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813 - 780 -0020 City of Zephyrhills Fire f 0 t;'6. Fax - 813 -780 -0021 <br /> Permit Application <br /> Date Received 1 1 Phone Contact for Perm it 1813 1 1630 1 10303 1 <br /> Owner's Name I Zephyr Commons, LLC I Owner's Phone N umber I 1 1 I I <br /> Owner's Address 3629 Madaca Ln. Tampa FL 33618 <br /> Fee Simple Titleholder Name Titleholder Phone N umber I <br /> Fee Simple Titleholder Address 1 1 <br /> Job Address Staples 1889 - 7910 Gall Blvd Lot # <br /> Sub Division Zephyr Commons Phase 1 Parcel # 1 35.25.21.0130.00000.0140 <br /> n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent <br /> E Comm Exhaust Kitchen Hood /D uct n Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> I - 7 Controlled Burn n Hood Installation <br /> n Emergency Generator < 30 kw = LP /Natural Gas - Install ation �bY <br /> n Emergency Generator > 30 kw n LP /Natural Gas - ANNUAL Sale S <br /> © Fire Protection M aintenance - ANNUAL n Places of Assembly- ANNUAL <br /> IQtrlyI (SemiI LW Other <br /> Sprinkler © ❑ ❑ gl n Recreational Burn 1 <br /> Fire Alarm 0 ❑ ❑ ❑ I 1 n Sparklers <br /> Hood Cleaning n ❑ ❑ ❑ I 1 n Sprinkler System Installations <br /> Hood Suppression n ❑ ❑ ❑ 1 1 0 Standpipes (Sprinkler Sys) <br /> n Fire Alarm Installation 17 Torch Roofing/T ar Kettle <br /> ED Fire Pumps n Waste Tire Storage ANNUAL <br /> Fire Works 1 � <br /> FT 1 <br /> Flammable Appl ication- ANNUAL ' 50 I Valuation of Project <br /> n Fuel Tanks <br /> n Other: I I <br /> i <br /> Contractor Ci Company Wayne Automatic Fire Sprinklers, Inc. 1 <br /> Signature Registered X / N I Fee Current I ) ' / N I <br /> Address 13226 Cherry Palm Drive, Tampa FL 33619 1 License # 09846600012008 <br /> ELECTRICIAN Company 1 <br /> Signature Registered Y / N I Fee Current I Y / N 1 <br /> Address I I License # ( 1 <br /> PLUMBER Company I <br /> Signature Registered Y/ N I Fee Current 1 Y/ N I <br /> Address I I License # 1 <br /> MECHANICAL Company I <br /> Signature Registered Y / N I Fee Current I Y/ N I <br /> Address 1 1 License # ( I <br /> OTHER Company I <br /> Signature Registered Y/ N I Fee Current I Y / N 1 <br /> Address 1 I License # I <br /> Directions: <br /> Fill out applic ation completely. <br /> Owner & Contractor sign back o f application, notarized (Or, copy of signed contract with ow ner) <br /> If over $2500, a Notice of C ommencement is required (Mechanical work over $5000) <br /> Supply two (2) sets of drawings with applicable documentation <br /> Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com ) <br />