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12-13260
Zephyrhills
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Building Department
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Permits
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2012
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12-13260
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Last modified
6/28/2013 1:28:06 PM
Creation date
6/28/2013 1:28:06 PM
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Building Department
Company Name
ZEPHYRHILLS COLONY
Building Department - Doc Type
Permit
Permit #
12-13260
Building Department - Name
SLEEPY HOLLOW MOBILE ESTATE INC
Address
38741 COUNTY ROAD 54 2A
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s�?�?ao-oo2o City of ZephyrhillsFr�::�'=•==� �ax.8�3..7ao-ooz� <br /> Permit App(ication <br /> Oate Recelved . 'Pt�orie Contachfor Permft <br /> Owner's Name t+t) �b) ES/Q� .2.S Owner's Phone Nwnber ��' �poc � �� <br /> Ownsrs Addtess ��{,�_ �A Yl`�J 1 rl V.Q.tI(�� ` j'i f�� F L- 33Sµo! <br /> Fea SimpleTitlaholder Neme Tilleholder Pha�e Number � � C <br /> Fee Simple'Iitiehulder Address <br /> �-`�` � � ��a �� c� s � . � -e �, i ' FL 33S Z Cs� �)I�w ��� C <br /> �Fr�4ddress <br /> Sub Division Parc:el# <br /> � H3o-Hazard Waste Storage-ANNUAL � Furniga8on T�t <br /> a Comm Exheust I�tchen HoodlDuct • � Hazardous Material(Cer II or RQ Facility]ANNUAL <br /> QConholled Bum - � Hood InsteNation <br /> � Emergency Generator<30 kw � LP/NaWral Gas-InstallaUon <br /> � Emergancy Gen�ator>30 kw � LPflaatural Gas-ANNUAt Saie <br /> � Fire Protection I�ir�tenance-ANNUAL • � -P�ces of Asse�nbly ANNUAL <br /> � �'� ° � 3Z(p a <br /> 5prtnlder D ❑ 0 O a R�tio��91an -�'r` l <br /> Fire Alaem � ❑ C3 ❑ �- � 5parklers <br /> Hood Cleanirtg � O O ❑ � � SpdnlderSystem tnstalhations <br /> Hood Suppreasion � O D D • o S1andPIPeR(Sprinkler SYs) <br /> � Fire Alartn tnstapation � Torch Roo�glTar Kedle <br /> Fre p�mps � Waste 7fte Storage ANNUAL <br /> Fire Works <br /> Flammabfe Appl�ation-ANMUAL � Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> contractor �''�• Comparry <br /> Sigrnaiure ' G:eC�GL�/ Registe►ed Y/N Fee Gmerrt Y/N <br /> Address License# <br /> FlEC1'RICIAN � Company <br /> signature � Rsgistered Y!N Fee Cwrrent Y/N <br /> Address Lh:ense# <br /> PLUMBER Company <br /> signawre r�egism�ed Y/N�Curtenc—�Y/N�— <br /> Address ' License# <br /> MECHANI Company <br /> 5ignatwe � Reg� Y/N Fee Currerd Y-/N �— <br /> Add�ess -Li�nse# <br /> OTF'�ER '. C�nY <br /> Sig�aWr� Registered Y!N . Fee Curtent� Y/N <br /> ndd� r uc�# <br /> �� - <br /> ai��uuons: _ . <br /> FI�o�n appscaHw,comp�ately. <br /> Owner�Contrador sign badc of aPP�iceFicn.�ata�zed(Ur.coPY of sigrred cnntract wtfh ovmer) <br /> tf over 52500,a Modce af Cortut�rt�entis req�dred.(Me�heNcal work over S50D0) <br /> SuPP�Y�(2)ssts of diawings wi8�applicable doc�anardation <br /> Allow 10-14 cisy,for review af�r St�bmiCal dHffi. Paroal#-obtained ftCm Property T3x Notice{hUp:llsPP��-�9�-�) <br />
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