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s��-�so-c3b2o City ofZephyrhills'Fi�- Fax-813-780-002i <br /> Permit Application <br /> Date Received - ������r��� � <br /> Owners Name ����r �"'"""'—"' <br /> Owners Address � Up w � <br /> Fee Simple Titleholder Name � SJ� � - � �Titleholder Phone Number �� �� � <br /> Fee Simple"Iitletwide�Address <br /> Job Addtess 5 � � Lot# � <br /> 5ub Division <br /> - Part�l# <br /> a Bio-Hazard Waste Stotage-ANNUAL Q F�m�igafion Tent <br /> � Camm Exhausi Kitchen Hood/Duct � �b����R�r 11 or RQ Faciiity)ANNUAL <br /> � Cortbvlled Bum � FI°°cl lnsfatlation <br /> � Emergency Generator<30 kw � LP/IJahnal Gas-Ir�sfallatian <br /> (—j Emerge�y Generatar>30 kw � LPMahaal Gss-AMNUAL Sale <br /> ��� Fre ProtecBon MaiMenance-ANNUAI. � Piat�s of Assembly-ANNUAL <br /> �—� r <br /> L�]��].Ll� ���' <br /> Sprinider � D O ❑ � Rec�atiorel Bum // j <br /> � / <br /> Fire AtaRn � D ❑ J1� �� 5pa�rs '� � <br /> Hood Cleaning O D ❑ � � SPn�B�Sy54�n�n��°�' <br /> Nood 5up�xession � 0 � D L� � ���5P►��SYS) <br /> � Fire A►arm Ir�llatbn � Tor�h Ftoaiing�far Kettle �� 3� <br /> �re Pumps Q Waste Tire Storage ANNUAL <br /> Fre Works <br /> Flammable Appticatiorr ANNUAL. Vaivafion of Project <br /> FuetTanks <br /> Q Other. � <br /> ConVactor ��Y <br /> s�gnature ' Reyis�ed Y/N Pee current Y/N <br /> Address � _ Llcense# <br /> �����`� compeny Russell _Electrical Eonst <br /> Signature FtegisUered Y/N Fee Current Y/N <br /> Address j , ucense# <br /> PLUMBER �y <br /> signature Regwerod Y/N Fea cunenc Y/N <br /> Address License# _ <br /> MECHANICAL COm��Y <br /> Signature 'Regi�ed Y/N Fee CuRerrt Y/N <br /> Address �icense# <br /> OTHER �m��y <br /> signaWre Registered Y/N Fee Current Y/N <br /> Address License# _ <br /> plreciions: <br /> Fiit�t application caf�letety. <br /> Ownst&Conq�aetor sign back af app(ication.notar¢ed(Or.copy of signed corrtract with owner) <br /> . �E owr S250D.a Notice af Commencement is required.(Madiardcal work over S50U�) <br /> � Supp1Y two(2)ssfs af drawings with applicable documer�ation <br /> . ANow 10-'14 daYs for revi�v after sutxnittal date. Paraef#-obtained frorn RnPg►lY Tax Notice(htfG��PPraiser•W'�'A9ov.com) <br />