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313=780-0020 City of Zephyrhills - Fire; 44 Il51q Fax-813-730-0021
<br /> Permit Application
<br /> Date Received r: Phone Contact for Permit
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<br /> _ ner's Name STMPLF,XGR TNNET,L OwnE-.ds Phone Number . 813 1 626 115482
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<br /> Owner's Mdress 4701. Oak Fair Blvd TAMPA FL 33610 -
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<br /> Fee Simple Titleholder Name - - • Titleholder Phone Number 1
<br /> Fee Simple Address •
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<br /> Job Address 10505 6 'i, e_,. t a, , ek..AiiiLeot#
<br /> Sub Division , Parcel #
<br /> • ' . Bio-Hazard Waste Storage - ANNUAL pi Fumigation Tent
<br /> COMM Exhaust Kitchen Hood/Duct 1 1 Hazardous Material (Tier If or RQ Facility) ANNUAL •
<br /> 1 . 1" • Controlled Burn 1 Hood Installation 4....-13
<br /> • . I , EMergency < 30 kw 1 LP/Nitural Gas • OM ^
<br /> • ,,..-: .L. 1, Emergency Generator > 30-kw • 1 LP/Natural Gas-ANNUAL Sale
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<br /> • -::: -:-- I- - . • : Fire Protection Maintenance - ANNUAL • - 1 Places of Assembly-ANNUAL
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<br /> lUtrly1 'Semi 1 }Ant 1 Nam "/- ()
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<br /> Sprinkler, HI, El a D. - 1 Recreational Burn ; 1
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<br /> .• :.,„ - Fire Alarm , , El 0 r. • • , 1 • Sparklers " D 1 r
<br /> Hood Cleaning 1 0 0 El 1 1 I Sprinkler System installations • ki r e v I\ SjIV
<br /> • - : - ' - ' ' . . HOoci Suppression - 1 1 0 0 j::1 1 _ • 1 Standpipes (Sprinkler Sysi"
<br /> 11. Fire Alarm In ation - - stall - .- - • - 1' : 7 . Torch Ritieflhg/Tat ' -,, .-.,..--..• - : - - " ' . -- - '•
<br /> .... _ . • '. • , ...: -, , . -
<br /> 1 ...:. Fire Pumps . r Waste Tire Storage ANNUAL • 0 •
<br /> Fire Works • - • •
<br /> FlarnMable AppIication- ANNUAL , . I 1 : Valuati of Proje t / 1(
<br /> 1 ....
<br /> r: Ftierts : .' .1 , . : ..- „ 0 0 • -. - , : ' . ' 1AT' .• • •'6;
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<br /> Other 1 1.
<br /> ..,,..- -,-. ----mm--*23 .-Trecm-r,--4...,„,
<br /> Contractor - . : • /
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<br /> . v . • Company 11015=Eff -sev.....e__ t Signature • • • Registered Y / N / N
<br /> Fee Current - Y •
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<br /> ELECTRIC!AN .:, Compariy
<br /> Signature - .;- :-;:'-'.[".:„.. .' .-.. ,:','• • 'f- i. - , : : • , .. ('',. . 2.•:. . Registered .,, -:: y / N t 1 ::"Fe ct ciirrit; kz...:.Y / N
<br /> • , • . . . • • , .,
<br /> Address 1 • . '.
<br /> PLUMBER . Company
<br /> Signature Registered Y / N , 1 Fo:Oi.irrent.- Y / Ni t - •
<br /> • Address ,
<br /> - • . - License # .. ' . .• 1
<br /> MECHANICAL - Company •
<br /> SignatUre - . - Registered Y / N 1 Fee Current Y / N _1 . Address 1...-,,, . , ' • 1 License #
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<br /> - OTHER Company - - .
<br /> Signature - Registered Y / N I Fee Current I Y / N
<br /> Address License #
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<br /> Directions: - _
<br /> • . Fill out application completely. _
<br /> . Owner & Contractor sign back of application, notadzed (Or, copy of signed contract with owner) . .
<br /> -I:. -. .• .. If over $200, a Notice of Commencement is reguired.(Mechanical work over $5000) .
<br /> Slippy two (2) sets of drawings wrth applicable documentation -. -
<br /> Allow 10-14 days for review after submittal date. Parcel # - obtaind - ram Property Tax Notice (Fittp://appraiser.pascagov.com)
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