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. • Kg 6 5 S5 . <br /> • <br /> 813-780-0020 City of Zephyrhills FiAde 2^ Fsx- 813ae0-0021 <br /> - Permit Application - <br /> Date Received 1 1 - Phone Contact for Permit 1 I I 1 1 <br /> Owners Name • • • .r - : ' . Z //&i owners Phone Number <br /> o <br /> Owners Address + • / 4o, 4 __ ,/ , • 1 • <br /> Fee Sknpls Titleholder Name Tillehoider Phone Number I I I <br /> Fee SimpbfweholdM'Mdress I limmisl • <br /> a V Lott, <br /> Job Address —_ <br /> Sub Division Parcel* ------ <br /> ED Bullied Waste Storage - ANNUAL Q Fumigation Tent • <br /> ❑ Comm Exhaust Kitchen Hood/Duct El Hazardous Metsdel (Tier 1I or RO Faerky) ANNUAL <br /> E Controlled Bum Q Hood won <br /> Entergar ry Generator < 30 kw <br /> Emergency l P1Nahrral Cie - Nation Emergency Generator > 30 kw LP/Natural Gas- ANNUAL Sale <br /> Fire Proteetlon Maintenance - ANNUAL Q Pieces of Assembly -ANNUAL <br /> eal IRE 03 4,-C-Illi El Sprkrider i 0 ❑ 0 M Recreational Bun <br /> Fie Nairn 0 ❑ 0 Smolders <br /> Hood Cleaning 0 0 0 _ Sprinkler System itWlledone . <br /> Hood Suggestion 0 0 ) (SPrlttlder Sys) <br /> Fire Alarm katekkBon _ <br /> Are Torch RooInp/Tar Kettle <br /> e Pumps - El Waste Tire Storage ANNUAL <br /> Fire Works valuation of Project <br /> Flammable Application- ANNUAL <br /> Fuel Tanks <br /> • ® Other: <br /> Car>bte 86oc wry �®�4i��'1.,�- � <br /> Slgrutere liririln: r` a wl IIIM Registered r likUr OWE <br /> Address p;J fg IKifi ® / ! Ka + hire®. - Ibsen d 1 :; 3r".m oho` .��10174 r g ; <br /> ELE Company <br /> Signat<ae Registered Y / N Fee Gernert 1111110151311 <br /> Address License ft ( <br /> PLUMBER Company <br /> Signature <br /> Registered Y N Fes Culvert ( Y/ N 1 1 <br /> 4s <br /> Address I License * I <br /> Company I <br /> EC S Rphtered Y 1 N 1 Fee arm l Y/ N <br /> I License Si I <br /> Address t <br /> OTHER f . <br /> i y <br /> Signature Registered I Y/ N' J Fes Cum* j Y/14 <br /> I I kons. M <br /> mil <br /> FM out agemilien compeitoty` d embed with deter) <br /> i Cattier si bl bk,kit [�, t d d 1 1e° 9( WO* a <br /> If aver $2500, a Notice erteMeeMit t raatditsd t l I work over woo) <br /> Supply Allow 10-14 days for , '' It obtained from Property Tax Notice (hl bPO Win) <br />