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813-780-0020 City of Zephyrhills Fre Fa,-eia-�eo-oo2� <br /> Permd Application <br /> Date Received 2/6/2013 Phone Contact for Permit 813 313 1611 <br /> Owner's Name Aero Center Bld -Ze h rhills Munici al Air ort Owner's Phone Number �� � <br /> Owner's Address 39450 South Avenue ZEPHYRHILL FL 33542-5241 <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � <br /> Fee Simple Titleholder Address <br /> Job Address � <br /> Lot# <br /> Sub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> Controlled Burn � Hood Installation <br /> ❑ Emergency Generator<30 kw 0 LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL ��� � Places of Assembly-ANNUAL �/'��� <br /> Sprinkler � ❑ ❑ x � � Recreational Bum � / �.�[,' <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers ( <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> ❑ Fire Alarm Installation 0 Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> x� Other Backflow <br /> Contrador Wanda Paradis Comp Sim lex Grinnell <br /> Signature Regist Y/N Fee Cu Y/N <br /> Address 4701 Oak Fair Blvd Tam a FL 33610 License# <br /> ELECTRICIAN <br /> Company <br /> Signature � Regist�_Y/N Fee Cw Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> Company <br /> Signature <br /> Regist�_ Y/N Fee Cu Y!N <br /> Address — <br /> License# <br /> MECHANICAL <br /> Compan <br /> Signature � Regist Y/N Fee Cu Y/N <br /> Address License# <br /> OTHER <br /> Compan <br /> Signature Regist Y/N Fee Cu Y/N <br /> Address License# <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract 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 /> A�low 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com) <br />