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` MAI��`28/2l�'07/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. 8(3-780-0021 <br /> � P. 001 <br /> a�a-�so-oazo City ofZephyrhllls'Ftde� •• . Fax-a��-�eo.0021 �t; <br /> permlt Appllcetion <br /> Data Ftecalved . . a- •Phone Co'nfacf�(or Permlt ' • <br /> Ownec's Name • Owner6 Phone Number . pt3� � � <br /> Ownere Addresa �t �' . . <br /> Fea simple TlUeholder iJame ' ' ' • ' '�tleholder Phone Num6ar �'�] �� <br /> Kee�mpleTltlehaldcrAddrs� • • . • • . <br /> Job Addreas ' • t . . ' , � ..LoE# • � <br /> 5Ub Div(SIo� Paroel# <br /> ' � Blo-HazaM Weate StoraBe—ANNUAL • � " FumlgaUon 7ent ' <br /> � Comm Exhaust Kit�hen HoOdlDUCI: .' �• Hamrdou.Mele►1a1(fler 11 or RQ Facllity)ANNUAL <br /> � Controlfed Bum � Hood(nslalledon <br /> Q �margency Generator<30 kw . a LP1Natural 6as-Inetailadon � • <br /> ••� ���mergency Generalor>30 kw ° � LPJhfatur�l Gas-ANNUAL Sala <br /> � Fire Ptotac6on IuFaltdanance=ANNUAL. � Places vf Assemb{y-AIVNUAL .j�,^_�•„� <br /> �r,fy7' emi �I�! � ' . . . 3,�.J���� <br /> Sprinkler � p ��' p ReoreaUonal eum • �(n �� <br /> ���. � <br /> Fre Alartn . ❑ I]' ❑ '� � � SPwWers • <br /> Hood Claening � d� ❑ p � ❑ 3prinkler'Systam Installadons • , �I � � �-�-/ I3 <br /> Hood 5uppresslon p 1�, ❑ �� � $�endpfpea(Spdnklersys) � <br /> ' � Fra Narm IrietqlleGan . . , � ToncF1 Raafing/Ta�KeWe• , ' <br /> Flre Puf^P� , ' � ' � � Was�e Tira Storage ANNUAL � ' ' ' <br /> Flre Wolke • . . , , • <br /> . Flammable ApplicaUon-ANNUAL • • • ValuetioTl of P[ojeCt <br /> Fuel Tanks ' � • . • ' <br /> [� •• Other: • • <br /> cantraclor ' • . • <br /> • Compsny 1 �' • <br /> Signawro � ' Regist,ared Fee Curren[ N • <br /> Address <br /> � License�t <br /> �t.ECTRICIAN � . ' ' Comperry.. ' '—"—"'1 <br /> Siynatur� • Regfsfarail• Y/N • Fae Cunent. _Y/N ' � <br /> Addreae License# • • <br /> PLUMBER • , Company ""—"`I <br /> Slgnature � ' ' itaglstered Y/N Fee Curtent Y/'NT+ <br /> Addross • <br /> Licanea# • • <br /> MECHANICAL Company <br /> SlBnalUl'C � <br /> Regis�ered Y/N Fae c�rrent Y/N <br /> address <br /> �Liceqae#, <br /> OTNER • • � <br /> , . • Compeny • -� <br /> stenature ' Reaietered • Y/N Fee Current Y/N <br /> Addreaa ' . . <br /> ' LtcanBe# <br /> Oirec,�tiona: <br /> . FlII out aDVlicafion eomplataly. . <br /> Owner&CvntrpC(p�eign baok of applicatioh,nolafized(Or,copy oFeigned contracEwlth owner) . <br /> If over E2500,a Notice of Cammencemant ia requlred.(Mechenicai work wer$6000) • <br /> Supply Nvp(2)ee�of drawinBe xnlh appllceble documentat►on . <br /> Allow 7D-14 daye for ravlaw aft9r eubmiltal dale. Percai#-obtalnad irom Ptoperty Ta7t NoUce(hltpJ/eppreiaer.pasCOgov.cotn) � <br />