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10-10361
Zephyrhills
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10-10361
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Last modified
1/28/2011 11:48:17 AM
Creation date
1/28/2011 11:48:17 AM
Metadata
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Building Department
Company Name
ZEPHYR HAVEN NURSING HOME
Building Department - Doc Type
Permit
Permit #
10-10361
Building Department - Name
ZEPHYR HAVEN NURSING HOME
Address
38250 A AVE
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UPl• U /GUU?/ MVPV 1.l :44 AM L1:1'117Kri1LL 15U1LU1IYL, PRA N0, d1J'idLI-UULI <br /> r. UUL <br /> 813 -780 -0020 • City OfZephyrhillen ;: ' _ (0 36 I Fax -813. 780-0021 . r!S j <br /> Permit Appiicatbn. <br /> .Bav <br /> • <br /> Data 12eoeived <br /> ,' •Phorie ContactiorPermit <br /> Owner's Name 'N1 <br /> L .S / j e4 /0? t1- 7 -e 48 Owner's Phone Number 1 1.1 . . -. <br /> Owner's Address 3. 2S / F ✓t A Ave V e - 4.:// 3 3 z • <br /> Fee Blmpk- ltteholder Name •R I TitiaholderPhone Number <br /> f 11 1 .l <br /> F8e Stmplei'ttleholder-Addrees — <br /> dobAddreea 3i2 - a 4 i ' 2e ,' 6 r //5 / F/. 33 Sr/ Z LottR <br /> Sub-Division • Pamel# <br /> r--� t3to- Hazard Waste storage - ANNUAL_ - 1 Fumigalien Tent _ ..- <br /> R - Comm Exhaust Kitchen Hood/Duct - 0 Hazardous Material (Tier 11 or RQ Paciilty) ANNUAL • <br /> Controlled Bum- 1:--1 <br /> n Hood Itmtallallon <br /> • © Emergency Generator- 30 kw LP(Natural Gas- Inataltatton <br /> Q 'Emergency Generator s 30 kw fl LFIN rural Gas- ANNUA Sale <br /> n Are Proteolon Maintenance - ANNUAL a Places ofAeeembly,ANL LAL C/EA N,'rv, - <br /> • tl {301.0 •t ,r -a �// / / ° <br /> Sprinkler © ❑ ❑ ❑ CD Recreational Bum /( <br /> Fire Alarm ❑ ❑ ❑ l - • r Spenders R Hood Cleaning of ❑ ❑ spreader System Insta laJons <br /> Hood Suppression 0 ❑ ❑ C 1 Standpipes (Sprinkler Sys) <br /> • Fire Alarm Instelladon - Torch Roofing►Ter Kettle - <br /> rim Pumps Waste The Storage ANNUAL <br /> • <br /> Fire Works <br /> • <br /> Flammable Application- ANNUAL <br /> -r • •' Valuation of Project <br /> H Fu l Tanks <br /> Ottter. —__I <br /> cgnhacmr ( <br /> st ., c„,, -- � c°mpaMr <br /> Regiad Y1 N 1 Fes Current j YIN <br /> Address - -T / -W t < 5 4 - e T License* _ <br /> c (et(.0 (. J t �1. .3 &-co :company . � <br /> Signature I <br /> - _ ' R egistered Y 1 N J Fea cwwnt Y/ N r <br /> Address I J <br /> • PLUMBER .. License # , <br /> Company ' <br /> Signature 1 �� Registered Y / N ' Fee Current j Y / N ( - - <br /> Address License* <br /> MECHANIC Company <br /> Signature <br /> - • • Registered . i)♦ Fee Current <br /> Address <br /> - - - _ • License it` <br /> OTHER Comfy 1 <br /> Skins/me Registered Fee Current WEI <br /> Address - <br /> license# • <br /> Directions: <br /> Fill out application completely. - <br /> " owner a Contractor If mar $2600. a Notice of Commencement c of a d s notarized ( kaI over 45000) owner) ) • <br /> Supply two (2) seta of drais1ings with applicable documentation entNlon . <br /> Mow 10 days for review Tax N oce /appraiser pascagov oom) <br /> STEAM & PRESSURE CLEANING <br /> Building Exteriors Air Duct Cleaning <br /> High Rise Certified Kitchen <br /> Commercial Exhaust Cleaning <br /> Industrial Sidewalks <br /> Concrete <br /> The Press On ,Inc. <br /> Quality Without Compromise° <br /> Bruce Anderson ss <br /> Phone: 1 — -• ~. —.. - -- - -- -- <br /> EA <br /> Cell: 863-224-1155 -CL N Licensed, Bonded, Insured <br /> Email: pressureson @tampabay.rrcom Serving Florida Since 1989 <br /> Free Estimates <br />
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