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12-13600
Zephyrhills
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Building Department
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Permits
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2012
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12-13600
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Last modified
9/13/2013 11:51:26 AM
Creation date
9/13/2013 11:45:10 AM
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Building Department
Company Name
LAT FAMILY INVESTMENTS INC
Building Department - Doc Type
Permit
Permit #
12-13600
Building Department - Name
LAT FAMILY INVESTMENTS INC
Address
37815 STATE ROAD 54
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813-780-0020 City of Zephyrhills Fire Fax-813-780-002� <br /> Permit Application <br /> 3te Received Phone Contact for Pertnit �� '�/ �S' �p <br /> Yvner's Name f�S � Owners Phone Number C� �� C� <br /> avners Address � ,� � � L- <br /> :e Simple Titleholder Name TiUeholder Phone Number C� �� � <br /> �e Simple Titleholder Address <br /> �b Address Lot# �� <br /> �b Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Faciliry)ANNUAL <br /> Controlled Bum � Hood Installatlon <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation ������ <br /> � Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> aFire Works <br /> � Flammable Application-ANNUAL � �jCJ U� Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> mtractor <br /> Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br />.ECTRICIAN Company <br />�nature I Registered Y/N Fee Current Y/N <br /> Address License# <br />.UMBER <br /> Company <br /> 3�t�� Registered Y/N Fee Current Y/N <br /> Address License# <br />=CHANICAL <br /> Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> fHER Company �4 �.v ' ��.•�i L -�` <br />�nature Registered Y/N Fee Current Y/N <br /> Address " t r, <br /> � License# •�j � <br /> Bctions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized(Or,copy of signed contrect with owner) <br /> If over$2500,a Notice of Commencement Is required(Mechanical work over$5000) <br /> Supply two(2)sets of drawings 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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