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DES O6/2007/'T U 04,22 P` ZEPHYEHILLS BUILDING FAX No, 813 - 0021 4q 303 <br /> 813- 780 -0020 City of.Zephyrhils Are i Fax -813. 780 -0021 <br /> Permit Appiic attion <br /> j' Phone Gontttct for Ps init <br /> Date Racalved <br /> Owner's Name 1 l Owlet's Phone Number t� ! •: 1 <br /> r 5 <br /> Owner's Addrfs$ 1 L In &� -� ,�- l P�■y4 t • 335(I- I —L ?_ I <br /> Fee Simple Titleholder Name 1 , 'Tile Phone Number 1 1 1 T <br /> Fee Simple 'Titleholder Address I <br /> " 14 3 e• ii B \v . c ks L 33 5qI _ Lotff � . <br /> .Job Address Z0. . <br /> Sub Division I. .1 . Parcel # . , <br /> ei; .-, • - . r - - . , • « <br /> ri Bio Hazard Waste Storage - ANNUAL n Furdgatlon Tent ; <br /> E:i Hazardous Material (Tier 11 or RQ Facility) ANNUAL <br /> 0 Comm Exhaust Kitchen Hood/Duct <br /> ED Controlled Bum . ED Hood Installation <br /> 'Emergency Oenerator< 30 kw El LP/Nahua! Gas- lnaf8llstian <br /> Li Emergency Generator> 30 kw . LP/Netural Gas- ANNUAL Sale <br /> C Fire Protection Maintenance ANNUAL Places of Assembly -ANNUAL <br /> • <br /> Sprinkler = Recreational Bum ; <br /> Fire Alarm o =Sparklers <br /> Hood bleantSuppression n = Sprinkler System Installations <br /> 1 1 F!ro Alarm Installation StardAip (SPlinider Sys) <br /> ■ <br /> a Fire Pumps 'Torch Roofing <br /> 7 Fire Works • L___3 Waste Tire Storage ANNUAL, 1 <br /> • <br /> E: Flammable Application- ANNUAL <br /> 7 Fuel Tanks t• , Vaivatit n of Project <br /> ❑ Other I <br /> Contractor r C A . - <br /> Signature L- 1 .1-N Cku ,r ,j,..+ _ Registered • N Foe Cwnant Y ! N <br /> • License # J <br /> ELZCTRICIAN Company i <br /> Signature Registered Y / NI 1 Fee Curren Y N <br /> Address License # 1 _. <br /> PLUMBER f 1 Company . • <br /> Signature I - Registered . Y/ N 1 Fee Current ` Y/ N 1 <br /> Address I - Lioanss # <br /> • <br /> MEQHANICAL, Company <br /> Signature Registered Y / N 1' Fee curr 1 Y / N <br /> • <br /> Address License # <br /> OTHER Company <br /> Signature - Registered =PM Fee Curren 1 <br /> Address License # t <br /> ons: <br /> FM out appiicadon completely. <br /> Owner & Contractor sign back of application, •notertzed (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> - Supply two (2) sets of drawings w11h applicable documentation <br /> Allow 10-14 days for review after submittal date. <br />