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FEB/20/2007/TUE 11 : 10 AM ZEPHYPHILLS BUILDII'�dG FAX No, 813-780-0021 P, 002 <br /> ' '893-?80'D020 City of.Zephyrhills�i����='• •Fax-873-780-0021 • •�f�:;.. <br /> ` -� Permit Application�-�-• . •� ��,;` <br /> ��:•:..��.::^•. _-• - - � _.�_,� <br /> -Data Received .. --�Ptione Contact for pormt[ _ <br /> � ,..__ ' <br /> Owne�'s Nama �' ' — Owne�'s Phona Number / <br /> - ,� !v .Z 3laOle� _,.._ <br /> pwnsr'sAddress �02 (� �% .J ,(>,s ) � ��� C�//�, <br /> Fee Sfmple7lUeholdar Name Titleholder Ph�ne Number �] � � <br /> Fee Slmpie"T7tlr,holderAddresa � <br /> Job Address � �` �„ � Lot�f � <br /> Subb�vlslon ' Parcel# <br /> � Hio-HazardWasteStorage-•ANNUAL � �umlga6onTent ' , <br /> � Comm Exh�ust Kitchen Hood/buct ' � Hazariious Materlai(Tier II or RQ Kacill(y)ANNUAL <br /> � Canlrolled Bum n Nood Ir,etsila0on <br /> � Emergency Oenerator K 30 kw � LPINewrai Gas-Installatfon . <br /> � 'Emargency Ganerator�30 Kw � LPMatural Gas-ANNUAL 3ale <br /> � �tre Protac6on Malntenance-ANNUAL O Places of AssemblY-ANNUA� <br /> ' � � Bfn� � e <br /> Sprinkler � p ❑ ❑ B � RecresEional Bum. <br /> Fre Afarm •❑ ❑ D � � Sparklers � �/���j <br /> Hood CleeNn9 ❑ O � � Sprinkier System Installations . � <br /> ' Hood Suppressfon [] p � � Standpipea(Sprinkler Sys) <br /> ' O FiTe Alart»Inatallatlon ' � Torch RooflnglTar Kettle . � <br /> F{re Pumpa ' ' � Waete'ilre StorageANNUqL. <br /> Fire Worfcs � <br /> Flammabla Appllca0orr ANNUAL ' Vaiva6otl of I'rof eCt ' <br /> � ,FueiTanks ' <br /> �tY19P: " <br /> ConVaC C Company <br /> $igneture � Registersd� /N Fea Current Y/N <br /> Addreaa _ License# �—^ � <br /> ELECTRICIAN Company '� <br /> Signature • Re9lstered Y{N Fae Cttmertt Y/�) <br /> Addrass Llcense# r ^ � �� <br /> PLUMBER ' - ���na;,f � <br /> . Signature , _ Reglstered Y/N Fea Current Y/N <br /> Address � � Llcense# � � <br /> MECHANiCAL Company <br /> Signature Reglstered Y/N Fee Currant Y/N <br /> Addreee -Licanea� • " <br /> 07}iER Company • ' <br /> Slgnature Registsrad Y/N Kee Current Y/I�l <br /> Addrass - lJcense# <br /> bfrectlons; . <br /> FII out applicailon complet0ly. <br /> Owner&CohVaeloi e18n hack of appllCatlon,no�r¢ed(Or,cnpy aF slpned contran[wfth owner) <br /> if over S25op,a NoUce of Commencemenf Is raqu�red.(Mechanfcat work over S5000) • <br /> Supply two(2)sete of drawings wlth appficable documentation � <br /> Allow 10-1d deys for rovlew sftar eubmlttal data, Parcel#�obtainad hom Properiy Tax No6ca(httpJ/9ppraiseJ'.p8scogov.com) <br />