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a�s-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received 9/19/11 Phone Contact for Permit 813 621 1357 <br /> owner's Name TOWNVIEW RETAIL LLC Owner' Phone Number ��� <br /> Owner'sAddress 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102 <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � <br /> Fee Simple Titleholder Address <br /> JobAddress 7340 GALL BLVD, ZEPHYRHILLS, FL �ot# � <br /> sub Division CITY OF ZEPHYRHILLS parcel # 35-25-21-0010-0880-0000 <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen HoodlDuct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> a Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL -- -- __. <br /> r y emi � er � <br /> Sprinkler � ❑ ❑ � B � Recreational Burn <br /> Fire Alarm � � ❑ ❑ � � Sparklers /� l� �j,� <br /> Hood Cleaning � O ❑ ❑� � Sprinkler System Instal tions �/ <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) f <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle � /��,� r>`— <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL $25.QQ Valuation of Project <br /> � Fuel Tanks <br /> Q Other� <br /> Contractor Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER JERRY T. BARROW ompany RODAN FIRE SPRINKLERS, INC. <br /> Signature Regis ed Y/ N Fee Current Y/ N <br /> Address 2 N H T. TA P 1 �icense # 4 2 11 <br /> Directions: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> Supply two (2) sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov com) <br />