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s��-�eaoo2o City of Zephyrhills Fire F�-a��-�saoo2� <br /> , Permit Application <br /> ate Received ' Phone Contact for Parmit 3 5 2 7 3 2 5 3 2 6 <br /> wner's Name RT TAMPA FRANCHISE LP ATTN TAX&LIC DEPT p�ers Phone Number � � � <br /> wner's Address 15 0 W CHURCH AVE MARYV I LLE TN 3 7 8 O 1-4 9 3 6 <br /> �e Simple Titlehotdar Name Np' TiUeholder Phone Number � � � <br /> �e Simpfe Titlehdder Address <br /> �b Address �9 0 9 GALL BLVD Lot# � <br /> �b Division ZEPHYRHI LLS COLONY COMPANY ���# 3 4-2 5-21-0 O 10-0 O 10 0-0 0 0 0 <br /> � Bio-Hazard Waste Storege-ANNUAL � Fumigation TeM <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facflily)ANNUAL <br /> � Controlled Bum � Hood Instaliatlon <br /> � Emergency Generator<30 kw � LP/Natural Gas-InscaltaGon <br /> aEmergency Generator>30 kw O LPMaWreI Gas-ANMUAL Sala ��j <br /> � Fire Protection MaiMenance-ANNUAL � Places of Assembly-ANNUAL �� � <br /> � em � er <br /> Sprinkler � a ❑ ❑ � � Recr�ational Bum � f <br /> Fire Alartn � ❑ ❑ ❑ � � Sperklers <br /> Hood Cleaning � D ❑ ❑ � � Sprinkler 5ystem Installatlons <br /> Hood Supprcssion � ❑ � ❑ � � Standpipes(Sprinkbr Sys) <br /> � Fire Alartn installation a Toroh RootinglTar Kettle <br /> Fire Pumps � Waate Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Applicatfon-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> �ntractor Company AMERICAN FIRE & SAFETY SUPPLY <br /> gnature Registered Y/N Fee cuRent Y/N <br /> Address 953 NE O C AVE STE 100 OCALA FL License# 06461500021985 <br /> .ECTRlCIAN NA Company <br /> gnature Registered Y/N Fee Curtsnt Y/I� <br /> Address License# <br /> .UMBER NA �mP�m, � <br /> 0"atu"B Regiatered Y/N Fee current Y/N <br /> Address License# <br /> =CFiANICA ��e�y � <br /> �nature NA Registered Y/N Fse curront Y/N <br /> Address License# <br /> fHER NA �m�rn � <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> redions: " <br /> Fill out application eompletely <br /> Owner&Contractor sign back of application,notarized(Or,copy oi signed contract with owner) <br /> ff over$2500,a Notice of Commencemem is required(Mechanical work over 35000) <br /> Supply two(2)sets oi drawings with applicable documentation <br /> Allow 10.14 days for review after submittal date. Parcel#-obtained finm Property Tax NoBce(httpJleppraiser.pascogov.com) <br /> s <br />