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8 13-780-0020 <br /> City of Zephyrhills Fire <br /> i� �l� ` �� Permit Application Fax-813-780-0021 <br /> Date Received <br /> Phone Contact for Perm it 813 630 0303 <br /> Owner's Name Lowes Home Center Inc <br /> O Box 1000, # 1854 Attn Tax Dept 1 ETA, Mooresville, NC 28115-1000 ber ���'I <br /> Owner's Address L_� <br /> Fee Simple Titleholder N�me � <br /> Fee Simple Titleholder Address Titleholder Phone N umber �� � <br /> Job Address 7921 Gall Blvd , Zephyrhills, FL 33541 <br /> Sub Division Zephyrhills Colony Company �ot# � <br /> Parce� # 34-25-21-0010-00100-0010 <br /> � Bio-Hazard Waste S torage - ANNUAL � <br /> � Comm Exhaust Kitchen Hood/D uct Fumigation Tent <br /> � � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> Controlled Burn � <br /> � Emergency Generator < 30 kw Hood installation <br /> � Emergency Generator > 30 kw � �P�Natural Gas-Install ation <br /> �X `ire Pro!ecticr M ai^tenanca ANNUAL � LP/Natural Gas-ANNUAL Sale <br /> � °loc�s c� f AiVNUAL '- - "`� <br /> �Y emi �n ef �� Y- <br /> Sprinkler � � � � ❑ <br /> ❑ Recreational Burn <br /> Fire Alarm � � � � ❑ � <br /> ❑ � Sparklers � �� <br /> Hood Cleaning � � � ❑ • � <br /> Sprinkler System Installations f <br /> Hood Suppression ❑ � � � � ❑ � � <br /> � Standpipes (Sprinkler Sys) <br /> Fire Alarm installation � <br /> � Torch Roofing/Tar Kettle �'---- <br /> Fire Pumps � <br /> � Fire Works Waste Tire Storage ANNUA� <br /> � FlammableApplication-ANNUAL <br /> � Fuel Tanks 50 Valuation of Project <br /> Q Other <br /> Contractor � <br /> Signature r. �/ Company ayne U 01T18 IC If2 pnn @fS, IIC. <br /> Address 226 Cher Palm Drive Tam a FL 33619 Registered yC / N Fee Current � � N <br /> ELECTRICIAN License# 09846600012008 <br /> S ig natu re Com pany <br /> Address Registered Y/ nJ Fee Current �( / N <br /> PLUMBER License # <br /> Signature Company <br /> P.ddress Registered Y/ N Fee Current <br /> Y/N <br /> MECHANICAL License # r <br /> Signature Company <br /> Address Registered Y/ N Fee Current Y/ nJ <br /> OTHER License # � <br /> Signature Company <br /> Address Registered Y/�I Fee Current Y/ N <br /> Directions: License # � <br /> Fill out applic ation com pletely <br /> Owner & Contractor sign back o f appl ication, 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 tvao (2) sets of drawings with applicable documentation <br /> Allow 10-14 days for review aRer submittal date. Parcel #- obtained from Property Tax Notice htt //a <br /> � p: ppraiser.pascogov.com ) <br />