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013. 780 -0920 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit 841 485 II 5402x33 <br /> Owner's Name I K -MART #3761 ( Owner's Phone Number I 1 1 1 1 <br /> Owner's Address 1 7422 GALL BLVD ZEPHYRHILLS, FL 33541 <br /> Fee Simple Titleholder Name I l Titleholder Phone Number I <br /> Fee Simple Titleholder Address I <br /> Job Address 7422 GALL BLVD Lot # <br /> Sub Division Parcel # 34- 25-21- 0000 - 00300 -000 <br /> ....... ................... .... °l . . .................... .......... ,.. <br /> ....s Material .. . ... ., I..;::>._ _ ._. <br /> ._.:......... ..,...... _ : <br /> ................... <br /> & o-Hazard Waste Stora Storage ANNUAL I Hazardous a a 1 (Tier t F �<, <br /> 1 or RQ Facility) ANNUAL <br /> 0 Comm Exhaust Kitchen Hood/Duct n Hood Installation <br /> n Controlled Bum r--1 LP/Natural Gas - Installation <br /> Emergency Generator < 30 kw n LP/Natural Gas - ANNUAL Sale <br /> D Emergency Generator > 30 kw I Places of Assembly- ANNUAL <br /> © Fire Protection Maintenance - ANNUAL F 1 Recreational Bum <br /> ® mr WI Other <br /> Sprinkler Ej ❑ ❑ ❑ ( Sparklers <br /> Fire Alarm El ❑ ❑ ❑ E1 Sprinkler System Installations <br /> Hood Cleaning ❑ ❑ ❑ 1 1 [J Standpipes (Sprinkler Sys) <br /> Hood Suppression X ❑ 0 IX I I n Torch Rooting/Tar Kettle <br /> Fire Alarm Installation I Waste Tire Storage ANNUAL <br /> Fire Pumps <br /> Fire Works <br /> Flammable Application- ANNUAL 1 ( Valuation of Project <br /> Fuel Tanks <br /> in other: I I <br /> Contractor Company I <br /> Signature Registered Y/ N I Fee Current I Y/ N I <br /> Address I I License # ( I <br /> ELECTRICIAN Company I <br /> Signature Registered Y/ N j Fee Current I Y/ N <br /> Address I I License # I <br /> PLUMBER I Company I <br /> Signature I l Registered Y/ N .. I Fee Current I Y/ N I <br /> Address I I License # ( I <br /> MECHANICAL Company I <br /> Signature Registered Y/ N 1 Fee Current I Y/ N I <br /> Address I I License # I <br /> OTHER Company ALLIANCE FIRE & SAFETY <br /> Signature % ��` .� Registered Y / N I Fee Current I Y / N I <br /> Address IPIAIMM320 ENICE, FL 34285 License # 1 48254100012004 <br /> Directions:. • :... .. ............................... � ...................:.................................................................................................................................................:....................... ............................... <br /> Fill out appiicat' . -- pletely. <br /> • • ntractor 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 />