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-i _ r, I C`- r..;::!: - , ,5x Lt. 11 Nil 1 LLB t1 L1.11INL, r a '; ; 0, ti 1 J -'f 11- 1 " t, <br /> �Il'l, j: J . . <br /> 813 -780 -0020 City ofZephyrhills" FIre: Fax- 813.780.0021 <br /> - Permit Application <br /> • <br /> Daze F.oGrrIvad - 1 0 .:.• •Phone Contectlor Permit b 1 3 1'3.2 - • <br /> ;;N:nc�u Nam° : L3t t C C-2 \■.) i y 3.O • Owner's Phone Number el3 • I'7? - P - 3 - 3.7? --- <br /> • <br /> :'. rrere Address •r I 6- 1 1- 11 ENd , 2p se i IJ fL, 3391a- _ • <br /> gee Scruple - titleholder Name __ _ Titleholder Phone Number 1 — 1 L_ <br /> Foe Simple Titleholder Address I <br /> Job Address 2945 G-19 -II B/u ,... Z h rI) i /Ls 331,a L L <br /> Sub Divlsior, • • Parcel # <br /> C-J Bio- Hazard Waste Storage -ANNUAL Fumigation Tent . <br /> El Comm Exhaust Kitchen Hood/Duct 0 Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> [� Controlled Bum ri Hood installation <br /> • <br /> Emergency Generator < 90 kw • a LP /Natural Gas - Installation • <br /> Emergency Generator› 30 kw . • = LP /Natural Gas- ANNUAL Sale . <br /> �/� Fire Protection Maintenance - ANNUAL <br /> • . • • Ii • • Places of Assembly- ANNUAL - • <br /> 7� �p '�sem(1 ® ras .. <br /> SGhecu e-d Sprinkler . • ❑ ❑ O . Re creational Bum <br /> Fd2. M a Fire Alarm . ., ❑ ❑ ❑ 1 • Sparklers . 4 75 <br /> Sr. <br /> ® )Z DO <br /> Hood Cleaning ❑ 0 0 SprinkierSystem Installed "s • 4I �r <br /> /'Yi id n 1'f-g Hood Suppresslon 0 p( 0 0 ED Standpipes (Sprinkler Sye) -- <br /> El Fire Alarm Installation .0 Torch Roofing/Tar Kettle <br /> Fire Pumps • Waste Tire Storage ANNUAL • <br /> • <br /> Fire Work; <br /> {� Flammable Application- ANNUAL j Valuation of Project <br /> Fuel Tanks <br /> Eli Other . <br /> r *tr�da - - , .. t. <br /> t', III -ac 0 r Company <br /> �Sipneture Lii9ct.qrso T 5 1 L (�./ i // - / • <br /> Registered , Y / N 1 Fee Current ( Y/ N j <br /> • <br /> A•1 jr;;a b Se. - "..,r >'1 �=� Lcense al ' I <br /> .Lt :" rRISL.4Nl Company <br /> glgrulure L . : Registered Y / N J Fee Current L Y/ N 1 <br /> Address 1- - License if 1 <br /> FLUMBER . -. Company ---� _ V <br /> ': i;na,rre Registered Y / N Fee Current 1 Y / N 1 <br /> Address L^ License # 1 0 <br /> CHANiCAL` Company _________ <br /> P � 1`_ Signature ( I . . J Registered Y 1 N fFee Current 1 Y•/ N [ <br /> L _,�. <br /> Address i "'Y - � I — <br /> _ <br /> License } <br /> UTEtF ft Company <br /> "" ;i L u r e �- Registered Y / NT Fee Curren <br /> .Yb 145.4 <br /> Address Licsns! L �— <br /> , <br /> chi & bons; <br /> FfII out application completely. • ' <br /> Owner & Contractor sign back of e pplicatlen, notarized (Or, copy of signed contract with owner) <br /> If over 52800, a Notice of Commencement is required.(Mechanlcal work over $6000) . <br /> Supply two (2) sets of drawings with appltoable documentation <br /> Allow 10 -14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http: / /appralser.pascogov.com) <br /> • <br /> VIGIL INC • <br /> Hood do Eximmot Cie± Svc. • • <br /> • P.O. low 2 • late, F133888 <br /> P: $13 -932-+ M F: $1343349n • . • <br /> gatorafthewayeaoLcom <br />