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_FEB/2p/2007/TUE 11 : 10 AM ZEPHYPHILLS BUIL�IPJG FAX No, 813-780-0021 <br /> P. 002 <br /> •a�3-�ao=oo2o City of.Zephyrhills�ic�����:� <br /> �Fax-813-780-0021 .:;�;;.; <br /> ., r� � Permif Application�-�-. .. ' <br /> �-•:�.3�.�=�. _ �d�i: <br /> .Date Receivad . _ —`�PFiorie Con�tactfor Pormtt _ <br /> Owne�'s Nama � -' ' — _ Ownc�'s Phona Number ,�� � � 3�Q�. <br /> .� .� � - � C�� ... <br /> Owner`sAddress �`% .J ,(,$ � ) .3�2�� <br /> Fee SlmpleTiUeholdar Name Titleholder Phone Number C� �� � <br /> Fsa Slmple"i7iloholderAddrese • <br /> Job Address . �' �l � <br /> Lot# <br /> 5ubb{vlsEon ' 'Parcel# � <br /> � Hio-HazardWasteStorage-�ANNLIAL � �umigationTent ' ' <br /> DComm�xhauet Kitchen Haod/buet ' � Hezardoua Matertal('rer II or R4�aclll�)ANNUAL <br /> � Controiled eum � Nood Instellatlon <br /> � Emergency Osnerator c 30 kw - � LP/Nsturaf Csas-Installatlon <br /> � '�mergency Generawr�$0 Kw � LP1nlatural Gas-ANNUAL 9ale <br /> � PIro Protec6oi,Malrttenance-ANNUAL � Places of Assemb�y�ANNUAL <br /> em� n � <br /> �� ��� � , /] <br /> Sprinkler p ❑ ❑ FZecreational6um . �S <br /> Fire Alarm D ❑ O � � Sparklers 7 ✓ <br /> Hood ClesNng �' ❑ p �� � 5prinklar 5yatem Installations �� <br /> ` Hood Suppress)on � p � p �j � Standpipaa(SpdnklerSys) �� � <br /> . � � � ' � �Z� �� � <br /> Fre Alartn Inetallatlon � 7orch Rooflng(fAr I(ettle . � <br /> Fira Pumpe ' ' �� Waete'flre StorageANNUAL <br /> Fira Works . . <br /> Flammable Appllca0orr ANNUAL • <br /> � VafuaSan of proJect � <br /> Fuel Tanks <br /> Other: <br /> Contract r Company <br /> Signsture Re istered� <br /> 9 I Fse Curtant Y/N <br /> Addre9a - <br /> - License# <br /> ELECTRICIAN Compsny <br /> signaWre • <br /> � Reglstared Y�N Fse Curreirt Y!N <br /> Address <br /> ucanse# � � <br /> PLUMBER ' <br /> Slgnature COmpa"Y <br /> Reglatered Y/N Fee Curretit Y/�f <br /> P.adresa � . . � <br /> License# <br /> MECHANfCAL <br /> Slgnat�re Company <br /> Reglstered .Y/�V Fee Current Y/N <br /> Addreea <br /> •Llcense�F � � <br /> OTHER <br /> Slgnaturz , �mpany • <br /> RBp;etsrad Y/N �ae Current Y/N <br /> Addrass <br /> DfrecUons; LJcenee# ' � <br /> FIf out appllqUon c.ompletaly. � <br /> Owner&Cont,�clor elgn hack of application,notarized{Or,cnpy af slqned contraat wfth owner) <br /> if over$2g00,a NoUce ot Commencemenf Is required.(Meehanlcal work ovar S50o0j <br /> Suppiy two(2)seta of drawings whh appticsble documeniation <br /> A11ow 10-14 deys for rovlew aftar au6mittal data. Parcel�t..obtainad irom Properfy Tax No6ce(httpJ/appraiser.pa:cagov_com) <br />