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e�3-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit 3 5 2, 7 3 2 5 3 2 6 <br /> Owner'sName RT Tampa Franchise LP Attn:Tax & Lisencing Depart Owner'sPhoneNumber 865 379 57�� <br /> owner'snddress 150 West Chur'Ch Avenue, Maz'yville, TN 37801-4936 <br /> Fee Simple Titleholder Name Titleholder Phone Number C� � � <br /> Fee Simple Titleholder Address <br /> JobAddress 7909 Gall Boulevard , Zephyrhills, FL 33542 �ot# � <br /> Sub Division Zephyrhi 11 s Col ony Company Parcel# 3 4-2 5-21-0��10-0 010 0-0 0 0 0 <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> aComm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Fa��ility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> �X Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> tr y emi �n t er <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Burn Z <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers l ( ��' <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations � I <br /> Hood Suppression � ❑ C�{ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> ❑ Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other <br /> Contractor �' � �1,�' , Company American Fire & Safet <br /> Signature `���/�t Registered Y/N Fee Current Y/N <br /> Address 9�3 NE Osceo -a Avenue,Suite 100, Oca a,FL 34470 License# 06461500021 85 <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# —� <br /> PLUMBER Company <br /> Signature Registered Y/N Fee O�rrent Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> Directions <br /> Fill 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 two(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 />