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� MARj2$/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. 813-780-002( P, 001 <br /> a��7so-oozo City ofZephyrhlllsFidet Fax-813-780-0021 '!: <br /> permft Application ._. <br /> Date Recelved ,. .Phone Co��ntacF�for Pertnft <br /> Ownere Name • Ownei's Phone Number � 8l3—� � � <br /> � . <br /> Ownera Add2se <br /> Fee Simple T1Ueholder Name � Titletrolder Phone Numbar �� � �] <br /> Kae SimplelltleholderAddre;s ' � � ` <br /> Job Addreas '� ' 1.vt# • � <br /> 5ub Divislon Par�e{# <br /> � Blo-Hazard Waate Storage—ANNUAL �� FumlgaUon 7ent <br /> � Comm Exhaust Kitchen Hood/DUCt �• Ha�rdous Meterlai�er 11 or RQ FeclUry)ANNUAL <br /> � Gontroiled Bum � Hood fnalalleUon <br /> � �margency Generator<30 kw • � LP/Natu�el 6as-Inetallatlon ' <br /> � �•�mergency Generator>3o kw � LPMatural Gas-ANNUAL Sale , <br /> Flre Protaction Mafrrtenance=ANNUAL O Places vf Assembly-ANNUAL <br /> y em� e <br /> Sprinkler � D��� � Reoreatb�l Bum • � ��� `�,�� <br /> Fre Alarm � ❑ C]' ❑ � � Spwk�ers . ���� <br /> Hood Claening � O� ❑ C.] � 3Winldsr'Sy9tam Installutions � �`�� <br /> Haod Supprasslon � p ❑ ❑ � � 5tendplpes(Spdnkler5ys) � « 4 l t d l�Z <br /> a Fire Alarcn Inetnllefion � Torch RoafinglTal'Ke1de , ' <br /> Flre Pumps � Weste Tlre Storage ANNUAL <br /> Flro Worka • <br /> Flemmabte Appficauon-AnlNUaL • Valuation of Project <br /> Fuel Tanks <br /> [J • Other: ' � <br /> contraclor � • Company <br /> Signawro ' Regist�red / Fee Curtent N � <br /> Address icanse# <br /> �l,ECTRICIAN � � Compa�ry _� <br /> Signature Reglsiered• �'/N Fea Current. � Y/N <br /> Addre:e License# <br /> PLUMBER Company � <br /> Slgnature �aiaterea Y/N Fee Current Y/N <br /> Addross � Llcanaa# � <br /> MECHANICAL Company <br /> signature Rcgistered Y/N Fea Currtnt Y•/N <br /> Address Licenae# <br /> OTH�R ���y �----^----- <br /> L_�. � - <br /> signature Regietered Y/N Fee Ctufent Y/M <br /> Addreee Llcanse�F <br /> Oirectio��; <br /> Fltl out aDA�ics6nn tompletely. � <br /> Owner�Canvactor eign baok of applice6on,notadzed(Or,copy of eigneci contrad wuh owner) <br /> If over 5�00.a Notice of Commencement ia requtred.(Mechenical work over$6000) • <br /> Supply Mro(2)eeis o1 d►awinpa with appllcable documentatlon <br /> Ailow 1�-14 daye far ravlaw aher eubmitlal date. Percel dt.Obtal�ad irom Property Tax Notice(h[tpJ/eppreiear.pescOgov.com) <br />