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MAR /28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. 1 V IP <br /> .001 <br /> 813 -780 -0020 City ofZephyrhlllsFitrer Fax 813 :I; <br /> Permit Application . -. <br /> Data Received •Phone Go Pm11t Miler �-C.J I <br /> rr�arse�trarant�rnr • <br /> ir�InarsrFSa�u aeaarl • Owner's Name • Owner's Phone Number •[ UM "MU <br /> Owners Address ( S3 �.. Ld [ l �1 v • o A t( ` ►1 Ms .R 3c s4 i - ' • <br /> Fee Simple Titleholder Name • J ' I Titleholder Phone Number , <br /> • <br /> Fee mpleTlUeholderAddress [ Sl . • <br /> Job Address s. ' 1 • .• • 4 * Rl A Lot# • I <br /> Sub Division I Parcel # J • n Blo- Hazard Waste Storage - ANNUAL • EI Fumigation Tent • . <br /> ED Comm exhaust Kitchen Hood /Duct : ni • Hazardous Material (Tier 1I or RQ Facility) ANNUAL <br /> • <br /> f] Controlled Bum r Hood Installation <br /> L Emergency Generator < 30 kw I�--7 - LP %Naturel Gas- Inetallatlon ' . ' • <br /> ••1 '•Em El Generator 30 kw •• • I LP/Natural Gas - ANNUAL Sale <br /> • I 1 Fire Protection Matntartence = ANNUAL . • 0 Places of Assernbly- ANNUAL <br /> � r y • - <br /> �, <br /> Sprinkler IN p .0 ' I El ReoreaUonal Bum • • . Fire Alarm ICI . ❑ IT ❑ • I I E Sparklers . • . . ,� � _ °` eta fbr <br /> Hood Cleaning I ❑ • ❑ p •I 1 1] Sprinlder'System Installations - . •l � • Hood Suppression J ID FL ❑ I. • I Li Standpipes (Sprinkler Sys) • <br /> I Q 1.1 1 ' ,' O <br /> I Fire Alarm Iristallation • . ICI Torah Roofingffa . • v r Kettle <br /> Fire Pumps • - • ' I I Wester Tire Storage ANNUAL - <br /> Fire Worke • <br /> • <br /> Flammable Appicatlon- ANNUAL • ) , • Valuation of Project <br /> • Fuel Tanks • <br /> . ILl - Other. i . . . . . • • • I <br /> Contractor . /144444.4: �i I • ��f s��� • <br /> Signature tllitO to s-s —� Registered Company 1 Mimi Mimi Fee Currant MU <br /> Address V ilLial '.. rira•���'/�ili I1�� �l nse. #.. �1��]riL,211011•i$'P !! <br /> ELECTRICIA Compan ' <br /> Signature . • Registered • Y / N • I Fee current: I Y / N 1 <br /> Address L 1 License # I . ' I <br /> • <br /> PLUMBER C <br /> Si Registered Y/ N I Fee Cunnt I Y/ N I <br /> Address Llcenee # • • • ! - . <br /> MECHANICAL' Company I <br /> • <br /> Signature Registered Y/ N I Fee Current I Y/ N I <br /> Address ( • - License # . j • I <br /> OTHER ' • • Company • I <br /> Signature • 0 Registered -- Y/ N I Fee Current I Y/ N I <br /> Addreaa I I tsatia a�d <br /> carers sa�4r�ranster <br /> Directions; <br /> Fill out application completely. • <br /> Owner & Contractor aign baok of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement fe required.(Machanical work over $6000) <br /> Supply two (2) Bets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http /fappmiser.pagcogov.com) <br /> • <br /> • <br />