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11 1N ww .. rr <br /> w•..n .... -. aim 14114 <br /> ...__ -_ ___..1_a:..:. .,...,.a....N..r, .11ydV and t^ity codes. zonlna fBAwauons, <br /> JUN /2612007 /TOE 01:09 PM ZEPHYRHILLS BUILDING FAX No.813 -780 -0021 P.002 <br /> • <br /> 813 - 70-0020 City ofZephyriUQSFW -• ' /*.: c7$(i/ 2 F 21 <br /> Permit Appliceitton <br /> • •• - .- . p'lione Co wr Hermit MOM _ :5 Ei� '> A- <br /> o1rto. lbeoaived • ' . - • // `/ a Phone Number .3.174-1 r-� <br /> 0 ,...,,,,w, Name / , P _ EPZE <br /> Ovade. Address .. ` w t <br /> Fee Simple Titleholder Name Titleholder w N Phone Umber ( I 1 1 <br /> Fee SkraMillSeholder /1d410sa <br /> G tr T z �i/. - •. <br /> Job Address <br /> - -- -- - Parcel # <br /> Sub Minion B , &o- Haasrd waste Storage - •ANNUAL. - .1:3 FuN9edon Tent • Comm <br /> t'adtlarst Kilctlen Hood/Duct . 0 <br /> Harsrdous Nsiafiel Crier U or RQ Pac*y) ANNUAL • . <br /> • E Controlled Bun : Hood iestalleffon . . <br /> y Generpfre 4. 30 kw • • • D CPAda4>rai <br /> Emergency P/ Gsnepfor> 30 kw LP/Natural C�as- .* UTAL Selo • Assembly-ANNUAL . .. <br /> Fr !NONCOM Maintenance - ANNUAL - • Places of <br /> ® ®U • f „ af Bum S r . . m 0.0 .❑ • - <br /> Fire a ti :. X 1_ _ k <br /> ' . Spars <br /> Hood t�asrrrg p O D SprarkterStRtern Ntoialleeor� • . <br /> • Hood Suppression . D - 0 - O 1 • • f 1 standpipe. (spMWer syS, . <br /> 1 1 Fire Alarm Installation : - • • ; . Tenth Roofing/Tar Kettle <br /> 0 Fhe Ptstlpe LE J waste Tim Storage ANNUAL <br /> Fireworks. • 1 Vatuatiot of Projec t <br /> Flammable Appioetlon- ANNUAL i <br /> Fuel Tanks . . <br /> _....1., lew' �+� <br /> Carnrar tw _ comru y . S.` ?e, - Y1.»7if�" '� <br /> [ • •. Regbter.d FOAM Fos cow* • MEV • r <br /> Address r i g:404!lI .eErnri. / I IXPM � f � <br /> ELECTRICIAN' . . C� / e ` /C2 • ' Registered -- Y / N Fee Currant I Y I N I . <br /> mums) . License* ' <br /> PL.tJMB * ` I Y/ N I Fw current J 'Y / N I <br /> ire 1 • <br /> Address 1 - 1 <br /> Regtt4isred I Y/ N J Fee Cunard 1 Y/ N <br /> Address I I 1 • C:ompany <br /> OTHER . 1 Registered' Y/ N 1 Free Currant I Y/ N I <br /> Address titan .. 1 <br /> MICIMINIONININOMMEMI <br /> MNeurt1g012ffonn eonIptIOW- • <br /> owner li Cara cior sign flick of span. notarized (Or, copy of signed contract with owner) <br /> If over 52600. a *Om of commansernwe le relpired.(Msehenicai work over 55000) - <br /> Suppiy two (2) seta of dlel in with appecebla docunertNon <br /> Allow 10-14 days for review alter submleal dale. Parcel SF- obtained from Properly Tax Holm (h pratoer.paecogovmn) • <br />