y / N l Fee Current 1 Y / N I <br /> . Address - I . . License # I <br /> OTH aR Company - <br /> • <br /> Sign azure !Registered Y/ N I Fee Current 1 Y 1 N• -I <br /> Address License # . <br /> Mac <br /> ar bons' . <br /> ' , Ftll out application completely_ ' <br /> Ovmer A Contractorsign back of application, notarised (Or. copy of signed contract with owner) • <br /> If over$2500, a Notice of Commencement is required.(Mechanlcel work over 35000) . _ <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 (httpJ/appralser.pascogov -com) <br />