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813 780-0020 C�cy or Zephyrh�iis F��e Fa.-813-780-0021
<br /> P��m��Application ,
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<br /> �A�e Ro�a��dd , P�o�o co�,a«Fo�P��m,� 813 621 ' 1357
<br /> ow�d�s NamP FLORIDA MEDICAL CLINIC ow�a��= P„��a N�mea� � � �
<br /> ow�a��And�E,= 38135 MARKET SQUARE DR., ZEPHYRHILLS, FL 33540
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<br /> �Oe And��„ 38135 MARKET SQUARE DR., ZEPHYRHILLS, FL 33540 �o � �
<br /> S�h p,�,=,o� CITY OF ZEPHYRHILLS P„��a,� 02-26-21-0010-03900-0030
<br /> � &a-Ha���n W�«e S�o��90 ANNUAL � F,.m�9���0„Te.,�
<br /> � C�m�„ E.naus�K�«ha,.Hooa/D,.« � Ha:T�do,.,Me�e�,��(T���II o.RQ F.,���,�v)ANNUAL
<br /> � Co„«o��E�,B,;.., � Hoad I„��a��a��o„
<br /> � Emo�9o��,.Ga�o�a�o�<30 kw � LP/Ne��.a�Ge�-I„=�a��a��o„
<br /> � Emo�9e„�v Go�e.a�o.>30 kw � LP/Na�„�e�GTS-ANNUALSaIe
<br /> � F�.a P�o�E«,�„Ma,.,�e.,A„�e-ANNUAL � P�„���o.A==e�,h�,.-ANNUAL
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<br /> Hood SupPrussion ❑ ❑ ❑ ❑ � ❑ StantlP�Pea�SPrink �
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<br /> � F,��P,.mP= � W���o T��e S�o�a9a ANNUAL
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<br /> � F�amm,n�a App���a��o„-ANNUAL #3,450.00 Va��a��o„ or P�o�e��
<br /> � F�oi T.�,.ks
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<br /> Contrnr�or Compeny
<br /> S�9�A���� R�9,=�a��d Y/N Foa C���e�� Y/N
<br /> A.,d�e„ L�a��a#
<br /> ELECTRICIAN Compa y �
<br /> s�9�a���o Ra9„�o�en Y/N Fee C���d�� Y/N
<br /> A�,�,�a,. L��e.,�e#
<br /> PLUMBER Compd y �
<br /> s�9�a��.e Ra9,=�e.ed Y/N F�o c��.e�. Y/N
<br /> Add�os L�e.,�e�J
<br /> MECHANICAL Camp� y
<br /> s,9��:��o Ra9„�a�od Y/N Faa c�.�a�� Y/N
<br /> Add�e« � L�a„�o#
<br /> orHER JEFFERY D, BURNHAM c�mPa�y RODAN FIRE SPRINKLERS, INC.
<br /> s�g�a��,� Ro9�=�e.en Y/N Faa C,��a�� Y/N
<br /> Ati^���s 2501 N. 7 TH T. TAMPA FL 3 61 ��=e�=a# g3153100 12006
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<br /> F�n o�c wnai��ano„�o.�aieeEiy
<br /> Qwner gl Con[rnctor siqn b.�ck oI applica�ion notarized �Qr,c I etl con�rac[w�[h owner�
<br /> opy o sign
<br /> I,o..a�$2500,�No���e of Com ma„�ame.,�,s�eq,.,�ad(M��ha,,,�a�wo�k o„a�$5000)
<br /> Sup�iytwo�2� �ets of tlrawings wi[F app cable hocumen[acion
<br /> A��ow 10 14 a�Y�,o�..,,,�a..,a��a,s„em�«a�da�a Pa.�e�N-oe.���ad.�om P�o�,o��Y T�.No���a(H P//appraiser pascogov�om)
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