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s�3-�so-oo2o City of Zephyrhills Fire <br /> Fax-813-780-0021 <br /> Permit Application <br /> Date Received �,� Phone Contact for Permit 813 621 1357 <br /> owner's rvame TOWNVIEW RETAIL LLC Owner's Phone Number 888 777 3557 <br /> owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102 <br /> Fee Simple Titleholder Name Titleholder Phone Number � � �� <br /> Fee Simple Titleholder Address �----�� <br /> .: <br /> JobAddress 7346 GALL BLVD, ZEPHYRHILLS, FL � <br /> Lot# <br /> Sub�ivision CITY OF ZEPHYRHILLS Parce�# 35-25-21-0010-0880-0000 <br /> � Bio-Hazard Waste Storage-ANNUAL � 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/Naturai Gas-Installation <br /> a Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> aFire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> � ry emi � er ❑ <br /> Sprinkler � ❑ ❑ Recreational Burn <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL <br /> � $25 00 Valuation of Project <br /> Fuel Tanks <br /> Q Other� <br /> Contractor <br /> Signature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> ELECTRICIAN <br /> Signature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> Signature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> MECHANICAL <br /> Signature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> OTHER JEFFERY D BURNHAM /�� /�►,-- p v RODAN FIRE SPRINKLERS, INC. <br /> Signature Com an <br /> Registered Y/N Fee Current Y/N <br /> ,4ddress 2 1 N. 7 TH T. AMPA FL 1 <br /> �icense# $31531000120Q� <br /> Directions: T., <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 htt //a <br /> ( p: ppraiser.pascogov.com) <br />