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FEB/20/2�07/T11E 11 : 10 AM ZEPHYPHILLS BUILt�II'JG FAX No, 813-780-0021 P. 002 <br /> �a��-�ao�oo2o City of.Zephyrhills��C��-o�?^_ Fax-813-760�0021 -• ��(�::.< <br /> ` - Permit Application�-�-• •• ��-;` <br /> �.:.:;.���.--• - - .. _.,—,.�..._._ <br /> _Date Received .. --=Plione Contactfor Pormlt = <br /> � ,,..._ _ � <br /> �wns�'s Name= -- �' ' - _ Owne�'s Phona Number r��7 / <br /> — ,L-(rL7J !v � .3laO�e' _,._ <br /> Qwnar'sAddress o2 � �% .J ,U,$ 7 ' ,3�.2'S/lo <br /> �ee Slmple'�IUeholdar Name Tltleholder Phone Numbet � � � <br /> Fee S1mp1e�7tlahotderAddreae � <br /> JobAddress ' `' ��p3 . � IJ�U..� ���-1 i�-� i-Irj � Lot# � <br /> Subb{vlslon �, 'Parcal# <br /> � Hio-Hazard Waste Storage-�ANNUAL � �umlga6on Tent ' • , <br /> � Comm�xhausi Kitchen Hood/buct ' � Hezardoua Materlal(Ter II or RQ F'aclll�y)ANNUAL <br /> � Controlled 2um � 1-lnod InRka11a0on <br /> � Emergency Oenerator<30 kw . � LPlIVeWrat Gas-Installatlon - <br /> � 'Emergency Ganeretnr�$0 Kw � LP/tJatural Gas-ANNUAL 8ale , <br /> � Ptra Protac6on Malntenance-ANNUAL � Plaees of/+ssemb�y-ANNUAL � -Y <br /> � � �m� � � ej <br /> Sprinkler � p ❑ ❑ B � aecrestional 6um, � /� <br /> F�e A1acm ' � D ❑ � � _� SparWars - <br /> Hood Cleaning �" o � O � � 5prinkler Syatem InstallaG❑ns <br /> ' Hood Suppresslon CJ L] [7 � � Standplpea(Sprinklar Sys) <br /> ' � Fire Alarm Inetanatlon ' � Toroh Rooflng/Tar Kattle . <br /> Fire Pumpe ' � � Waete'11re StorageANNUAL <br /> Fire warks � - <br /> Flammabla Appllcatiorr ANNUAL ' ���� Vafua6oll of prof eGt <br /> Fuel Tanks ' <br /> � ther: <br /> Con !� Company �yVVV`Q Q,�. <br /> Sie�� L�,�, Registered /N Fea Currant Y/N <br /> Addre9a License# � <br /> �LECTRICIAN Compeny � <br /> Si9nature - Registered Y E N Fee Cumert Y/N <br /> Addrass Ucense# � <br /> PLUMBER - Company <br /> Slgnature � ttegisfereo �Y/ir Fae Curreni � �'�i� <br /> Address � � License# - <br /> M�CHANICAL Company �� <br /> Slgnature Regfstered � Y/N Fee Currsnt Y/N <br /> Addreee •Licenne�t <br /> OTHER Company • � <br /> Slgnature Ragisfsrad Y/N Kae Currpnt Y/N <br /> Addrass • Llcanee# <br /> � <br /> DlrecUons; • <br /> FII auf appllcaUon complet�ly. <br /> Owner&Cohtrattor atgn 6ack of appllcatlon,notsr�ed(Or,copy of siqned contraot wlth owner) <br /> lE ovu�2500,a Notice ot Commencemenf Is requirsd.(Mechanfcal woric over 55000) • <br /> Supply two(2)seta of drawings with applicable docume�tation ' <br /> Allow 10-14 dsys for rovlew aftar eubmitta!date. Parcel#-obtained irnm ProperEy Tax No6ce(httpJ/appcaiser,pascagov.com) <br />