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a��-�saoo2o City of Zephyrhills Fire <br /> Fax-813-780-0021 <br /> Permit Application <br /> ate Received Phone Cornact for Pertnk 3 51 7 3 2 5 3 2 6 <br /> wner's Name RT TAMPA FRANCHISE LP ATTN TAX&LIC DEPT ��rs Phona Number �� � �� <br />� 150 W CHURCH AVE MARYVILLE TN 37801-4936 <br /> �,ers ndd.�SS <br /> 3e Simpie Tdleholder Name NA T1Ueholder Phone Numbx C� � C� <br /> " �e Sitnple Titleholder Address <br /> �b Address �9 0 9 GALy�LVD � <br /> Lot# <br /> .ib Division Z E PHYRH I LL S COLONY COMPANY ���� 3 4-2 5-21-0 O 10-0 O 10 0-0 0 0 0 <br /> a Bio+fazsrd Waste Storage-ANNUAL � Fumigatbn Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Faciliry)ANNUAL <br /> � Confrolled Bum � Flood Installation <br /> aEmergency Generator<30 kw � LPMatura!Gas-Installation <br /> a Emergency Generator>30 kw � LPMatunl Gas-ANNUAL Sala <br /> • a Fire Protaction MaiMenance-ANNUAL � Piaces of Aasnmbty-ANNUAL `, � <br /> � n �I <br /> ❑� mi � ar <br /> • Sprinkler ❑ L] ❑ � � ►�re�p�l Bum I � <br /> Fire Alarm � ❑ ❑ ❑ � � S�*� � � <br /> 1� !�,S <br /> Hood Geanin9 � ❑ O ❑ � � Sprinkler Systam InstallaUons � �/( <br /> Hood Suppression � O � ❑ Standpipes(Sprinklsr Sys) <br /> � Fire Alerm Installation � Toroh Rooflng/Tar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Applicatiorr-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> [� Other. <br /> �ntractor Comparry AMERICAN FIRE & SAFETY SUPPLY <br /> gnacure Repistered Y/N Fee Cument Y/N <br /> Address 953 NE SCEOLA AVE STE 100 OCALA FL �icense# 06461500021985 <br /> .ECTRICIAN NA Compeny '-� <br /> gnatwe � Regtsterod Y/N Fee CurroM Y/N <br /> Address <br /> License# <br /> _UMBER �� <br /> pnature NA �m��y -1 <br /> ��scered I Y!N I Fee current Y/N <br /> Address <br /> License# <br /> _CFiANI <br /> �nature NA �OmPa^Y ~ <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> rtieR NA ' '- <br /> �nature �Om�"y <br /> Rep�stered Y/N Fee curnern Y/N <br /> Add►ess <br /> License# �'� <br /> rections: • <br /> FA out application completey <br /> Owner&CoMractor sign back M aPplication.notarized(Or,copy of signed contract with owner) <br /> N over 52500,a Notice of Commsncement is requirad(Mechanical woric over 35000) <br /> Supply two(2)sets o{d���s�m applicable dxumentation <br /> Allow 70-14 days fcr review after submittal date. Pareel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.eom) <br /> c <br />