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- _ ■ • • .. . , . , . .. 1, EPH'iTd1 I 1_, I.S RI .11 HT I NG F AX ', 81 - -'s- 7 - -n , - <br /> ... _ . <br /> City of Zephyrhills'is: ..- i:1::-' ' ':,-•, ' , ' ,1, ' : : <br /> Permit Application <br /> , • _._,_ - <br /> f 10 ■:• •Phone Corituot for Penni: <br /> i ■-..■,-. .,....# i . sii <br /> ..r.... . <br /> 1 .,,(:,•:, ,•,:kirnri,.i l' bbe,S '---- L 4)--- IhCTS 701 --(11- / N ; <br /> , I <br /> ..„- ••_:-It-ffft.1,7 =.='''''''-'''''"'°'"-'—'—' <br /> Owner's Fhone Numb. <br /> 3? a el Lo. 4 :- <br /> .... <br /> _______, • <br /> ,------- --, r , <br /> ..•,..,; r,, ci Address -J Titleholder Phone Number <br /> 1pi( I _ .) ; <br /> , ... . . <br /> i - 7._------- ----.-- _ <br /> . . <br /> i <br /> ParceI # .L...... <br /> „ . <br /> .., .,,, ... ,.. „_..,„:„...,,,,.„•.....,zv;,........................................„i.,,.-,,,,,,,„,:,..,„,. ,,..... <br /> 1 IiJio-}-Inicard Waste Storage ii ANNUAL E FUMIgatiOn Tent <br /> • <br /> MIn )(tit kitchen Hood/Duct 1:3 Hazardous Material (Tier 11 or RQ Faciyi rIsi <br /> _ <br /> ,...reitroked Quin r 7 Hood than:114100n <br /> Eirnowncy Oenorator r-: 30 kw . <br /> - J LP/Natural Ges-Instaiiation <br /> ,. <br /> 1 I Liner9en; i3enorator , i; 30 kw - • 17 LP/Natural Gm-ANNUAL S..tie <br /> • <br /> i i)< Piro Protection Maintenance - ANNUAL. . = Places of Assernbly-ANNUAL <br /> I tali [ oui r <br /> I If.... utri 't P-11 . .'ii - iririldrii ET 0 0 0 L <br /> - .,.....,,,,_••„, <br /> r <br /> Recreational Burn <br /> A I: i 0 „.... <br /> I ;CA (CIO fC( Fir0 h)11 <br /> ..-- 0 0 i 1 [ - 1 Sparklers <br /> licort C....,i:17,olioll X 0 0 _1 Li Sprinkler System Insigotions <br /> ebt.. Toselb g' — <br /> Hooq , , . 0 )ef — 17 - — FJ :::::_ _ , , • Standpipes /SOnkler Sy) , <br /> I Fire Alin Insteliatkin EJ • <br /> larch Roofing/1'3r Kettle <br /> ro Purnp':; ' 1 Walt/3 Tire Storage ANNUAL <br /> 1 Firi Work „; <br /> . <br /> rim oat <br /> at Aoptio ANNUAL - <br /> NUAL ' 1 '----- Valui';',4 on of P:cluc; <br /> _•„,i . . <br /> 1 ri.ol <br /> • ,_ ,. <br /> . . <br /> 1 <br /> i Ottior• <br /> . k-- <br /> ••••-:, ,.'-):'=:,',.'1,:L':?C'..-Ce-:■?,,,Utleiiitir-r..51-111478MaithanainUgMattaffek*Vata$MEMIMMilagintatitiitiS4/40,144e.g. iiiIkkg•AfSil-Mt.t.17:7 !..!_z.!,l.. -2- :7; ,-..,. -. -.,,..y <br /> ' /c <br /> 11 :?d, !_, _ a iZe . /. <br /> ''1.1” — .._..— i N ...„.. . <br /> Company <br /> L %.., ; ,, , , , t•- <br /> Pecilatei ed 1 Y I f, r , .. <br /> !---- <br /> . _ .. . <br /> .... . , . _ . <br /> '-------,----- <br /> ' • <br /> :;;,,,,•;._ . CR:gmiDPia:BY <br /> - d 7 Curren( <br /> — — _ <br /> ; 1,;;iis..• . i <br /> 3 <br /> Lie 4 <br /> --- , <br /> -- <br /> Company <br /> . ... . <br /> .•_••.;f1::1-;:r:; • Registered L Y / 1\1_,..i Fee Currant <br /> r.,r7ii•..,...•: License # 1 <br /> _____.___ .....__-----.• _ <br /> ,,ii i.,,,,';•,,i_l Company i • <br /> ,„„...„..__ ,._--- <br /> Registered I : Fi3e CurTs.r.; <br /> iiiii,i;...;.i.mi • ., , <br /> ..... , . <br /> -- „--...---__ <br /> 1 <br /> License /1 1 • <br /> 1 <br /> -- —7 _ .. —.. -__ <br /> Compeny i ... , ... <br /> .• <br /> •,„ ,... ____________ ____________---- .1 Rogiatsrad i / N I tc <br /> •,•;•-=„,,„ 1 License # ' <br /> L <br /> 41;., ==zmrzaotgvrrr.rm„ms.zwsnmtemf•oe....ranr...rn;T_v,7,,TiTLr, Z: n:',": a f •!:1 ',7-''.; ri::: 5' 5,, .,;',' ,-,•,- ' '-''' - - ' <br /> 'Ill tit,f, eppliorition coitipletely. • <br /> & Contractor sign hack of implication, notarized (Or, copy of signed contract with owner) <br /> :, owir ;ii2500, 4 Notico of Commencement iio raquired.(Mechanical work over $5000) <br /> •,•.';uppiii t\Nio ',I) aot of drawings with applicable documentation . <br /> ,:iairm 10-14 days for risvioW atte SubMittal data• Parcel # - obtAlnecl from Property 1 Node (http://aPPralscr.pivicry,;ci. ,,,L•oi•,) <br /> • <br /> VIGIL IN <br /> 110011 & FAMIl Clea611.8 SVC. <br /> P ii3Se,327/3:71. Ft $134334.014101" <br /> gaterandlewaY€4140°"' <br />