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Y <br /> . t <br /> MAR/28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 001 <br /> 813-784-0a20 City ofZephyrhiltsFiiie= Fax-�»-�eo-oo21 't; <br /> permtt Appltcation ._. <br /> . �—. <br /> Date}�aelved �Phone Cbntactior Pem►1t <br /> Umera Name • Owners PhonB Number .� � ��]'1 <br /> Owner'e Addresa ' ' �� <br /> Fee Simple Tideholder Name ' - 7ltleholder PhonA Numbar � � �] <br /> KaeSimpleTideholdtrAddrsss ' � � <br /> Job Addreas ' Lvt# • �� <br /> 5ub Divlslon Par�e{# <br /> � 910-Hazard Weate Storage–ANNUAL � �� Fumlga0on 7ent . <br /> �., Comm Exhaust K�#�sn Hood/�ucl �• Hamrdous Meterfa((fier 11 or RQ Fadtlry)ANNUAL <br /> � CantroBed Bum � Hcod fnstallaUon <br /> � �mergency G�nerator<3U kw � Q LP/Natursl GAS•InalaUatlon ' <br /> •� �Emergency Generalor}80 kw � !PMaturql Gas-ANNUAL Sele , <br /> Flre Protec6an Malr�tenance=ANNUAL . � Places d Assembly-ArtNUAL <br /> �' emr �� � <br /> Sprinkler D ❑ Reoreatlonsl Bum • ^Q�..�., <br /> � Fre Alartn �. ❑ t]' ❑ � � Spwidars . ��S}�L.:.11�.il 1 <br /> Hood Cleaning p� ❑ p � 3pri�lder'3y51am Installafions .(/� ��U 1� .�{.�,[�/ <br /> / L.1LJ► ILL� 1(>I <br /> Haod 5uppreaslon p fl ❑ � � $(endpipes(Sprintclersys) � <br /> � Fire Alartn Inata�a6an � Tonch Roofing/Ta1'Ketlle , 2� $ I '2 <br /> Flre PumPa � � Weate TIre Storage ANNUAL �' <br /> Flre Woilce • <br /> Flammable Applicatlon-ANNUAL � Valuatiof►of PCOjeCt <br /> Fuef Tanks <br /> Q • Other. . <br /> conuaclor _ � ComP�Y <br /> Signaturo ' Regist�rod Fee Curtent N • <br /> Address I� License# <br /> �L.EC7RICIAN � � Compeny � <br /> Signature Regisiered • Y/N Fee Curtent. Y/N r <br /> Add►eee LicanBC# � <br /> PIUMeER ��py <br /> Slgnature Ftegtstered Y/'N Fee Curtent Y/N <br /> nddross � Llcarrea# � • <br /> MECHANICAI_ ���Y <br /> sisnature ►zegtstered Y/N Fae C�xrent Y!N <br /> address •Licanee# <br /> OTH�R , Compeny ' <br /> signature Regietered Y/N Fae Curtent Y 1 N <br /> Addreae Llcenea# <br /> Directions; <br /> FlA out application tomp►etaly. ' <br /> Owner 8 Con4actor aign baok of application,notarized(Or,copy of eigned contrect wnh ovimer) <br /> If over S�oO.a Notice of Cammencement ie requlred.(Mechenical work wer$6000) <br /> Supply two(2)ee0;of drswlnpe with appllcabte dxumentadon <br /> AlioW 10-14 daye for revlaW afler submiltal dale. Percel#-obtalned irom Property Tax Nodce(httpJ/appreiaer.pascogov.com) <br />