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x'1/ <br /> 813 - 780.0020 City of Zephyrhills.Filtltxng Fax 813 - 0021 <br /> Permit Application • <br /> Date Received • * 1_______________I Ph Contact for Permit 1 <br /> U <br /> -.a <br /> Owner's ho <br /> /�� ��� � . Owr l 11 '1 1 <br /> rs Name . .. ���� /i / ���i + �s Phone Number <br /> owmera Address Z. C O G' i , . _ ".., • ' / - 6 9 , . <br /> Fee Simple Titleholder Name Titleholder Phone Number I I <br /> Fee Sk iple1NNlwlderAddrea <br /> ammilismottenitiewmitiMMIltisiv i s Amor 1 <br /> Job Address - �>WE J Lot [ <br /> Sub Division Fermi # <br /> 1 Bia4mrd Waste Storage - ANNUAL a Fumigation Tent • <br /> El Conn Exhaust Kitchen Hood/Duct I= Hazardous Meted.' (Tier 11 or RO Facility) ANNUAL <br /> Q Controlled Bum Q Hood installation <br /> El Emergency Generator < 30 kw LP/Nahral Gas-installation <br /> lil Emergency Generator> 30 kw LP/Natural Gas - /ANNUAL Sale <br /> Fire Protection Makhlenancs - ANNUAL. a Places of Assembly - ANNUAL <br /> MI EEM1 MO Le.-L—Jim <br /> Sprinkler i 0 0 O Recreations Bum <br /> Fire Alarm 0 ❑ 0 Sparklers <br /> Hood Merino 0 0 0 Sprinkler System Insta aora . <br /> Hood Suppression O ii ❑ Standpipes (Sprinkler Sys) <br /> Are Ahem kadtle8on _ _ Torch RooR Kettle ng/Tar tle E. Fare Pumps - ' Waste Tire Storage ANNUAL <br /> Fire Woks , <br /> Fasrrrrabl. Application- ANNUAL f 1 Valuation of Project <br /> • Full Tanks <br /> ® it <br /> AINIIIIIMINIMIIMMENNOWNIMMI <br /> C.ortireeor a COMM rsl ' 11 V'i� =rAdli M, <br /> she l CFA ®T� : Rookikftd [lrEi <br /> ,,.._,.�.,.�..�.�... _sues <br /> ELE « CompNy <br /> Signature Registered Y / N Fee Current + Y / N <br /> Address I s License # I I <br /> PLUMBER I Company <br /> 1 . <br /> Signabne I Registered I Y / N .._ I Fee Current 1 Y /N <br /> Addrss i sues.,. License # i I <br /> AF8 <br /> huCttl1Li <br /> Company <br /> sigrapre .. :. Regained Y/ N I Fie Current l Y/ N j <br /> Address I Licensed I I <br /> OTHER Company <br /> Signets* Rpleared l ¥ / N• j Fes Current j Y/ N j I <br /> Geer* Contactor V Ilitib il!idh; ? d ( S ' . <br /> sipnr+d- contract Mel owrary <br /> If over S2500. a Notice C nettarih apt; . work over $5000) <br /> SW* two (2)sets die ' , ? <br /> • <br /> Maw 10-14 days for :a*er subs tai, '' , o~ Nerve # obtained from Property Tax Notice (ht1py/eppraiser pasoogov.ccm) <br /> ulj <br />