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FEB/20/20�7/TUF 11:10 AM ZEPHYPHILLS BUILDI(dG FAX No.813 P.002 <br /> `813�80'0020 Ciry of Zephyrhills�iC� Fax-813-780-0021 - • ��i�' <br /> � - Permit Application �-•-• .. • �a:ic <br /> •.:.. �:.�."�.�-.'-.:� . _._. - - 1 ' i- ---�"'�- _ <br /> _Date R�ceivad . — �Pliorie Contact for pormlt - <br /> • ,,.. � . � <br /> � • � ' — Owne�'s Phone Numbef ,�� � � <br /> owna�sNama -- - — � Z 3�Q�' _..._ <br /> pwnar'sAddress a2 Io .�% .J .0 7 ` .3�2 �lv <br /> Fee Slmple�'illeholder Name Titleholder Phone Number ��� <br /> Fee SlmpleTitloholderAddrase <br /> Job Address � i.� l..-�'L-�S C � S ��lV . ` " 1 ' / " � Lot #i � <br /> Subbivlslon ' Parcel # <br /> � Bio-Hazard iNaste Storege -•ANNUAL a �umlga6onTent " , <br /> � Comm �ch�u9t Kitchen Hoodlbuct ' � Hezardoua Matedal (Tier II or RQ �aclUty) ANNUAL <br /> � Con►rolled Bum � Hood InateilatJon <br /> � Emergency Oenerator < 30 kw . � LP/Newrai Gas-Installation <br /> �'�mergency Generator ��0 kw a LPINatural Gas-ANNUAL 3ale <br /> � Flre ProtacGon Malntananca-ANNUAL � Places of.4ssemblY-ANNUAL � J .�� � <br /> � �c em� � `� (1 � <br /> Sprinkler a p ❑ ❑� � Recreational6um, � � <br /> Fre Afartn '� D ❑ D�� � SparK�Brs - <br /> Hood Claening � �� ❑ ❑ � � Sprinkler Syatem InstaOaiions . <br /> • Hood Suppression �• Q CJ ❑� � Standpipaa (Sprinkler5ys) <br /> ' � Fire Alartn InatallatSon � � Torch Rooftng/Tar Kettle <br /> F�re Pumpa ' � � Waeie'(1re StorageANNUAI.. <br /> Fire Warks <br /> Flammabla Appllcaaorr ANNUAL ' Valua�ioll of projeCt ' <br /> � Fuef Tanks <br /> � Other: <br /> Contractor . Company <br /> gfgnsture, Registered / N Fee Currant Y/ N � <br /> AddreSe • License # . <br /> ELECTRICIAN Compsny � <br /> Signature Reglstered Y E N Fee Cumerct Y! N <br /> Addres6 ucense # � <br /> PLUMBER - Company �— � <br /> Signature Regiater�d Y� N Fea Current Y/ N <br /> Address � � Llcense # <br /> MECHANICA� Company <br /> Signature Reglstered Y! N Fee Current Y! N <br /> Addreea -Llcanee # - � <br /> OTHER Company • R �� <br /> Slgnature Reese��md Y/ N �sa Current Y/ h) <br /> Addraes • LlCenae # <br /> blrecUons: � � <br /> Flf out appllcaUon completaly. <br /> Owner & CohtretloT e18n hack of appllCadon, notar¢ed (Of, copy of Slgned contraot whh owner) <br /> 1P over 52500, a Notlte of Cammencement Is requ�red.(Meeha�tcal work ovar $5000) • <br /> Supply two (2} 9ete of drawings whh applicable documeMation � <br /> Aliow 1 o-14 dHys for rovlew sftar aubmittal date. Parcel it - obtainad �Prom Property Tax fVo6ce (httpJ/appreiser.pascogov.com) <br />