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FEB /20 /2007 /TUE 11:10 AID ZEPHYRHILLS BUILDING FAX No. 813 P. 002 <br /> '813- '780'0020 • City of.Zephyrhill$F.?tEg-00?^ •Fax- 813 -780 -0021 • • : ;.11.- <br /> :._. Permit Application = -• -• • • aaiic <br /> . . , <br /> Date Received i • • . ,._ hor i e Contact for Permit <br /> B r i — Owners Rhone Number �� y 7.2 ,_.,7 . 436 • ... _ <br /> .. <br /> Owner's Name --- — :! _ •_ . -_ <br /> Owner's Address . v29‘,5 — 57 J�xos e 1''-- .Pt) •,TAzoe.. b,cv, /lc,. /- / ..3 .v <br /> Fee Simple Name Titleholder Phone Number • Fee Simple - titleholder Address 1 „ �,, ; ;M , . <br /> Job Address 1 / �' ! / / // Iu p Lot # • r ( o' <br /> ra [I <br /> 5ubbivtslon .... �t - Parcel # <br /> Bio- Hazard Waste Storage -ANNUAL 1 • •1 FumlgationTent , <br /> I Comm Exhaust Kitchen Hood /Duct ' 1 1 Hezardoue Material (Tier II or RO FaciIlty) ANNUAL - . <br /> Controlled Bum • I 1 Hood Installation ' <br /> • <br /> ' Emergency Generator < 30 kw .. . n LP /Natural Gas - Installation • <br /> 1 1 ' Emergency Generator 30 kw • 1 1 LP /Natural Gas - ANNUAL Sale \ <br /> 1 lire Protectioh Maintenance •• ANNUAL •' 1. I • Places of Asembly - ANNUAL_ <br /> prim 'Semi1 IAN 1 utner i 9 <br /> • • Sprinkler i. 0 ID I 1 Recreational Sum J0 l • <br /> ! ` • <br /> Fire Alarm • n ❑ ❑ ❑ 1 . .: i Sparklers . • <br /> Hood Cleaning XI O' ❑ ❑ l_ I I I Sprinkler Syetem Installations . <br /> . •• - Hood Suppression U• u 0 0 I • • I I. Standpipes (Sprinkler Sys) <br /> Fire Alarm Installation . 1 1 Torch Roofing/Tar Kettle . . <br /> • Fire Pumps ' • n Waste Tire Storage ANNUAL • <br /> Fire Works . ' . ... <br /> Flammable Application- ANNUAL. ' • • ' • • Valuation of Project • <br /> I ,Fuel Tanks . • • <br /> I I I <br /> Other <br /> Contractor <br /> Company <br /> Signature Registerrd jj Y/ N I Fes Currant 1 Y / N • <br /> Address ( _ License - . • <br /> ELECTRICIAN Company 1 <br /> Signature C • Registered Y/ N I Fee Current I Y/ N I • <br /> Address I • �' license # l 1 <br /> ' PLUMBER • Company <br /> Signature Registered Y/ N 1 Fee Current 1 Y/ N J • <br /> Address I ( License # I • I <br /> MECHANICAL Company • 1 <br /> Signature . Registered . Y / N - I Fee Currant 1 Y N I <br /> Addreee L . 1 -License # . 1 . • - 1 <br /> OTHER . • Company • <br /> Signature Registered Y / N- 1 Fee Current 1 Y/ N <br /> Addraas License # 1 <br /> WK <br /> Directions: • <br /> Ell out application completely. • <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> if over $2500, a Notice of Commencement Is required.(Mechanlcal work over $5000) • <br /> Supply two (2) seta of drawings with applicable documentation . • <br /> Allow 10 -14 days for review after submittal date, Parcel #- obtained from Property Tax Notice (http:0appraiser.pascogov -com) <br /> • <br />