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, H ,, ` AM ZEPHYR! I LLS BIJ1LDING FAX 1 ' ! , -r0 2 1 <br /> vn� r, ,;J: <br /> 813.78 -002o City ofZephyrhills710o' 4 60 Fax-813.780.0021 • <br /> Permit Application <br /> Date Received r <br /> ved r o �� <br /> PltorieC rtsct'iorfre - <br /> - • a <br /> nett <br /> Na tea 1 , 11 I <br /> • w:nerrs m° � � / I, �� � Owner's Phone Number 8� 7 �o� ea� , <br /> •': :•.rer6 Address 7Y 6 6# i /V# r #147 /S 33 01 <br /> Fee Soiple Titleholder Name Titleholder Phone Number ! j l 1 ` _____ i <br /> • <br /> Fve S impie Titleholder Address <br /> Job Address (SQrnG DewE 41508D t.otty <br /> Sub r� ;vlslor Parcel # 3 - Z� 2-1- 0 - L -6020 <br /> j 9io- Hazard Waste Storage - .ANNUAL El Fumigation Tent <br /> • <br /> 0 Comm Exhaust Kitchen Hood/Duct Ei Hazardous Material (Tier 11 or RQ Facility) ANNUAL <br /> 0 Controlled Bum Hood Installation <br /> H )=rnergency Generator 30 kw LP Natural Gas-Installation Generator a 30 kw LP /Natural Gas- ANNUAL Sale . <br /> Fire Protection Maintenance - ANNUAL ' Places of Assembly- ANNUAL • <br /> Min . ®ins <br /> c J d Sprinkler . 0 0 0 Recreational Bum <br /> a Fire Alarm . 0 0 0 ' Sparklers <br /> 5f 13fr r Hood Cleaning 0 0 0 -- <br /> Sprinkler System installations <br /> Hood Suppression p< 0 0 Standpipes (SprinklerSys) <br /> El Fire Alarm Installation Torch Roofing/Tar Kettle <br /> Fire Pumps ` L Cc> "T .C+ s Waste Tire Storage ANNUAL <br /> Fire Work= [1i C ea-iN <br /> b -s-o9 <br /> Flammable Appltoadon- ANNUA V alUatlon of Project Fuel Tanks <br /> Other <br /> nt actnr Company <br /> Si;rr .ttrre (�/ • • • Registered Y / N j Fee Current L .Y / N j ! <br /> Ad1rea . 'p A. , _- i„ ' Lk eraffgAel;2? Ltcenee # 1 J <br /> ELlrC'FRISIAAr Company 1 <br /> Si null•. a L _ Registered Y / N 1 Fee Current L Y/ N i <br /> Andreas r • ________I <br /> License*. 1 <br /> PLUMBER Company <br /> - i;nafure Registered Fee Current Inn <br /> Address License # 1 <br /> M„r CHANtCAL • Company <br /> Signature Registered INUIRI Fee Current INUM — - -- - <br /> Addruss — License # 1 • 1 <br /> 0TH R Company • <br /> , :.ilaiuro Registered Y/ N 1 fee Current 1 Y/ N I <br /> Add license # messwessmsimr <br /> FM out application completely. • <br /> Owner & Contractor sign back or application, notarized (Or, copy of signed contract with owner) <br /> P over 32300, a Notice of Commencement is required. (Mechanical work over $6000) <br /> Supply two (2) seta of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (httpllappraiser,pascogov.com) <br /> Vigil Inc. ,` <br /> : 1 1 1SSL -/ ,Hood 8e Exhaust Cleaning Svc. �( 5 I � ; 94070 Lazy Lam, U I f <br /> ` � - PO Box 273787 . 7 <br /> v— Tampa, Florida 33688 C <br /> TirgNel FL 33(x1 if <br />