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� MAR�2$/?007/WED 07;20 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 001 <br /> a�a-78o-onzo City ofZephyrhllis'Ride= Fa�-s��-�eo-oo21 '�; <br /> permft Applicetion --- <br /> Date Recelvad ��' •Ptwne Con'�ta �ct tor Permit <br /> Ownera Name • Owner's Phone Number � � <br /> t � . <br /> Ownera Addresa <br /> Fee Simple Tifleholder Name ' lltlehaldsr Phvne Numbar � � � <br /> Kee�mpleTltleholdtrAddre,s ' � <br /> JobAddreas � ' Lot# � <br /> 5ub Divislon Paroel# <br /> � Blo-Hazard Waete StoraBe-ANNUAL � � Fumigatlon 7ent _ <br /> � Comm Exhaust Kitchen HoodlDUa • �• Hamrdous PAatertai(fier 11 or RQ FeclAty)ANNUAL . <br /> � Conirolfed Bum � Naod InslalleUon <br /> � �margency G�nerator<30 kw � � LP1NaturHl6as-Inetallatlon ' <br /> � '�mergency Generator>30 kw � �MaturRl Gas-ANNUAL Sela , <br /> � Ftre Protec6on Maintanance=ANNuAL. p Places vf Assembly-ANNUAL • <br /> �y ' em� �L_.�J � <br /> Sp►Inkier p O �., Reoreatbnsl Bum <br /> ' Fre Alarm . ❑ C]' O � � 3pa�e�s . <br /> Hood C19aning � O� ❑ (] � Sprinklef'3y5tam Instaflalions <br /> Hood Suppresslo� � p t� ❑ �� Slendplpes(Sprinkler Sys) <br /> � '-�•-• � . <br /> Fira Narm Instellstion Torci'1 Rooflng(fai'Kslde <br /> ��p�Ps • � Weste Tlro Stocage ANNUAL <br /> Firo Wotka ' <br /> Flemmable Applica0on-ArrPtunL • •� Valuetion of P[oject <br /> Fuef Tanks <br /> Q • Other: ' ' <br /> Contraclor . � • . Company (� <br /> Signawro ' Ragistered Y Fee Curtent N • <br /> Address � �4icense# — <br /> �I.ECTRiC1AN � Comparry <br /> Signature Regislerec!• Y/N Fee Curterd. ,Y/N <br /> Addreee License ii <br /> PLUMBER CA�hY � � <br /> Slgnalure Rae�stered Y/'N Fee Current Y/N <br /> Addross ' Llce�a# � <br /> MECHANICAI_ Campany <br /> signature Registered Y/N Fae Gurent Y/N <br /> Addre9s Licanse� �— � <br /> OTHER Compeny ' <br /> s�enature Reeietered Y!N Fae Current Y/N <br /> Addreee � Ltcenes iF <br /> �irecfiona. . <br /> Flil out aDV���tion complaialy. <br /> Owner 8 Conuactot eign baok of appiication,notarized(Or,copy of eigned contrect wlth owner) <br /> N over 52500.a Notice of Commencemant ie reqWred.(Mechsnical work over a6000) <br /> supply Nro(2)eets of drawinoa Nd1h appllcable documentaUon <br /> Allow 1�-14 da}re for ravleW aher eubmitlal daie. Percel#-oblalned fram Property Tax IJoUce(http!/eppreiaer.pascogov_com) <br /> '� <br /> x <br />