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MAR /28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No.813 780-0021 P.001 <br /> 813 -780 -0(120 City ofZephyrhlllsFider Fax- 813-780-0021 l <br /> Permit Application . -. <br /> Date Received •Phonie r Permit "%Mill [P,R i111 PAW" - 201 <br /> Owner's Name 1 t ti x u i1 ' t(J( to ,� tt 1. Owner's Phone Number J 9t3 j �� mils <br /> Owneea Address . [�3$ i EL\ 1C . 7 Vii. i ll12.> ' rt.: 3 1 • . • <br /> Fee Simple T)Uaholder Name - Titleholder Phone Number L L <br /> Fee Simple TltleholderAddress I . - • • • <br /> Job Address \ d - - A b ` — FL •• lio <br /> Sub Division Panel # <br /> n Bi o Hazard Waste Storage – ANN Fumigation .. <br /> ED Comm Exhaust Kitchen Hood /Duct : H azardous Material <br /> g tion Tent • • <br /> D. (Tier H or RQ Faculty) AN ■ AL ✓ ‘.5...„. , <br /> 1 / ,.. [ ] C ontrolled Bum n H ood installation <br /> • <br /> Q E mergency Generator < 30 kw E1 L PiNe.tursl Gas-Installation • / <br /> Emergency Generator> 30 kw LP/Natura) Gas - ANNUAL Sets <br /> • <br /> • I Fire Protection Maintenance : ANNUAL . 'LIZ 1 a P laces of Assembly- ANNUAL t <br /> • MI <br /> 'tenet <br /> Sprinlder �( O ❑ ReoreaUonal Bu ` - eau 1 (� <br /> Fi re Alarm . CI C]' ❑ - I 1 n $ �c. - X 1 d - t}�l�� <br /> Hood Cleaning [ ❑ • ❑ ❑ • 1 1 Sprinklor'System Installations • 131 • Hood Suppression p It ❑ I . • I . Standpip <br /> tandpip (SprilrSys) 11 - <br /> ri Fire Alamt lristallation . Ej Torch Roofing/Tar Kettle .• • <br /> Fire Pumps • - • • Weste Tire Storage ANNUAL • ' <br /> Fire Works • • <br /> Flammable Application- ANNUAL • •) • Valuation of Project <br /> • <br /> Fuel Tanks . • • ' <br /> . I Other: 1 _ . . ^- ..- • • I <br /> Contractor e / Company ' f I l �'1( 1r j ,. ,y – <br /> signature t � /41 �. 11 4 � I err g � � Registered to Fee C ement G <br /> Address � 1r:ir ..ss�� � i-icense# III, �ifllrPyl��lili <br /> ELECTRICIA IA! ' �� Compa 1 <br /> Signature . • . • Registered YIN • I Fee Current.. 1 Y / N 1 <br /> Address L 1 License # I • • • 1 <br /> • <br /> PLUMBER o <br /> Cny • <br /> • <br /> Signature Registered Y/ N I Fee Current I Y/ N 1 <br /> Address r License # • , • • <br /> MECHANICAL Company I <br /> Signature • J Registered Y/ N 1 Fee Current 1 Y/ N 1 <br /> Address I I • License # . 1 . <br /> OTHER Company C • <br /> • signature Registered • Y/ N 1 Fee Current I Y/ N 1 <br /> Address License # . • <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor aign baok of application, notarized (Or, copy of signed contract with miner) . . <br /> If over $2500. a Notice of Commencement is required.(Mechenical work over $6000) <br /> Supply two (2) eats of drawings with applicable documentation • <br /> Allow 10-14 days for revioW after submittal date. Parcel # - obtained from Property Tax Notice (http / /appraieer.pasoogov com) • <br /> • <br /> • <br />