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',=',:2: A! ZEPHYRHILLS BUILDING FAX No. 313-73C-5021 <br /> 81 3-1M^0020 - City ofZephyrhills"FliV: .... #q (l Fax-813-780-0021 <br /> . Permit Application . <br /> De Rot; 0:v0d ri ___ ...----...--...--, <br /> - 1;•%;: <br /> •Pho ne Contsctlo r Permit Lam *13 I -- ,,,..., i <br /> L... • _ .•__._— <br /> L,...1,w0,15:LLs.aos,ifk•a4,sni,,s.m..licvz.vaacl -- -- , w , --- , — . • •••••• . .. -. . • .• . • • • . . . .• . — .. <br /> C.Iv.'ov: Ntvi <br /> a ..; I.. ..-- <br /> 713:EC:— . <br /> — OWnera Phone Number i" -- Ta" [3.5tE <br /> •::...,.;.k: Ackife I 5 • • 1. A .1 - • • . mi -im 1 r of r % S a IL; . <br /> • <br /> --,-- — Titleholder Phone Number 1 El-- <br /> Fee S:Jtiok 1 IlleTholdor Narno <br /> l- <br /> ... <br /> --- <br /> FoE, Simple Taft:411°We/ Addrege <br /> Jot) Adofoss __. ,..t• <br /> .#101110111/2710 - i t , /.S _ <br /> Sut, DIvi3lor, . Parcel 0 <br /> - <br /> 1 , i l-1 <br /> Dio-iceard W A <br /> aste Storage -ANNUAL . ' Fumigation Tent <br /> - .. - fr..x.-, . <br /> t __:. J Gomm Rxhaust Kitchen Hood/Duct Ei Hazardous Material (Tier 11 or RQ Facility) ANNUAL <br /> . <br /> [ .,...„ <br /> I Controlled Burn 17 Hood installation <br /> r'l <br /> i ; FL'rnorgency Generator - 30 IM ' ,. .. LPiNatiral Ga5-111Stallation <br /> t ,-,- =' ,= i <br /> i Eryewe•ncy Generator > 30 kw • • . LP/Natural Gas-ANNUAL Sale <br /> Fif P . <br /> L. • <br /> . • . . Places of Assembly-ANNUAL • <br /> AO! •G rotection Maintenance - ANNUAL . . <br /> M a . f em Ealri ume_H <br /> schedokel Sprinkler ' 0 0 0 • Recreational Bum <br /> () i i D/01 Fire Altem , . R <br /> . 0 0 0 1 J . Sparklers <br /> hood Gleaning Ill ' 0 0 SPrinkler System Installations <br /> Hood Suppression IPA ""' 0 1:1 i 1:1:1 Standpipee (Sprinkler Sys) , <br /> f — 1 Fire Alarm Installation . . Torch Roofing/Tar Kettle <br /> r •--...L..-.-___ <br /> ; Fire Pumps . Waste Tire Storage ANNUAL • <br /> Firri Work, . . <br /> 1 I:)nfra Application-ANNUAL <br /> . • =".. Valuation of Project <br /> • <br /> I 1 FOCA Tanks . . • <br /> L_H =ff-j Othor: _..:._......._ .........___, <br /> ,-,:..autor mP Y <br /> s bib Are .1)) , L -- t , • <br /> z/ AM : Co an <br /> Registered MEM Fes Current .Y / N - - - ---- <br /> , <br /> ,1 # <br /> c:;:-. 4 0 mite 11,1 M r i WAIFS:1/1M <br /> _ . <br /> ALI 'Llcen5e # 1 <br /> , aresreire.- d reire. - _ <br /> _ <br /> . 1 <br /> Company <br /> :3i.risiLA.:, I . . • . - Registered MEM Fee Current L _ <br /> Y / N j <br /> --- <br /> . <br /> License #. = ., 1 <br /> _ <br /> Fl.t1l'Aliffi • .. Company <br /> • ......_ <br /> •:•1.;no 'tint <br /> • • Registered '-- 7 - 5 - 1 - 1 - 777 — Irrerit=1 — <br /> ------___ <br /> Acldro$1 11 1 ' License <br /> _ <br /> __----........... — # — -- <br /> Ni!XiiANICALI - . Company • <br /> SVinturd • . Registered Y / NXee Current i Y/ N <br /> ....._ <br /> Addrus:-, r 1 Lleenae # . <br /> L.— - 1 <br /> i-.........._ •---- <br /> Cill-fF.1:( . <br /> • • • Company <br /> iailire Registered ,.....1 j Fee Cur707 - <br /> t,doinsc I L--=--------------:— License # <br /> ::::?,•oy.Lroa.;3reTLrelizzotosaawarra, asioa.. aam. <br /> . <br /> FIE out application completely. • <br /> owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> it over S2500, a Notice of Commencement ie required.(Mechanical work over 0000) • <br /> Supply two (2) sets Of drawing,' with applloable documentation <br /> Allow 10-14 days for review after submittal dsta. . Parcel # - obtained from Property Tax Notice (http://appralser.paoccgcv.com) <br /> . SloVi. / • . VIGIL Vigil Inc. <br /> Wood G. Exhaust Clearing Service <br /> 3 INC. <br /> pa litcs< 27.37137* Re 33688 <br /> Offices 813-922-9100mFax:813-932-8988 <br />