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FEB/20/2007/TL�E 11:10 AM ZEPHYPHILLS BUILDIhJG FAX No.813-780-0021 P,002 <br /> � �a�a- Ciry of.Zephyrhills�:i���,_�• ��ax-aia-rao�ooz� . .:�:;� <br /> � - PermitApplicafivn �-�-� ° ��-;` <br /> .M �� <br /> _Date Received .. — 'Plione Contact�for Parmh = <br /> ,...� . - - <br /> Own�r's Name -- � -' ^' ' — _ Owners Phone Number ,� �� �Q( � . <br /> Owner's Address � � �% .J .0 ` 7 ` � .� � lv <br /> Fee Simple l'IUeholdar Name Titlaholder Phone Number ��� <br /> Fee S1mpIa7litaholderAddrase ' <br /> .lob Address � �, � t # �� <br /> 5 ub bivlslon ' ' Parcel # <br /> � �Bio-Hazard iNaste Storege -•ANNUAL � �umlgationTent ' , <br /> � Comm �xhau9t Kitchen Hoad/buct ' � Hezardous �laterlal (Tier N or R4 �aclllq+) ANNUAL <br /> � Conlrolled eum � Wood Inatallatlon <br /> � Emergeney peneratior c 80 kw � LP/Netural Gas-Installativn <br /> � '�mergency Generator? �0 Kw � l.PlNatural Gas-ANNUAL 9ale <br /> �Iro Protec6oi, Malntenanc� - ANNUAL � Places of AssemblY-ANNUAL <br /> ' LL�fl� 6m� � e <br /> Sprinkler a p ❑ ❑� � itecreational Bum, /��'� <br /> Frs Alartn '� D ❑ D� � Sparlt�ers � <br /> Hood Cleenin9 ��' D O� � Sprinkler Syatem Installations <br /> ' Hood suppressfon � Q 17 p� � 5tarxipipea (5prinkler sys) <br /> ' � Fire Alertil Ir�etallatlon ' � Torch Rooftng/Tar Kettle <br /> Fire Pumps ' � Waete'flre Storege ANNUAL <br /> Fire Works ' <br /> Flammable AppllcaUorr ANNUAL ' Valuafion of proJect <br /> � Fuel Tanks <br /> � other: <br /> Gontracror , _ Company <br /> $� Registsred / N Fee Current Y/ N <br /> Addre9e License # <br /> ELECTRICIAN Compeny ' <br /> signature - RegisterBd Y/ N fse Cimerrt Y/ N <br /> Addrees LJcgnsC # � <br /> PLUMBER ' Compar�y �+'— <br /> SEgnature Registsred Y/ N Fea Current Y/ N <br /> Address ' ' Llcense # <br /> M�CHANICAL Company <br /> Signature RegEstered Y/ N Fee Current Y� / N <br /> Addreae - # <br /> OTHER . Compsny • ' <br /> Slgnature Regiatermd Y/ f�! Kea Current Y/ N <br /> Address Ucenes # <br /> blrecUons: . <br /> F!( out appllcaUon complet0ly. <br /> Owner & Cohtratto► elgn heck of appllcadon, noter�ed (Or, cnpy aF slqnad contraot wlth owner) <br /> if over 52500, a NoUct of Commencemenf Is raquired.(MechantCat work over S5o0o) • <br /> Suppy two (2) seta of drawings whh appficable documantatian � <br /> Allow 14-14 dsys for rovlew after aubmittal data. Parael �- obtained finm Properiy Tax No6ce (httpJlappre;ser.pascogov.com} <br />