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� � a�saao-oozo City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received � -Q 9—/ Phone Contact for Permit 3 5 2 7 3 2 5 3 2 6 <br /> Owner's Name $rinker Florida Inc c/o Marvin F Poer & Company Owner's Phone Number �13 7 0 0 0315 <br /> PO ox 02 06 <br /> Owner's Address <br /> Fee Simple Titleholder Name Titleholder Phone Number � �� �� <br /> Fee Simple Titleholder Address <br /> JobAddress �643 Gall Boulevard, Zephyrhills, FL 33541-4321 � <br /> lot# <br /> Sub Division Zephyrhills Super Center - A Parcel# 34-25-21-0110-00000-0040 <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Matenal(Tier II or RQfFa�cility)ANNUAL <br /> � Controlled Burn � Hood Installation �� )/„ U / <br /> 0 � / /4►- � <br /> Emergency Generator<30 kw LP/Natural Gas-Installation{ — "� l .---"� <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale��- ------- �� �� <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> � ` <br /> � try emi �n t er ❑ /� / <br /> Sprinkler ❑ ❑ ❑ Recreational Burn � � � <br /> Fire A�arm � ❑ ❑ ❑ � � Sparklers �-f / <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ C� ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other• <br /> � <br /> Contractor � -' Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address 3 NE Osceola A enue Oc la, FL 34470 License# 06461500021985 <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> OTHER <br /> Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> Directions <br /> Fill out applicat�on completely <br /> Owner 8 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 /> Aliow 10-14 days for review after submittal date Parcel#-obtained from Property Tax Notice(http://appraiser pascogov.com) <br />