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FE3/20 /2007 /TUE 11:10 AID ZEPHYRHILLS BUILDING FAX No. 813 P. 002 <br /> '813=780=0020 City of ZephyrhilleFit � -poi" • : Fax- 813-780`•0021 • - i1: <br /> Permit Application ------ . • ••.�a„ <br /> Received ,,_ - . -� <br /> Date � • <br /> Ph one C ont ac t for permit <br /> Owner's Name - -- -• icJ 4 19�?1 /. ii91 j Ems( i -5 -- • - — Phone Number e/ 1 '.2 3 c c : ' _..._ • <br /> Owner's Address Ia ..5 .J .0 . ....65 .<�- I <br /> , i4 s 7 — 3.2- v <br /> • <br /> ' Fee Simple Name • ' . Titleholder Phone Number <br /> Fee SimpleTftleholderAddress 1 . • <br /> i'Mi:'..I nC•:.. wr...� '. — n.J'- •'c " ..1..: ..1 :. - /T.. F- :.�' ^'.i.•::a J- .:...�.'•,r - 1 �:i.l . ._.. ..:'1: "4.r. �'r:: - w a c..Y..•.�, li.- •.at'��i ... u....,T' N./.' .�_!, , J ?J.`F•' <br /> Job Address I i i'• may l D� / 2 coral tic! 10 Lot # <br /> Sub Division (p3/' el4 i/ 8/14 ' <br /> Parcel # <br /> I Bio- Hazard Waste Storage -ANNUAL •• • ' • 1 - •1 Fumigation • , • I 1 Comm Exhaust Kitchen Hood/Duct ( I Hazardous Material (Tier II or RR Facility) ANNUAL . <br /> I Controlled Bum Hood Inatallatlon • <br /> . • Emergency Generator c 30 kw •. • .. . n LP /Natural Gas - Installation <br /> • n , / <br /> 1 ' Emergency Generator ? $0 kw n / <br /> LP /Natural Gas - ANNUAL Sa{e . <br /> I _ I Fire P rotectioh Maintenance - ANNUAL ' . 1 1 • Places of Assembly - ANNUAL / f ", <br /> • ' . Jinn) Lsemrl LAni l timer ` � r (,._ Sprinkler I • ' 0 ❑ ❑ 17 Recreational Bum.. f • F ire Alarm ' I 1 ❑ ❑ ❑ ' n Sparklers • <br /> Hood Cleaning »'. ❑ " ❑ I 1 L: I Sprinkler System Installations . <br /> Hood Suppression LJ El ❑ . o 1' • • 1 I. Standplpea (Sprinkler Sys) <br /> ' • 1 • 1 Fire Alarm Inetaltat•on • • • . El Torch Roofing/far Kettle . <br /> Fire Pumps 71 Waste Tire Storage ANNUAL • <br /> Fire Works . • .. • <br /> Flammable Application- ANNUAL '' .) . Valuation of Project • • - <br /> r 1 .Fuel Tanks . . . • <br /> I .I Other: TT I <br /> contractor .. Company <br /> Signature Registered' Y/ N 1 FOB Current I Y/ N I <br /> . Address L • .. a ....j _ Licens .. • <br /> ELECTRICIAN Company <br /> Signature - Registered Y I N 1 Fee Current 1 Y/ N <br /> Address n License # ( 1 <br /> • PLUMBER . . • Company <br /> Signature Registered Y/ N 1 Fee Current I Y/ N <br /> • <br /> Address ( License # 1 1 <br /> MECHANICAL • Company 1 <br /> Signature . Registered . Y / N j Fee Current Y/ N 1 <br /> Address 1 - . . - 1 <br /> OTHER Company I <br /> Signature . ' Registered Y / N - 1 Fee Current •1 Y / N j <br /> • <br /> Address L License # <br /> - .....a.'_ ...a . :... , x!- r.z•...:.mr-nerr. -... _.,- .�r..,re, n. , .,rra�ir ,.. •... ... <br /> Directions: <br /> FIl out application completely. . <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) - <br /> lf over $2500, a Notice of Commencement Is required.(MechanIcal work over $5000) <br /> Supply two (2) sets of drawings with applicable documentation <br /> Allow 10 -14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http: / /eppraiser,pascogov.com) <br />