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12-12737
Zephyrhills
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Building Department
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Permits
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2012
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12-12737
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Last modified
1/25/2013 1:20:06 PM
Creation date
1/25/2013 1:20:06 PM
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Building Department
Company Name
ROR LLC
Building Department - Doc Type
Permit
Permit #
12-12737
Building Department - Name
ROR LLC
Address
5130 GALL BLVD
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s��7ao-oo2o Gity af.Zephyrhills�ire Fax-8�3780-002? <br /> Perm'rf.Aop(ication <br /> Jate Raceived �� ph�n0 Cof�Ctfor Permit ,5 3 _ . � <br /> .:.i.:,:,.L;„x�r�±:�;.�.swua���:.�.:,,�n.., uw..y..v...a.., . ......,..,.._......� , w <br /> " ��� �C <br /> Owne-'s Name �s B-, dvrtter'"s Phene Mumber ��j <br /> Owner's Address � Q L�� , .�-J J� <br /> ree Simple Titieholdzr Nama i�lehold�r Phone Numoer � �� C <br /> ree 5impie'fftleholder Addr�ss <br /> �$;:��� � � C <br /> Job Address � .�� (J Q L-�L.-- Lot# <br /> Sub Civision Parcal# <br /> Y � Bio-l-lazard Waste Storege-ANNWAL � Fumigatlon Tertt <br /> � Comm�xhaust Kitchen Hood/Dunt � HazardaWS Material(Tier fl ar RQ�acillty)ANhIUAL <br /> � Controli6d Bum � Hood lrls^C2il�'ffon <br /> � Emergercy�enErator=30 kw � LP/�Jatural Gas-InsY�llatlon <br /> � Emergenay Generator>30 kw � LPINatural Gas-ANNWAL Safe <br /> � Fite Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> tny emi nZ er <br /> Sprinkier � G O Ll � � Racreatlonai Bum /'� � <br /> Fire,41arm � G C C7 � � Sparklers /� �� / <br /> i Hood Claantng � ❑ f� � � Spflnkfer System Instalke'ons <br /> Hcod 5uapression � ❑ u CI � � Standpid�s(Spnnkier Sys) ��. <br /> � Fire Alarm InsaUation � Torch Ron�ng/�'ar Kett�e <br /> � Fire i�umps � Waste Tire 5torage ANNUAL <br /> � Fire Worlcs <br /> Flammable Applioation-ANNUAL ����� Valuation of Project <br /> � Fuei Tan'xs <br /> Q Uthar: <br /> y,c�aa�, . <br /> Contractor ComQaray <br /> Signature Ragistared N Fee Current N <br /> Address p ' License# <br /> �LECTRICiAN � Company ��� <br /> Sigr,ature �` Registered Y/N� Fee Current Y/I�I <br /> Address License# <br /> PLUMBER Company <br /> Signature Registared Y/N Fae Gurtent r Y/N <br /> Address Licertse� <br /> MECHANICAL Company <br /> Sianatura Registered (Y/ N Fee Current Y/N�— <br /> Address License# <br /> OTHER Company <br /> 5ignature Registered Y� N I Fee Gurrent � Y/N <br /> Address License# <br /> ,_. _....,.�_...._._.. m._...,,_......._� ....�, <br /> �:S w�ww:�,�v:.eN�.n:�u�,vw A,.�-- �-- —— ��,Kwu�� -�� <br /> 'JifLCt10�15: <br /> FII out application completely <br /> Owner&Contractor sign back of appllcetion,notarized(Or,copy af signeo contract with owner) <br /> If over$2500,a NotiCe of Commencemarrt is required(Mechanical work over$5000) <br /> Supply two(2)sets of d2wings with apolicable doeumsntation <br /> Allow�4-�4 days'or raview after submfttal date. Parcei#-obtained frflm Prooerty Tax hJotfoe(ftttp:/lapp2iser.pascogov.com) <br /> Yl �� �� ��l,C�.�;�r�,�� ��ci ;� �--S� � ec�,c t; '�i,-�e . <br /> 1�1�.� � `�'�' � � - � � s�� <br /> `� � .-� � I�-s �L <br /> 5�� � � �' ��� `��--�-- r���r �-�� <br /> ��/ � <br /> �T�7 i ����A i /��l�/f ' ��� l <br />
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