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MARj28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No,813 <br /> P� 001 <br /> s���sa-ooz0 CttY ofZephyrhlllsFine: Fax-a�aaso-oo21 <br /> permft Applicstion .� <br /> Data Received •Phone �r Pertnit L IGV � <br /> ownere Name • Owner'y Phone Number .�� �.� <br /> Ownera Add2sa � � 3 ' � <br /> Fea simple 7iUeholder Name lltleholder Phvne Numbar ��� <br /> F'eeSimpleTltlaholdcrAddress • � • ��J <br /> Job Addreas \ ' Lof # • � <br /> 5ub Divislon �� # <br /> � Blo-Hazard Waete Stvra9e -ANNUAL � �� FumlgaUon 7ent <br /> � �. Comm Enhaust Kitchen Hoodlouct �• Ha�Mous Meterfat Rer 11 or Rq Fecility) fWNUAL <br /> Conirol(ed Bum Hood InstalleUon <br /> o �mergency G�necator < 30 kw . a LPlNatural Gas-Inatallatlon • <br /> � ��mergency Generator> 3a kw � Lp/Natural Gas-ANNUAL Sale , <br /> Flre Ptotection Mairrtenance =ANNUAL . � p�aces oFpssembly-ANN�IAL <br /> • 77 �� � emi � �D�ie7"'7 . ❑ T��`���� <br /> Sprinkier � p O Reoreatbnal BuR1 <br /> Fre Alarm ❑ L7' O� � SPwk�ers . • ��"--� F-- _—I <br /> Hood c�eaN� � d ` o � �.��.� ��C1 � <br /> � s <br /> prinkler'Sy9tem Instaflations <br /> a Hood Suppresslon � p � p� Ster�dplpes (SpdnklerSys) � g I$ I ZO I I <br /> Fire alartn InstalJa6an , � Torch Roo��a� Keme � <br /> Fire Pumpa • r=�i ' <br /> Flro Worke L,_ j WBSte Tire Storage ANNUAL <br /> Flammable Appiicatlon-ANNUAL . <br /> Valuetion oi P[oject <br /> �uel Tanks . <br /> Q � Other: • . <br /> Contractor � • <br /> Com an <br /> Signawre �C1Cst� x ' Rep'wtered Y/ F�e Curtent <br /> Address <br /> "� ( a Lipense # <br /> �t,ECTRICIAN . -- <br /> Signature . Comparry <br /> Regtsiered Y/ N Fea cuRern. Y/ N <br /> Addreee <br /> Licertse �i <br /> PIUMeER <br /> Slgnature C <br /> Raplstered Y/ N Fee Currant Y/ IV� <br /> Addross • <br /> Llcanea # <br /> MECHANICAI. - <br /> StgnalUl'e CD � a �y <br /> Rcgistered Y/ N Fae Currcnt Y/ N <br /> Address <br /> Licenee # <br /> OTNER � - <br /> signature ' Compeny <br /> Reaietered Y/ N Fae Current Y/ N <br /> Addreae <br /> DirecfionS: LtC6nea �! <br /> FlII out aDD�ication complataly. <br /> Owner & Contrector eign baok of applicetiort, nolartzed (Or, copy of eigned contract with owner) <br /> If over 52500, a Notice of Commencemer�t is requlred.(Mechenical work avar $b000) <br /> Supply Mro (2) aets of drawlnpe with appllcable docuMentadon <br /> AlloW 10-14 daye for revloW aher eubmittal dale. Percel #- Obtalned from Property TaX NOUce (httpJ/epprsiaer_pascogov.com) <br />