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JUL /13 /2008 /SUN 04:13 PM ZEPHYAHILLS BUILDING FAX No,813- 780-0021 P. 002 . <br /> 613 -780 -0020 City of2ephyrhlllsFinec Q3 y Fax-813- 780-0021 <br /> Permit Application / / G7� ��T-- - <br /> • , Phone•ContactforPermit I11i1,r1 Wai <br /> Date ReCehrad �^ <br /> Owner's Name .I P 5t`'1 LL rAi LY Co 2 P I Owner's Phone Number 1 mil 3 1 17 3 1 1 G-78-9 1 <br /> Owner's Address L 5�- t • - A-l.L illy . -. <br /> i 1 Titleholder Phone Number 1 (l 1 1 I <br /> Fee Simple Titleholder Name <br /> Fee Simple <br /> eholder Address ) <br /> Job A ddress <br /> I , t � - � a l l 3 v D ?xw �cn H; i($� f 3 3s Z — I Lot# I • :. . <br /> 1 . • I Parcel # . . <br /> Sub Division <br /> • <br /> ED . <br /> l _. <br /> In Bio- Hazard Waste Storage -ANNUAL Fumigation Tent . <br /> Comm Exhaust Kitchen Hood/Duct . . Hazardous Material (Tier 11 or RQ Facilhy) ANNUAL <br /> Controlled Sum- 1 1 Hood Installation . <br /> • • Q Emergency Generator•< 30 kw (] LP/Natural Gas- Installation • <br /> .n Emer Generator s0 kw . .. . =I LP /Natural Gas•ANNUAL Sale • <br /> Fire Protection Maintenance - ANNUAL = Places of Assembly-ANNUAL . <br /> • r 0:511 MO • <br /> Sprinkler 0 ❑ .o El Recreational Bung <br /> Fire Alarm • = 17 13 le - ED Spenders <br /> • ' Hood Cleaning . • . ❑ • 0 0 Sprinkler'System Inatailadons <br /> • <br /> 1._J <br /> • Hood Suppression Q ❑ D ❑ = Standpipes (Sprinkler Sys) • <br /> a Fire Alarm Installation ' • • Torch Roofing/Tar Kettle • <br /> R • Fire Pumps • • • • • • . 1=I Waste Tire Storage ANNUAL . <br /> R Fire works • I I Valuation of Project <br /> Flammable Application- ANNUAL , <br /> Fuel Tanks <br /> 0 Other. <br /> Contractor company I O corn Seauri +U S ry ■ces ( Or p <br /> I i J Registered Y/ N J Fee Current nt I Y/ N <br /> Slgnatwe • • ' . <br /> Address 4o202_ BeNO.lr% 2d'4 loo "Tampa fi 3(,23t.4 1 -- License # EPZC>C007(o3 1 - - <br /> ELECTRICIAN , I • Company - <br /> Signature Registered I Y/ N 1 Fee Current I Y I N I <br /> Address I I License # I • ( <br /> PLUMBER ' Company <br /> Signature f • Registered I Y / N I Fee Current I Y / N <br /> Address I 1 License* I 1 • • • <br /> MECHANICAL Company . <br /> Signature . Registered Y / N I Fee Current I Y/ N J• <br /> Address I • J •Ucenoe# . 1 • I <br /> • <br /> OTHER • • • . Company <br /> signature ' Registered I Y/ N 1 Fee Current I Y/ N 1 <br /> .Address • • -- I Ucense# . <br /> inactions: . • <br /> nactions: • <br /> • Fill out application completely. • • <br /> Owner & Contractor sign beck of applleadon, notarized (Or. copy of signed contract with owner) <br /> If over 52600. a Notice of Commencement le requlred.(M.chanICal work over 56000) <br /> Supply two (2) sets of drawings with applicable documentation . • <br /> Allow 10-14 days for review after aubmtttal date. • Parcel # - .obtained from Property Tax Notice (httpJ /appreieer.pa000gov.Com) . <br /> RECEIVED 07 13 -'09 15:56 FROM- ' 8137800021 TO- Devcon Security P002/002 <br />