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813-780-0OQO City of Zephyrhills Fire F�-a��-�saooz� <br /> Permit Application <br /> paae Received May 8, 2013 . Ptwne Contact ior Permit 727 - ��46 =� 5427 <br /> Om�ers Name ZEPHYR COMMONS LLC Owners Phone Number 813� 933 0629 <br /> OwnefsAddress 3629 MADACA LANE,TAMPA FL 33618 <br /> Fee Simple Titlsholder Name T'A{eholder Pfione Numbar C� � �� <br /> Fee Simpie T'dlehotder kddress <br /> Job Address 7810 GALL BLVD.,ZEPHYRHILLS, FL �d� � <br /> Sub Division CITY OF ZEPHYRHILLS Parcel� 35-21-0010-00700-0000 <br /> QBio-}farard Waste Stotaye-ANNUAL Q Fumigation Tent <br /> � Comm Exhaust Kitchen HoodlDuet � Hazardous Materia�(Tier 11 or RQ Facitity}ANNUAL <br /> QCorkrotled Bum a Hood InstaliaAon , I �.)/ <br /> �-`<� �� �5 .�-- <br /> Emerga�cy Generabr<30 kw a LPINatu►al Gas-Installation <br /> Emergencyr Ge�ator�30 kw LPINaturel Gas-ANNUAL Sale ,,.-- <br /> ` X' Fire Protedion Maintenance-ANNUAL Places of Assembiy-ANNUAL <br /> �' <br /> � �� r <br /> Sprinkler ❑ G O � Recreational Bum ' <br /> Flre Alasm � ❑ C ❑ � ��� '/ F�/ <br /> Hood Cleaning � ❑ p Q � � i�kler S �!�l .J (O <br /> Spr' ystem Irk;Nallatiars ( <br /> Hood Suppression � ❑ C C � ❑ SYa�dpipes(Sprinkle[Sys) <br /> Fire Rlarm InstaNation Q 7orch Roofing/Tar Kettle ~. <br /> ���mPs o Waste Tire 9taage ANNl1AL <br /> Fire Works <br /> RammableApplicatiorr ANNUAL Valuation of Praject <br /> Fuel Tanks <br /> � Other: <br /> Contrector <br /> ���Y <br /> Sigrcature Regiffiered Y�N Fee Cunerit Y 1 N <br /> Pddress � � License� <br /> ELEC7RIC1 ��M <br /> Signature Regislered Y J N Fee CurreM Y/N <br /> Addr�ess LicerSe� <br /> PtUMBER Company <br /> Signature Registered �j 1 N Fee Currerrt Y!N <br /> Address <br /> License� <br /> MECHANICAL <br /> Comppny <br /> Signawre RegisEered Y I N Fee Currenk Y 1 N <br /> Addfess <br /> License# <br /> OTHER ����y <br /> Sig�ature Registered / Fee Cuner�t Y!N <br /> address , over, t.;cense s 1314034000012001 <br /> Directions: �� �� <br /> Fill out application eanplelely <br /> Owner 6 Contrach�r s�gn badc af applieation.notarized(Or,copY of signed contract with owne� <br /> If over 3250D,a NotiGe Of Cwtlf►1BnCempnt IS required{Machanica!work over 5.�000) <br /> SuPPIy two(2)sets af drawings with applieable documerK-ation <br /> ANow 1Q14 days for roview af�r submjqal date. Pareel ft-obtained Trom Properly Tax Natice(http:llappraiser-pascogov.com) <br />