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. _ _ .. :Ii` ZEPHYRHILLS BUILDING Fi;.';: N0, 3 1 . 7 I i3`_, . ckg_ "_. � Fax-813-780-0021 813 - 180 -oo2a City of Z �phyrhilEs Fire
<br /> . ' Permit 1(gppiication
<br /> Date Received Phone Contact for Permit
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<br /> Owner'.. Name i - L' el CA • I Owner's. Phone Number I 1 _
<br /> Owner's Address .1_6i, -. •' b r r, .. • . .
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<br /> Fee Simple Titleholder Name Titleholder Phone Number •
<br /> Fee Simple Titleholder Addre55
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<br /> . 3 , � 13 ■• : 63 i .Lot# • Job Address tl
<br /> t , _-� y 0�op -C1t�
<br /> Sub Division Parcel # �5! °!�� ��
<br /> (O I - RINtU F-HUM PR
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<br /> UF'ttlY TAA NC31l(.}
<br /> Bio- Hazard Waste Storage - ANNUAL • Fumigation Tent
<br /> Comm Exhaust Kitchen Hood /Duct . • . C Hazardous Material (Tier 11 or RQ FaciIl ) ANNUAL
<br /> n Controlled Buie Hood Installation
<br /> •
<br /> = • Emergency Generator < 30-kw . • . 1 LP /Natural Gas- lnstallatlon
<br /> I I Emergency Generator > 30 kw 1. _ LP /NaturaIGas- ANNUAL Sale.
<br /> . -- Fire Protection Maintenance - ANNUAL FT Places of Assembly- ANNUAL •
<br /> . Sprinkler . ..slE- • . . . • - E ..Recreatlonal Sum ' • . . • .
<br /> Fire Alarm a . - - • 1 1 Sparklers ' .
<br /> Hood Clean /Suppression = Sprinkler System Installations , •
<br /> r. n Fire Alarm Installation ( 1 Standpipes (Sprinkler Sys) ..
<br /> • 1 1 Fire Pumps 1 1 • Torch Roofing • •
<br /> Fire Works = Waste Tire Storage ANNUAL • Flammable Application- ANNUAL., .
<br /> E Fuel Tanks . . - ! ' - I Valuation of Project .
<br /> •
<br /> Other: . - . .
<br /> Contractor Company •
<br /> Signature - Current 1 Y / N
<br /> Registered , Y.f N Fee Curren
<br /> Address _ . I •1 .. License # • . .
<br /> ELECTRICIAN .. Company 1
<br /> Signature . Registered . Y / N Fee Currant Y1 N I.
<br /> Address l • License # I I
<br /> PLUMBER . Company. _ I , .
<br /> Slgnature • I ( Registered . Y ! N. I Fee Current Y 1 N
<br /> Address _ - 1 License # •
<br /> 1
<br /> MECHANICAL . 1 Company 1
<br /> Slgnature i, Registered . Y/ N Fee Current I Y/ N i
<br /> Address -7-1 License N i
<br /> OTHER . 1 . Company � 1 a
<br /> li
<br /> Signature \I � . ! Registered la ' Fee Current 1 Y / N
<br /> Address IILI411 ,TINUM1r I - I License :r - 'Milo . L r I
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<br /> Directions:
<br /> Fill out application completely.
<br /> awner & Contractor an Pack or application, notarized (Or- cagy of signed contract with owner)
<br /> if over $2t00, a Notice of Commencement ie required (Mecnen;cal work over 15000)
<br /> Supply ^,vc (2) sets of drawings , .vrh zppiicable documentation i •
<br /> Allow 10 -14 days forreview after submittal date. j .
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