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a�3-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received � Phone Contact for Permit $13 621 1357 <br /> owner's rvame TOWNVIEW RETAIL LLC Owner's Phone Number 610 667 5800 <br /> Owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102 <br /> Fee Simple Titleholder Name Titleholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> , � , , . � „ z• a� <br /> JobAddress 7348 GALL BLVD, ZEPHYRHILLS, FL � <br /> Lot# <br /> sub Division CITY OF ZEPHYRHILLS Parce�# <br /> a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> a Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation i <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale �C� � � <br /> � � �. <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> r y emi �n er � ��,,,,--" <br /> Sprinkler � � ❑ ❑ B � Recreational Burn <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ p ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkier Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL $25.00 Valuation of Project <br /> aFuel Tanks <br /> QOther: <br /> . . . . , , . ,� . ,. <br /> Contractor Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER JEFFERY D. BURNHAM Company RODAN FIRE SPRINKLERS, INC <br /> Signature ��'�_ Registered Y/N Fee C:urrent Y/N <br /> Address , 7 , �" � License# 1 1 2 <br /> Directions: � � <br /> Fiil 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 rivo(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 />