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t <br /> s��-�saoo2o City of Zephyrhilis Fire Fax-at�-�so-oo2� <br /> � � Permit Application <br /> ate Received � 1 Phone Corrtact for Pertnit 3 5 2 '7 3 2 5 3 2 6 <br /> wners Name BRINKER FLORIDA INC Owner's Phone Number �� C� � <br /> ,�rSAddress C/O MARVIN F POER & CO PO BOX 802206 DALLAS TX 75380-2206 <br /> ae Simple TitlehoEder Name NA Titfeholder Phone Number C] C] � <br /> �e Simple Titleholder Addmss <br /> �bAddress 7643 GALL BLVD (CHILI ' S) � �ot# � <br /> .ibDivision ZEPHYRHILLS SUPERCENTER A pe��# 34-25-21-0110-00000-0040 <br /> � B��?B���St�-__�._ � Fumigatlon TaM <br /> Comm Exhaust Kitehen Hood/Duct '1_�~-� � Hazardous Material(Tier II or RQ FacilECy)ANNUAL <br /> �Cor�iiolf�edBum � Hoodlnstellatlon <br /> �--_.,.,.,. ._.___� _�__..�.�._. <br /> � Emergency Generator<30 kw � LPMatural Gas-Installation <br /> � Emergency Genaretor>30 kw � LPMaturel Gas-ANNUAL SaN <br /> � Fire ProteeHon AAainlenance-ANNUAL � Places of Assembly-ANNUAL % �p <br /> ❑�r ami � er � J� � �j <br /> �-r <br /> Sprinkler ❑ ❑ p Recreafional Bum <br /> Fire Narm � ❑ ❑ ❑ � � Sperklers <br /> Hood Cleaning � ❑ p ❑ � � Sprinkler System installatlons <br /> Hood Supprossion �(.T ❑ ❑a�� � Stendpipes(Sprinkbr Sys) <br /> � Fire Alerm Installation � Torch RoofinplTar Kettle <br /> Fire Pumps � Weste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Appfication-ANNUAL 1317 . 6 0 Valuation of Project <br /> Fuel Tanks <br /> � �� GRADE HOOD SUPPRESSION SYSTEM FOR NEW APPLIAN <br /> mtraetor � Company AMERICAN FIRE :�ND SAFETY SUPPLY <br /> gnature Registered Y/N Fee Cumsnt Y/N <br /> Address 953 NE SCEOLA AVE STE 100 OCALA FL 34470 License# 064615000219 5 <br /> .ECTRICIAN Comparry —� <br /> gnaturo � Reglstsred Y/N Fee Cumsnt Y/N <br /> Addross � <br /> Lioense# <br /> .UMBER <br /> Company <br /> �1f° Registered Y/N Fee Current Y/N <br /> Address License# <br /> 'cCHANICA � <br /> Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> fHER Company �— <br /> �nnture Registerod Y!N Fes CurteM Y!N <br /> Address Lfcense# <br /> rectioru: <br /> FII out application completely <br /> Owner&Contractor sign back of application,notarized(Or,oopy oi signed contract wlth owner) <br /> If over 52500,a Notice of Commencement is required(Mechanical work over 55000) <br /> Supply two(2)sets of drawings with applicable doeumentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Properry Tax Nodce(httpJlappraiser.pascogov.com) <br /> s <br />