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^, 813-780-0020 C,cy of ZePny�r,�iis F��e Fa,-813-780-0021
<br /> Pe�m,�Application
<br /> o�« Re�o���d P�o�e co���«fo�Pe�m�� 813 621 1357
<br /> ow���= Name FLORIDA MEDICAL CLINIC ow���,P�o�e N�m,�� � � �
<br /> ow�e�s Adn�PZS 38107 MARKET SQUARE DR., ZEPHYRHILLS, FL 33542
<br /> F��. S��„oie T��iehoide�N��„A T��ienoide.Pno�e N,,,.,De. � � �
<br /> Fe�S��„oiE T��ie�,oide�And����
<br /> � n Add „ 38107 MARKET SQUARE DR., ZEPHYRHILLS, FL 33542 � # �
<br /> s�e o���,o� CITY OF ZEPHYRHILLS Pa e1#
<br /> � B��-Ha�a�a W:.=�e 5��.��e-ANNUAL � F,.m,ga��o.,Te„�
<br /> � Com m E,na�..K���he�Hoon/D��. � Ha�a�do�,Ma�e��a�(T��.II o�RQ Fa�����,,)ANNUAL
<br /> � Co�«o��ed B„�„ � Haod I„s�����.�o.,
<br /> � Em��qE„�v G�„P.a�o.<30 kw � LP/N.��,..a�Gas-I„�.a��a��o„
<br /> � Em.>.g�„�,.G��e.a.���30.w a LP/Na�,.�a�Gas-ANNUALSaIe ,Lr �(„ j�
<br /> � F��� P�o�E.«,�„M,�„«��„�e-ANNUAL � P�a�PZ o,A„�me�r-ANNUAL I � t `�
<br /> «�y 0 �
<br /> SP���k��� � � ❑ ❑ � � Re��ea�,o„a�B„�„
<br /> F���A��,�m � ❑ ❑ ❑ � � SPa�k�e.s
<br /> Hood C�ea,,,�� � ❑ ❑ ❑ � � SP�,.,k�e.SY,.em I.,=����a�,���
<br /> HootlSuppress�on ❑ ❑ ❑ ❑ � ❑ Stantlpipe_ �SPrinklerSys�
<br /> � F���A�a.m I.,,.a��a��o„ � To��h Ro���„�/Ta�Ke«�e
<br /> � F,�F P„m„ � W,=�e T��e S�o�aqe ANNUAL
<br /> � F�.e W��k,
<br /> ❑ Fi�mmae��APPi��a���„-ANNUAL yZ�J.00 Vaivac�onofPro�ecc
<br /> � F„��Ta„k,
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<br /> Concractor Company
<br /> s,������� Re9, �e�Pn Y/N Fe�c�.�e�. Y/N
<br /> Ahn.�=, ���e�=e a
<br /> ELECTRICIAN Co m pa„y
<br /> s�9�a���� R�9� �e�ed Y/N Fee c���e�. Y/N
<br /> Ann�,,,. L��e��e#
<br /> PLUMBER Compa„y
<br /> s,g�a.�.� R�9, �e�ed Y/N Fee c,..�e�� Y/N
<br /> Add�ess L�e.,,e#
<br /> MECHANICAL Com pa„y
<br /> s�g�a���� RP��=���ed Y/N F��C�.�e�< Y/N
<br /> Add.ess L�«.,,e #
<br /> oT"ER JEFFERY D. BURNHAM c�mPa�Y RODAN FIRE SPRINKLERS, INC.
<br /> s,������e Reg, <P��d Y/N F�e C�,��e�� Y/N
<br /> Ad�feS= 2501 N. 70TH ST. TAMPA FL 33619 ��=��fe# g3153100012006
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<br /> I.��e�$2500, No���e o�Com me��Fm�,.��,�PA„��e (MP«�„����wo�k o�e�$5000)
<br /> Supply�w �2��etl oP tlrawin��wicM1 appl�ca�le tlo�umen[ation
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