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• <br /> • <br /> 813. 780.0020 City of Zephyrhils figkorr_s^ Fax-813-780-0021 <br /> Permit Application - - r • Phone Contact for Permit <br /> Date Received 1_.�•�"'__= 1 — 1 - <br /> , 1 <br /> -1� _ `�- 1 1 1 1 Owner's Name • - i " ne ! i i _ owner: P N umber <br /> Owners Address -- �� a rr∎ r / i i C• # _, - - 3 6 I. <br /> Fee Simple Titleholder Nome Titleholder Phan Number I 1 1 <br /> Fee Sbpl.TlrehoiderAddr.a$ 1 e <br /> • <br /> Job Address 16- _ // Li ,1 • !I 8/4/ !/l I Lot* 1 <br /> Sub Division Parcel v <br /> 0 Blo -Hmrd Waste Storage - ANNUAL - El Fumigation Tent • <br /> ED Comm Exhaust Kitchen Hood/Duct Q Hacerdous MtlsriN (Tier II or RO Facility) ANNUAL <br /> ED Controlled Bum a Hood lotion <br /> a Emergency Cenerabr < 30 kw 0 � � � j f � n 0 <br /> lit Emergency Generator> 30 kw Sate rT ' <br /> Fire Protection MrkrMmanoe - a Places d AssembipANNUAL <br /> SprinIder t o 0 0 ® ®® rr I Recreational Bun <br /> Fire Alarm 0 O 0 _ I Spenders <br /> Hood Cleaning O O O I 1 H SprlmlderSystem MaYBorrs <br /> • <br /> • <br /> Hood Suppression O 0 • I Sir elpi_es (Sprirrlder Sys) <br /> Fb Alarm Instigation _ W <br /> ^ Torch Rooting/Tar K.W. <br /> Fire Pumps . - - - - Waste Tire Storage ANNUAL <br /> • <br /> Fire Web <br /> Reennable Application- ANNUAL ' .1 valuation of Project <br /> Fires Tanis I <br /> S Contnuot �►ff��'i Company 1r7.:1:471'T.f ,_ -m` • <br /> Adds rrrS — i %IF _ ar`,Cf! 12, Lions* : 1/46-70l. - firili174:.'i -i; Company <br /> /5 •- - 6 e j • ,9/41•4/1' j Registered Y / N Fee current Y / N <br /> Address I ! 1 License. I I <br /> PLUMBER I <br /> Signature I Registered I Y/ N 1 Fee Coward 1 Y/ N 1 <br /> Address I 1 License. I 1 <br /> ME Registered l Y/ N 1 Fee Covent 1 YIN 1 I <br /> Address 1 1 License f I 1 <br /> OTHER grnI <br /> a <br /> Sat re I . Registered 1 Y / N • J Fe. Covent 1 Y / N <br /> Address I I arms.. 1 I <br /> • <br /> Directions: . <br /> F11 out application conot t•ly <br /> Owner & Corarac'tor sign beck dapplication. noteda.d (Or. copy or signed contract with owner) <br /> If over $2500. a Notice of Commencement is required (M.J .nkal work over 55000) <br /> Supply two (2).sets of drawings with applicable documentation <br /> Allow 10-14 days for review air submittal date. Parcel - obtained from Property Tax Notice (MlpIlapprais.r.peseopov.com) <br /> • <br />