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FEB /20 /2007 /TUE 11:10 AI( ZEPHYRHILLS BUILDING FAX No, 813 P. 002 <br /> • '813 - 0020 F City of.ZephyrhiI1s ' oo?'• Fax . • :i {: <br /> r <br /> Permit Application .. -•-• ` • •-•:::X,i; <br /> • •:. :: 4, _ 1_ ., • r. , i:.• ..: - <br /> Date R ®cad <br /> lve /�/ <br /> ive • .. ,_..,. ,...n�-,r �� _ .ry ... ,... .•:.,, , _.,... r <br /> -Phone Contact for i'armtt • <br /> Owner's Name- -._..— - 6ie2�1%y?14.. 1? &n€Ge/CG-S owners Phon® Number ., 't9 y , � Y,z 1 0 (• ....._ <br /> Owner's Address . . JWL,vS . Z r (. . Ti�d1�z> >, plc . _,C7 32 2/(' <br /> • <br /> Fee Simple Name Titleholder Phone Number <br /> Fee Simple 7nleholder Address ' • <br /> •'r4: 4:'..., .'!%.A.r /..f.:.IrnPa... 7•:. r•.•. L. / t '�'r') / ,• .,... +.i 1���. � 11^ _.:�.. ".Y .- i•. ! 1,:... _i _. .. rxYS�rnY._.. _!._ �.. .)T`..M... <br /> Job Address l _ �_ n � � I /! / �. Lot <br /> # <br /> Sub'Division • /, ,� . / /+ /I o[ rim • / . <br /> Parcel # <br /> I. Bio-Hazard Waste Storage ANNUAL • 1 • .1 Fumigation Tent ' , <br /> n Comm Exhaust Kitchen Hood /Duct I I Hazardous Material (Tier 11 or RO Faculty) ANNUAL . • <br /> I Controlled Bum ' I I Hood Installation <br /> . • Emergency Generator < 30 kw . • .. . I LP /Natural Gas - Installation • <br /> .1 1 • Emergency Generator ? n kw • n LP/Natural Gas - ANNUAL Sale <br /> I I net Protection Maintenance - ANNUAL . . I. I • Places of Assembly- ANNUAL • <br /> _ I LltrI9l p§mrl IAN I Uther <br /> Sprinkler I_ p ❑ ❑ • Recreational Bum, . <br /> Fire Alarm '' • I I ❑ Q ❑ F . 1 I Sparklers . <br /> Hood Cleaning D `�, -. ❑ . ❑ I I I • I Sprinkler System Installations . <br /> ' • • . Hood Suppression Li. Q ❑ • • DI I • • I Standpipes (Sprinkler Sys) <br /> ' . 1 I Fire Alarrh Installation . I Torch RoofIng/Tar Kettle . • <br /> Fire Pump? . • I 1 Waste Tire Storage ANNUAL <br /> Fire Works - . • <br /> Flammable Application- ANNUAL • . ( Valuation of Project <br /> • <br /> 1 1 .Fuel Tanks . ' . . , <br /> I 1 Other: <br /> Contractor Company --- <br /> Signature Registered Y/ N I Fee Currant I Y / N 1 <br /> Address I. .1 _– License #_ _n I . - . <br /> ELECTRICIAN . ' Company I <br /> Signature Registered Y/ N I Fee Current [ Y / N 1 • <br /> Addreas I I License # 1 1 <br /> ' PLUMBER . - • • • Company I <br /> Signature Registered Y / N I Fee Current 1 Y / N 1 <br /> Address I • - I License # 1 • <br /> MECHANICAL Company • 1 <br /> Signature Registered . Y / N I Fee Current I Y N I <br /> — <br /> Addreae I . 1 .License # . 1 . • - 1 • <br /> OTHER • Company I <br /> Signature . ' Registered Y / N - I Fee Current 1 Y / N 1 <br /> ammt Llcenae # <br /> Directions: <br /> FIE out application completely. . <br /> Owner & Contractor align back of application, notarized (Or, copy of signed contract with owner) • <br /> If over $2500, a Notice of Commencement Is required.(Mechanlcal work over $5000) <br /> Supply two (2) seta of drawings with applicable documentation ' <br /> Allow 10-14 da for review after submittal date. Parcel #- obtained from Property Tax Notice (http / /eppraiser.pascogov.com) <br /> • <br /> • <br /> • <br />