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813-'"�-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received 1/30/2012 Phone Contact for Permit 813 313 1637 <br /> Owner's Name Aero Center Bldg-Zephyrhills Municipal Airport Owner's Phone Number C 813 780 0041 <br /> Owner's Address 6907 Dairy Rd., Zephyrhills, FL 33542 <br /> Fee Simple Titleholder Name Titleholder Phone Number C� � � <br /> Fee Simple Titleholder Address <br /> JobAddress 39450 South Avenue ZEPHYRHILLS FL 33542 � �ot# � <br /> Sub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> a Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ f=acility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> a Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> try emi t er <br /> Sprinkler ❑ ❑ �B � Recreational Burn �� � <br /> Fire Alarm ❑ ❑ ❑ � � Sparklers � �� <br /> Hood Cleaning � ❑ ❑ ❑ � � Spri�kier 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 /> aFlammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> XD Other (1)Annual backflow inspection& (1)Annual Wet sprinkler inspection <br /> Contractor /�„�y ('�� Company SimplexGrinnell <br /> Signature �'�Gt�����U•��\ <br /> Registered Y/N Fee Current Y!N <br /> Address 4701 Oak Fair Blvd., Tampa, FL. 33610 �icense# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> Company <br /> Signature Registered Y/N Fee��urrent Y/N <br /> Address <br /> License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> OTHER <br /> Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> Directions: <br /> Fili 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(http.//appraiser.pascogov com) <br />