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FEB/20/2007/TUE 11:10 AM ZEPHYPHILLS BUIL�II'dG FAX No,813 P,002 <br /> '813-'78a'0020 .� �,� � City of 2ephyrhills�i� �Fax-813-780�Q021 • •��{c <br /> • - � � ,� ' Permit Applicafion �-�-• ��,;; <br /> ��: �:.��.:=� . ---• ' - - � ' .�.....--_ - <br /> .Date R�ceived . ��PFiorie Contsct for Parmlt " <br /> ,,.._� . ._ <br /> '� Owne�'s Phane Numbef �� <br /> awna�'s Nama�...,._. • ` � — -- — ,� 4E.�' � _i .3�0�' , _ <br /> pwner's Address �a� fo .�% ..� .0 � � ��'� � <br /> Fee Sfmple�'lUeholdar Name lltlahoider Phone Number ��� <br /> Fee Slmpla�7iloholderAddreee <br /> Job Address � !�� ��3 ��a �'S Lot # �� <br /> Subblvlsfon ' Parcel # <br /> � Hio-Hazard Waste Storege-•ANNUAL � �umlga6onTent ' ' • . <br /> � Comm �xhauat Kitchen Noadlbuct ' � Hezardoue Materlal (Tiar 11 or RR �aGll�,�; ANNUAL - <br /> � C�ntrolled sum �� Hood Inetallatlon <br /> �' Emergana}r Oenerator c 30 kw . � LP/Newral Gae-installatlon � ��) <br /> �'�mergency Ge�eratnr ��0 kw � LPMatural Gas-ANNUAL 9ale � �/� V <br /> � P�ro Protec6oi, Malntenancs - ANNUAL � Plaees vf AssemblY-ANNUAL (� � <br /> . �, Bm� � I f � <br /> Sprinkler � p ] ❑ ❑ � � RecresEional Bum, � n �7 <br /> FrB Alarm '� o C] D�� � Sparicfers . � O v <br /> Hood CleaNng JJ�� �"' ❑ ❑ � � Sprinkiar Syetem installaiians . �' <br /> ' Hood Suppression '�J Q L] Q� � Standplpea (Sptlnkler Sys) <br /> ' � fire Alart» Ineia�ta�on � � Torch Rooflng/Tar Kettle <br /> Firo Pumpa ' � Waete'I'fre Stora9eANNUAL <br /> Fire Worlcs • <br /> Flammabla Appilca0on-ANNUAL ' •� Valuafion of F'roject ' <br /> � Fuel Tanks ' <br /> [� �tYler: <br /> Gohtractor . Company <br /> 5ignaturo Registered / N Fee Current Y/ N <br /> AddreSS LicenSe # <br /> ELECTRICIAN Compeny +� <br /> signature • Registered Y F N fee Cume[rt Y/ N <br /> Addras6 ucense �i � ' <br /> PLUMBER Company <br /> Signatc+re ( Reglstered Y/ N Fae Current Y/ N <br /> Address � � Ll�ense # � <br /> MECHAN{Cn� Company <br /> � Signature Reglstered Y/ N Fea Current Y• / N <br /> Address -Llcanse �F � <br /> OTHER Company • � <br /> 5lgnalu2 Registsretl Y/ N �se Cur2nt T Y/ N <br /> Addras= - Lfcenee # <br /> birecUons: ' <br /> Fll ouE appllcaUon completaly. <br /> pwner & CohVattor sl8n hack of appllCatlPn, notar¢ed (Or, copy of slqned conirao[ Wtth owner} <br /> iP over 52500, a NoUte of Commencement Is requ�red.(Meeha�tca! work over 55000) <br /> Suppiy two {2} 9eta of drawings wlth applicsble documsntation � <br /> Allow 10-14 days for revlew pfter eu6mllFal date. Pare�l #- obtained irom Prnperty Tax Notice (httpJ/appcaiser.pascagov.com) <br />