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v v `- vV ` , ' City of Zephyrhills Fire <br /> Permit Application 1 0 3 C Far-e1 7eaooal <br /> Dote Received 1 [ �fL+ <br /> "`• `�'Ot.r..r„aurvneK• <br /> Phone Contact for Permit 727 - 687 -128 <br /> Owners Name Alliance <br /> ce Church of Ze r h - fiills <br /> Owner's Phone Number 0 13 - 782 - 8865 _ <br /> Owners Address 6251 Fort Kin. Rd. Ze r h ills, Florida 33542 <br /> Fee simple Titleholder Name Alliance Church of Zep <br /> Fee Simple Titleholder Address 6251 Fort Kin. Rd. Ze r h rhills Florida 33542 Titleholder Phone Number 81 3 - 782 -8865 1 <br /> t'prra.:,':;;li!;� r:�r'rrt�nl;.mrt;ri Ictirirrtnr�n <br /> rfi �. r t .. Lrl!Y►a7TQi1M�.1',".t1l7PtL11 ,� <br /> -r <br /> ingrammintl' <br /> ' emeamirtiemsTIErsiaWfmlm" <br /> Job Address 6251 Fort Kin • Rd. Ze . h chills Florida 33542 n = ^ =`�= <br /> Sub DNlslon <br /> Lot # <br /> kn^rtss -, <br /> Parcel* 03 -26-21 -001 <br /> nxn !urrxrs,,,,ww,,antlIm mmrm+a m� *ter 0.0950 <br /> CD � a0000 <br /> Bk - Hazard Waste Storage - ANNUAL F t ' Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct r-- <br /> t'J Hazardous Material (Tier tl or RQ Facility) ANNUAL <br /> Controlled Bum <br /> Hood Installation <br /> Emergency Generator < 30 kw <br /> n Emergency Generator 30 kw LP/Natural Gas -Installation <br /> I UD Fire ProlsvGun Maintenance - ANNUAL LP/Natural Gas - ANNUAL Sale <br /> ED Places of Assembly- ANNUAL <br /> f mr ® t7ther <br /> Sprinkler ❑ 0 0 <br /> Recreational Bum <br /> Fire Alarm <br /> � ❑ , C I D El Sparklers Hood Cleaning ❑ 0 0 u <br /> © 1____ E Sprinkler System InatallaHnns <br /> Hood Suppression ❑ ❑ 0 <br /> Standpipes (Sprinkler Sys) <br /> 0 Fire Alarm Installation <br /> rare Humps Torch Roofing/Tar Kettle <br /> Fire Works Waste Tire Storage ANNUAL <br /> Flammable Application- ANNUAL <br /> Fuel Tanks Valuation of Project <br /> ,.. rsfrr, �t <br /> 0 Other: <br /> ,.:�.. • .,., •.n• Erna rorcoirfio01191R?Tlril)SIENI n <br /> Contractor Kevin Hoch <br /> Signature Company Fire S sterns Inc. <br /> Address P.O.Box 48741 St. Petersbur , Registered Y / N Fee Current Y / N <br /> Florida 33743 -8741 License* <br /> ELECTRICIAN ttaZ +��f�� • • • / „uQ Ai <br /> Signature „pany <br /> Address Registered MEN Fee Current NMI <br /> PLUMBER Lirwcee ft � <br /> Signature Company <br /> Aooress Registered Y / N Fee Current MEM <br /> MECHANICAL license # <br /> Signature Company — <br /> Address Registered Fee Current NMI <br /> OTHER License # <br /> Signature Company <br /> Ad Registered �r Fee Current MEM <br /> "Dir art*fll^r 1 r Vlmrti: a,nrt:. S( L.,.. unnbwnmvmn .a ».mmgG:a »n.a.a;mtmlt:wpv u•r»nywavHrmrn.cuutnxmt:mruv al7f n <br /> Directions: license x <br /> ru, <br /> FIII out application " `•" ^ ^ rwmaw a .. uraw ..�., <br /> Pl• completely. �� _,:.,r,.r.:�.�,:;,.•,.,:nT. -.; ;. <br /> Owner R Contractor sign back of application, notarized (Ot, copy orsIgned contract with owner) <br /> If over $2500, a Notice of Commencement Is required (Mechanical work over 55000) <br /> Supply two (2) Bets of drawings with applicable documentation <br /> Allow 10.14 rtaye for review after submittal date. <br /> Parcel is . obtained tram Property Tax Notice (haplfappralser.paseogov.coM) <br /> • <br />