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s��-�eo-oo2o City of Zephyrfiilis Fire Fax-e�3-�so-oo2� <br /> Permit Application <br /> ate Fteceived Phone Contsct for Pertnit 3 5 2 7 3 2 5 3 2 6 <br /> wner's Name BRINKER FLORIDA INC C/O MARVIN F POER & CO pv�r�rs Phone Number ��� � <br /> wners nddress PO BOX 8 0 2 2 0 6 DALLAS TX 7 5 3 8 0- 2 2 0 6 <br /> �e Simple Tfdeholder Name NA TiUeholder Phone Numbar ��� <br /> �e Simple Tttleholder Address <br /> �bAddross 7643 GALL BLVD ZEPHYRHILLS Lot# � <br /> �bDivision ZEPHYRHILLS SUPERCENTER-A ��# 34-25-21-0110-00000-0040 <br /> � Bfo-Hazard Waste Storage - ANNUAL � FumigaUon Tent <br /> � Comm Ezhaust Fatchen Hood/Duct a Hazardous Material (Tier II or RQ Facilky) ANNUAL <br /> a Controlled Bum � Hood Installatlon <br /> a Emergency Generator < 30 kw � LPMatural Gas-Installation <br /> Emerpm�cy Generator > 30 kw � LPMawral Gas-ANNUAL Sala <br /> Fire Protsetbn MaiMenanee - ANNUAL � Places of Assemby,ANNUAL <br /> [�i em � or <br /> Sprinkler � ❑ D ❑ � � Reeroetional Bum � ,., / � � <br /> Fire aam, � ❑ ❑ ❑ � � sparklers . <br /> G�O <br /> Hood Cleaning � O O ❑� � Sprinkler System installatlons <br /> Hood Supprosslon � O $► ❑� a Siandpipss (Sprinkbr Sys) <br /> � Fire Alartn Installation � Torch Ro�flnp/Tar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Appilcation- ANNUAL <br /> $ 3 5 0. 0 0 Valuation of Projed <br /> Fuel Tank . <br /> 0 � <br /> '"�� Comparry AMERICAN FIRE & SAFETY <br /> 9nature ►te�Iscered Y/ N Fee cunenc Y/ N <br /> Address 953 OS OLA AVE OCALA FL 34470 �i���# ncn c� cnnn�� �� ���OQO���?�' <br /> .EC7RICUIN NA Company <br /> gnaturo Registered Y/ N Fee Curtsnt Y/ N <br /> Address Licensa # <br /> _UMBER NA � <br /> �'" Repiatared Y! N Fee Currsnt Y/ N <br /> Addrass <br /> License # <br /> _cf+nN►C NA ��a�r � <br /> �"eture Registered Y/ N Fes CumeM Y/ N <br /> Address License # <br /> MER NA �— <br /> Company <br /> �nnturo Registerod I Y� N I Fee CurreM Y/ N <br /> Address License # <br /> rections: • <br /> Fill out application completely. <br /> Owner & Contractor sign back of applicatfon, ratsrized (Or, copy ct signed contract wnh pvmer) <br /> K over 52500, a Notice of Commencement is roquired (Mechanical work over E5000) <br /> Supply Mro (2) sets of drawings with appiicable documentation <br /> Allow 10.14 days for reviow afler submittal date. Paroel #- obtained from Property Tax NoUce (httpJ/eppraiser.pascogov,comj <br /> c <br />