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-.r. _ _.i r; 1 c'. _•.!: _. Aiv: Ll;•rti tin! LL 011LU1NU ? AqX NO, ti1 ' /•:f1J-Lii! "l1 ;' 00' <br /> x;13- yao -oozo City vf.Zephyrhills'Flie!: ...• ..0 90 Fax - 813.780.0021 <br /> . Permit Application <br /> Date Rouelved . :' •Phone Contectfor Permit i 13 ../ • • <br /> � j . r. ,...r a <br /> 7wnr'u Nam; C Owner's Phone Number ( $ '� ? ' f 78a g <br /> >v;re'e Address <br /> • 1 55©(, n1 G- it E1id zc�yr-h I us, . 3wa F yQ _ <br /> �ee S�mo!e 7111aholder Name Titleholder Phone Number — 1 L_ <br /> F. SimpleTitieholder Address • <br /> JobAdeiess 14c' 55 N 0-'141 2 . hid r Zep yrhf )1S /FL 39? Lot'k 1 <br /> Sut Divi&or, Parcel # <br /> L_JJ Bic- Hazard Waste Storage —ANNUAL ED Fumigation Tent <br /> t 7:7 - 1 Comm exhaust . Kitchen ttchen Hood /Duct n Hazardous Material (Tier 11 or RQ Facility) ANNUAL. <br /> ED Controlled Bum El Hood Installation <br /> = >= tnergency Generator ;4 kw • ,. , a LP/Natural Gas - Installation <br /> Emergency Generator > 30 kw . • = LP /Natural Gas - ANNUAL Sale . <br /> i 4=1.--- 1 Fire Protection Maintenance - ANNUAL • • . ' Places of Assembly- ANNUAL • <br /> 1__.j min I fri es lhe: . <br /> Scit 4ed Sprinkler O ❑ . Recreational Burn <br /> roe Fire Alarm . ; O ❑ ❑ - 1 'Sparkles; <br /> 4a/ )O Hood Cleaning An ❑ ❑ 0 Sprinkler System Installations • 0 gi-oT v) r Hood Suppreaslon [ j 0 0 0 Standpipes (Sprinkler Sys) <br /> L_J Fire Alarm - Installation • ,n Torch Roofing/Tar Kettle <br /> 1 Fire Pumps - J Waste Tire Storage ANNUAL • <br /> • <br /> b..] Fire Work'o <br /> FlarnmableApplloatlon- ANNUAL ..J Veivatlon of Project <br /> Fuel Tanks <br /> Fl Other: - <br /> s • , .7:11:-actor / • Company <br /> .Sipnet,..fre L . • Registered , Y / N 1 Fee Current Y / N • <br /> :,•i zss t - 0 %TFiii. : T• MI it£t%11111111 . License.* .. 1 <br /> _.LirC "rl:rClArll 1"L Company _ <br /> slyru:rti.,d Li�'I�Slcn �. ac t s : q�.Z� Lazy Law t)Nff -!3 Registered _ Y / N J Fee Current L Y / 7 1 N <br /> Address r -- ---- ). � 33Co1 1 License #, j 1 V. <br /> FLU.ABER f • .. . • . Company <br /> ._ r;na ,rre 1 Registered —I FFN 1 Fee Current I Y / N J <br /> Address [ . , License # 1 <br /> M iCNANICALf . ' Company _ <br /> S!gh8lure Registered Y 1 N fFee Current 1 Y'/ N r <br /> - <br /> Address r'T 1 License f! �� <br /> gri-I R Company . <br /> ' .:•;.1a — Registered - 7770 Fee Current T Y / N I <br /> AddrnES <br /> • License # <br /> on ac Goes: <br /> Fill out application completely. • <br /> Owner & Contractor sign back of application. notarized (Or, copy of signed contract with owner) <br /> it over S2300, a Notice of Commencement is requked.(Mechanical work over $6000) <br /> Supply two (2) sets of drawinge with applloable documentation . . <br /> Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appralser.pascogov.com) <br /> VIGIL INC • • <br /> Hood & Exhaust CIS Svc. • . <br /> P.O. BOX 273767 *'Dripa, F13 . <br /> P: 1113.932 -9100 F: 613 -933 . <br /> gatoraltthewayt 'aolcom • <br /> • <br />