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JUL /13 /2008 /SUN 04:13 PM ZEPHYAHILLS BUILDING FAX No. 813-780-0021 P. 002 <br /> • <br /> 813- 780 -0020 City ofZephyrhlllsFiTO•• '• : Fax - 813 - 780 -0021 <br /> Permit Application . . <br /> Date Received • _ :Phone .Contact•for Permit <br /> Owner's Name * I Fi ✓S! Pre.SIoj 4°erict.6 C,(nu In I Owner's Phone Number .) 11 1 1 .) <br /> OwneersAddress L SSl0 19 ST 2 e ekl r( tI•c , C-L 3 35 1 10 . I <br /> Fee Simple T1Ueholder Name • 1 • I 1 Titleholder Phone Number I . (I ( 1 <br /> Fee Simple Address 1 ---- <br /> � <br /> Job Address L 55(1 1 GI S—c Ze ekvy h fS , FL: 3 3 S't 0 I Lot I • . I <br /> Sub Division 1 • <br /> 1 <br /> 7 • ' Parcel* f - I <br /> - . <br /> . <br /> 1 Elio- Hazard Waste Storage - .ANNUAL p . Fumigation Tent . . <br /> Comm Exhaust Kitchen Hood/Duct . � <br /> • Hoodronatallatbnnal (Tier 11 or RQ Facil ANNUAL <br /> Controlled Sum ., � <br /> LJ Emergency Generator• <30 kw • • .• 1: ^ r LP/Natural Gas- Installation <br /> n Emergency Generetor 90 kw l . LP /Natural Gas - ANNUAL Sale • <br /> Places of Assembly- ANNUAL ` / Fire Protecilor+ Matrdenence - ANNUAL �'� 1 i , j a L :uF7 t 1, Q •' 7, to <br /> . <br /> Sprinkler E3 O O ,o a Recreational Burn .. <br /> Fire Alarm LE D O w - 0 Spenders c <br /> • ' Hood Cleaning [J O • 0 ❑ [ = Sprinkier'System Installadons I Suppression • Hoo Suppron . ID O .O D 11 = Standpipes (Sprinkler Sys) ef._ <br /> • ' a Fire Mann Installation . . . • • • • 1=1 Torch Roofing/Tar Keefe . <br /> • Pumps W aste The Storage ANNUAL <br /> R . Fro Fire Works • <br /> R Flammable Application ANNUAL •I Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> Contractor Company <br /> 1 <br /> Signature Registered Y/ N Fee Current I Y/ N I • <br /> • Address I License # I 1 ..- <br /> ELECTRICIAN •Company <br /> Signature . • Registered ME. Fee Current Y / N <br /> Address I 1 License* L 1 <br /> PLUMBER ' • • . s• • • Company 1 <br /> Signature • Registered Y / N I Fee Current I Y / N I . <br /> Address I License # I 1 . ' • <br /> MECHANICAL Company . 1 <br /> Signature . Registered I Y / N I Fee Current I Y• / N 1 ' <br /> • Address 1 ' J • ucense # . J • 1 <br /> OTHER i Company LV CAYI Sec tA. th r t. Se,- S <br /> Signature f i 1 ' }_ D I r . • Registered f U Y / N I Fee Current nf / N 1 <br /> .Address 20 `pr:►(m . a I kw' „Fl. • r • License# . F 20i)ot :,?B <br /> • irecllons: <br /> - Fill out eppllcation completely. • • <br /> • Owner & Contractor sign back of application, notarized (Or. copy of signed contract with owner) <br /> If over $2600, a Notice of Commencement to required.(MechanICal work over 80000) <br /> Supply two (2) sets of drawings with applicable documentation • - <br /> Allow 10 days for review after submittal date.' Pa - # - .obtained f Property Tax Notice (http / /appraieer.paseogov.COm) . <br /> • <br /> • <br /> RECEIVED 07 13 -'09 15:56 FROM- 8137800021 TO- Devcon Security P002/002 <br />