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FEB/20/2007/TUE 11:10 AM ZEPHYPHILLS BUIL�I('�dG FAX No,813 P.002 <br /> `813=780'D020 CityofZephyrhills��� Fax-813-780-A021 � •���;;< <br /> • - Permit AppIication �-•-• ' • •-���;;� <br /> ��. •:��� . _._. - - � _ .�_ <br /> _Date Received . �Ptione Contact for pormlt � <br /> � — ,...� . � <br /> Owna�'s Name= — — • ` � _ Owne�'s Phona Number ,� � ,Z �p�, ' _.. _ <br /> — , <br /> pwner`S Address a2 � .�% .J ,U � � � � �� � y � <br /> Fae Simple�'IUeholder Name Tftiaholder Pho�e Number ��� <br /> Fee Slmpfe�'IilohofdarAddrase <br /> Job AddYass � � �(� ' /.�` ' / r Lot # � <br /> Sub blvlslon ' ' Parcel # <br /> � Bio-Nazard Waste Storaga-•ANNUAL � �umlga6onTent ' , <br /> � Comm �xhaust Kitchen Hood/buct ' � Hezarrloua Materlal (Tier II or RQ KadA�r) ANNUAL <br /> � canlrolled Bum �� Naod Inatellaflon <br /> � Emarger.cy �enerator c 30 ktv , � LPlNetural Gas-InstallaUon <br /> �' Emargency Ganerator � 30 kw ��PJNatural Gas-ANNUAL Sale <br /> � Plro Protectioi, Malntenanca - ANNUAL � Plaees of AssemblY-ANNUAL � �� <br /> � �c 0m� � e � � <br /> Sprinkler � p ❑ ❑ � � Recreational Bum, � <br /> Fra Alarm ' � ❑ ❑ � � � SparlUBrs • <br /> Heod Cleaning ��� ❑ O� � Sprinkier Syatem insia0ations <br /> ' Hood Suppresslon � Q ❑ C] � � standplpea (Sprinkier sys) <br /> ' a Fire Alart» Inatanauun � � Torch Rooflngltar Kettle . <br /> Flre Pumpa ' ' � Waete'tlre Stora9eANNUAL <br /> Fire Worfcs � • <br /> Flammabla AppllcaUorr ANNIIAL ' Vafua�ioll of pfojeCl <br /> � Fuef Tanks <br /> � Other: <br /> Goniractor , Company <br /> 5i9neture RegisterBd / N Fee Curtant Y/ N <br /> Addrese License # <br /> FL.ECTRICIAN Compsny ^�� <br /> signature • Registered Y/• N Fse Cumerrt Y/ N <br /> Addresc ucense # ' <br /> PLUMBER . Company � <br /> Signature RegieEered Y/ N Fea Curceni Y/ N <br /> Address � Llcense # ' <br /> M�CHANICAL Company <br /> Slgnatura Regl3t9led Y/ N Fea Current Y/ N <br /> Addreae -Llcenee �t <br /> PTHER Compsny � <br /> Slgnature t2egiaterad Y/ N' �sa Current ' Y 1�! <br /> Addrass Uce�se # <br /> blrecUons: • <br /> FII ouE appliCailon complet0ly. <br /> Owner & CohVattor elgn hack of applicatlon, noterized (O�, Copy of slqned contraot wfth owner} <br /> 1f over �2500, a NaOce of Commancemant Is required.(Mechanfcal work ovar 55000) • <br /> Suppiy two (2} seta of drawings wlth spplicable documentation ' <br /> Allow 10-i4 days ivr rovlew sftar eubmltta! data. Parcal #- obtained 1rom Property Tax No6ce (httpJ/appraiser,pascogov.corn) <br />