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si3-�ao-oozo 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 610 667 5800 <br /> owner's,4ddress 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102 <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � <br /> Fee Simple Titleholder Address <br /> JobAddress 7348 GALL BLVD, ZEPHYRHILLS, FL �ot# � <br /> sub �ivision CITY OF ZEPHYRHILLS Parce� # <br /> � Bio-Hazard Waste Storage - ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> a Emergency Generator > 30 kw � LP/Naturai Gas-ANNUAL Sal <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANN AL <br /> ry emi �n er ���� <br /> Sprinkler � ❑ ❑ � B � Recreational Burn / <br /> Fire Alarm � ❑ ❑ ❑ � � � <br /> Sparklers <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) ] � � �� <br /> � � � <br /> Fire Alarm Installation � Torch Roofinglfar Kettle � <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 <br /> 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 <br /> License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER JERRY T. BARROW Company RODAN FIRE SPRINKLERS, INC. <br /> Signature egi Y/ N Fee Current Y/ N <br /> Address ►�. T. T M A �icense# 4 4 1 <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 rivo (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 />