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FEB/20/2007/TUE 11:10 AM ZEPHYPHILLS BUILDIPdG FAX No,813 ,,���` <br /> �a��-�so�oo2o City of.Zephyrhiils�ir� 'Fax-813-78UA021 • •�i �-; <br /> • - PermitApplicafion �-•-• .. • ��;;� <br /> �.c: �:.�rG:=� . ---- - - � ` �--�� _ <br /> _Date Receivad � - �'PFione Contact�for pormtt - <br /> � _ • ,,... � . <br /> Owna�'s Nama� — • ` ' _ _ Owne�'s Phone Number ,� � � ��� � ..._ <br /> Qwner`s Addrsss � (o �% .J .U.S ` � � ^ .3�.2 Y �o <br /> Fee S[mple7lUeholder Name Tltlaholder Phone Number ��� <br /> Fea S1mpla�7tloholderAddreea <br /> Job Address / � 1� � Sd� - � 2 (� � Lot# � <br /> Subb{vlsfon ' � Parcel # <br /> � Bio-NazardVJasteStorage-�ATJNUAL � �umige6onTent " ' - . <br /> � Comm Exhaust Kitchen Hoodlbucc ' � Hezardoua Materlal (i iar II or R4 �'acllity) ANNUAL <br /> � Canurolted eum �� Hoad InHtallatlon <br /> � Emergenoy Oenerator � 30 kw � LP/Naturaf Gas-Installatfon � <br /> � ' �mergoncy Generatnr � �0 Kw � I-P/Natural Gas-ANNUAL 3afa , ^ � � <br /> � Piro Protectioi, Malntenance - ANNUAL _ � Plaees of AssemblY-ANNUAL ��� <br /> � �&1� am� � e { <br /> Sprinkler D p ❑ ❑ � � FZecreational6um, <br /> �� Fre Alarm o ❑ ��� ,� Sparklers � I \ <br /> Hood Cleaning � o �� � Sprinkier System instsllaiians 2 (f (J <br /> � JD <br /> � Hood suppressfon Q d ❑� � Standpipea (Sprinkler Sys) <br /> ' � Firs Alarrn Inats�tatlon � � Torch ftooflngffar Kettle <br /> Fira Pumpa ' � " � Waete'ilre StorageANNUAL <br /> Fire WorScs ' .. <br /> FlammableAppllcatlorr-ANNUAL ' ���� Va(ua�on of project � <br /> � FuelTanks ' , <br /> � OtheC: <br /> Gontractor C � Company Q, ' ��— <br /> 5i9nature � �/'�� Registered / N Fee Currant Y/ N <br /> Address License # <br /> �LECTRICIAN Company � <br /> Signature • ReglsterBd Y{ N FBe Currert Y/ N <br /> Address 1lc�nse # � <br /> PLUMBER ' - Company <br /> SEgnature Reglaterad Y/ N Fes Current Y/ N <br /> Address � Llcense # • <br /> MECHANiCAL Company <br /> Slgnature Reglstered . Y/ N Fee Currsnt Y/ N <br /> Addreae •Llcenee # - <br /> O7}iER Company • � �� <br /> SlgnatU2 Registerad � Y/ N �ae Cur2nt ' Y/ N <br /> Addrass lJCenea # <br /> b(recUona: � <br /> FII out appllcaUan comptetely. <br /> bwner & Contraclor e1Bn back of appllcaflan, notsr�ed (Or, copy of slqned contrao[ wfth owner) . <br /> if over 52500, a IJotice of Commencement ls raqu�red.(Mechanlcal woric over 55000) <br /> Suppfy two (2) aete of drawings w)th app[iceble documenta4on ' <br /> Allow 10-14 deys for rovlew after au6mlttal date. Parcel #� obtained irom Properfy Tax IVo6ca (httpJlappreiser.pascogov.corn) <br />