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813.7800020 City of Zephyrhills fhl!!tT2^ Fax•813- 780 -0021 <br /> Pemnit Application <br /> Phone Contact for Pemrit <br /> cafe Reoelwd - - - - -- - -- -- . <br /> Owner's Name .. - r r _ _ ., . . 7.A i' Owner's Phone Number ( '1 • <br /> Owner's Address tI : �� _ �/s/Li �t r : 1��� <br /> Fee Simple Titleholder Name Titleholder Phone Number I I <br /> Fee ShapleTMeholdsrAddams 1 , I <br /> Job Address WY - -- _ �/�4E4 IP ! I I I I I I I I I I I I I 111 I I I I I I I I I I I Lot# — <br /> Sub Division Parcel # <br /> 0 Bio Hazard Waste Storage - ANNUAL a Fumigation Tent • <br /> E3 Comm Exhaust Kitchen HoodlDuct a Hazardous Material (net 0 or RG Faddy) ANNUJJ4 L- <br /> =I Conecled eum o Hood 6ns l9an Generator < 30 kw InstaNation <br /> E ry LPJN�hsal Gas-Installation <br /> nrOrgen y Generator > 30 kw R I.PJWa4rral (3tMlMtUAL sale. 706 � Fir. Protection WarMsnance - ANNUAL a of At• i <br /> Spin/der U 0 0 0 Ramadan* Bum <br /> Fire Alm 0 0 0 _ Sp.rKders <br /> Hood cle.rrkw 0 0 0 SpitridetSyslom Uraadstions . <br /> Hood Suppression 0 0 Standpipes (SSpdnids(Sys) • <br /> • Fat AMnn Yaa'atlon -- _ Torch Rooling/Tar Kettle ' <br /> Fire Pumps • — - • Waste Tire Storage ANNUAL . <br /> nonviable Application- ANNUAL j • I Valuation of Project <br /> Fuel Tanks <br /> ® s ' <br /> ca +i ® CCI WO R Y V ®: "1 67 3 iMfi ®1►. A <br /> Signature Mb7 Etll1t "� k g� <br /> Addi.sa N' :� _; , ir �/•irale. _ ® r14 AIII .. Uo.rw# " 0 .. ,� . ",� 1:: 3 , <br /> ELE - Germany <br /> Signature Registered Y / N F Curr.at 1111111ffitall • <br /> 1 <br /> Address . , N • License # I <br /> PLUMBER Conaany <br /> I . <br /> Signets. Registered LY N'. Fes Current 1 Y / N I <br /> License Si 1 <br /> mEctiAme,A9 Comply <br /> R sand I Y/ N I F.. covert I Y / N I <br /> Sian.ewe .. • <br /> I 1 <br /> " I trans. # <br /> OTHER Company I <br /> Signature <br /> Registered Y1N•1 Fee Omar* 1 Y / N I <br /> ucens r . 1 <br /> Direction <br /> 0.nsr ` ' q f ': ` slg d..onel wl r h owner) <br /> if over .»50tk a Nodes .. , : ;.. .. $50 <br /> wori mar 00) <br /> Alm 0- d tor <br /> : 1 v o Parcel #- aMakMd'from Property Tax Notice (trt�Ihppraaerp.eoopoYcan) <br />