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a13-78�-0020 City of Zephyrhilis Fire Fax-813-780-0021 <br /> ' ' Permit Application <br /> Date Received Phone Contact for Permit 813 621 1357 <br /> Owner's Name TOWNVIEW RETAIL LLC Owner's Phone Number �� C� � <br /> owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102 <br /> Fee Simple Titleholder Name Titleholder Phone Number C� � � <br /> Fee Simple Titleholder Address <br /> JobAddress 7306 GALL BLVD, ZEPHYRHILLS, FL �ot# � <br /> Sub Division CITY OF ZEPHYRHILLS Parce�# 35-25-21-0010-0880-0000 <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<30 kw � LPlNatural Gas-Instailation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale / <br /> � Fire Protection Maintenance-ANNUAL �J U� <br /> � Piaces of Assembly-ANNUAL ,� � <br /> � r y emi �n er ❑ ��f <br /> Sprinkler � ❑ ❑ Recreational Burn �''O� <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Instaliations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL $25.QQ Valuation of Project <br /> Fuel Tanks <br /> Q Other� <br /> Conhactor 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 <br /> 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 Current Y/N <br /> Address � . 7 1 �icense# � 2 <br /> Directions: ' <br /> Fill out application completely <br /> Owner 8 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 two(2)sets of drawings with applicabie documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />