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12-13522
Zephyrhills
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Building Department
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Permits
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2012
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12-13522
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Last modified
7/18/2013 11:52:06 AM
Creation date
7/18/2013 11:52:05 AM
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Building Department
Company Name
CHILI'S BAR & GRILL
Building Department - Doc Type
Permit
Permit #
12-13522
Building Department - Name
CHILI'S BAR & GRILL
Address
7643 GALL BLVD
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813-780-0020 City of Zephyrhil�s Fire Fax-813-780-002'I <br /> � Permit Application <br /> ate Received Phone Contact for Pertnit C� � r-� <br /> ovner's Name � \ Owners Phone Number C� C� � <br /> ovner's Address �L � / � <br /> �e Simple Titleholder Name Titleholder Phone Number C� � � <br /> ae Simple Titleholder Address <br /> �b Address Lot# �� <br /> �b Division Parcel# <br /> a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm F�chaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LPlNatural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale a ti �' <br /> � Fire Protection Maintenance-ANNU�AL � � � Places of Assembly-ANNUAL � .� �/�' �� <br /> y emi er ❑ d-� <br /> � <br /> Sprinkler O ❑ ❑ Recreational Bum q � ' <br /> ❑ � G <br /> Fire Alartn � p ❑ ❑ �� � Sparklers �� � � /: <br /> Hood Cleaning �� ❑ ❑ � � Sprinkler System Installations � / � <br /> %�' <br /> Hood Suppression � p ❑ ❑ C� � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> ci � �: <br /> mtractor Company � � ���� <br />�nature � Registered N Fee Current Y/N <br /> Address License# <br />.ECTRICIAN <br /> Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br />.UMBER <br /> Company <br /> 3nature Registered Y/N Fee Current Y/N <br /> Address License# <br />=CHANICAL Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br />'HER <br /> Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> ections: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with ovmer) <br /> If over$2500,a Notice of Commencement Is required(Mechanical work over$5000) <br /> Supply two(2)sets of drewings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />
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