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813-780-0020 C:i[}/Ot L@ptlyrh111S Flf@ Fax-813-780-0021 <br /> - Pennit Appllca�on <br /> Date Received Phone Contact for Permit �� �7 7340 <br /> owr,erg n�� Ze h rhills Golf Course Restaurant Owners Phons Number 813 26 9551 <br /> Owners Addreas 39248 B Ave <br /> Fee Simple liUeholder Name TiUeholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> Job Address 33542 �ot# � <br /> Sub Divisfon Pa►cel# <br /> � 81aHazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct Q Hazardous Materiai(11er 11 a RQ Facility)ANNUAL <br /> aControlied Bum � Hood Instaliatlon <br /> aEmerger�y Generator<30 kw a LPlNafival Gas-Installadon <br /> � Emargency Generator>30 kw � lPMahual Gas-ANNUAL Sale ` <br /> X� Flre Protxtlon Maintenance-ANNUAL a Placas of Asssmbly-ANNUAL �3 <br /> � � � i� <br /> Sprinkler � ❑ ❑ O � � Recreatlonal Butn '� <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning a ❑ ❑ �1 � � Sprinkler System Installatlons <br /> Hood Suppressfon a ❑ � ❑ � � Standpipes(Sprinkier Sys) <br /> � Fire Alarm Installation a Torch RooflnglTar Ketlle <br /> Fire Pixnps Q Waate Tire Storaga ANNUAL <br /> Fira Works <br /> Flammable AppBcation-ANNUAL r Valuation of Project <br /> Fuei Tanks <br /> Q Other. <br /> Contractor ���Y <br /> signe,ture Registerod Y/N Fee C�rerrt Y/N <br /> Address License� <br /> ELECTRICIAN ��^Y <br /> Signatwe � Registered Y/N Fee CurteM Y/N <br /> qddress Licanse# <br /> PLUMBER �mPa�►Y <br /> signature Registered Y/N Fee CuRent Y/N <br /> Address Ucense# <br /> MECHANIC �Pe�Y <br /> g�9�t�� Reqtsterod Y/N Fee Current Y/N <br /> Address Li�nse# <br /> OTHER �mp8f1Y Securit Fire E i ment LLC <br /> Signature Reglstered Y/N Fee Cucrent Y/N <br /> Address 18330 Lawrence Rd ��# <br /> Directlons: . .. . , . <br /> Fill out appik:ation completely. <br /> Owner&CoMratxor sfgn back of application,notaraed(Or.copy of siyned coMract with owner) <br /> It over 52500.a Nodce of Commencement is required(Mechanical work over 55000) <br /> Supply two(2)sats of drawings with applicable documerrtatlon <br /> Allow 10-14 days for rovlew after submktel date. Parcel#-obtafned from Property Tax NoUce(httpJlappraiser.paseogov.com) <br />