813-628-0143 02:19:09 p.m. OS-22-2013 6/8
<br /> ..... ........._.. ..y � �.N�.y.��.�.. . .�o ..- - - .....�..�
<br /> ' rermltl�ppllcation
<br /> o...R.�.,�.a P�o�.ce��.�..e,a..m�. 813 621 1357
<br /> a_�.;.N,m. T FLORIDA MEDICAL CLINfC o„�.�,P„o�.Ntim,.. � � �
<br /> ow�..•,aed..,, 38135 MARKEI'SQUARE DR., ZEPHYRHILLS, F!33542
<br /> F..SimPi.Tw.neie..N.m. Tiu.ee�a.r Peen.Nume.� � � �
<br /> F..$�mPi.T�u.noia..Aae....
<br /> Joe Aan�... 38051 MARKET SQUARE DR., ZEPHYRHILLS, fL �,�� �
<br /> s,,,p,�,.,,� CiTY oF ZEPHYRHILLS P,«.,# o2-zs-21-0010-03soa-oo2o
<br /> � Bia-H.:.�e W..�.S�o�.�.-ANNUAI Q F�mio.uo�T.��
<br /> aCom..�E.n.�ss IGc�n.n Haoa/Du�c � H.xs.aous M.t.��.�((i.r II er RQ F�aut�)/�NNUAL
<br /> � Co�«o��.N B��„ � Heod I�.�.��.ua�
<br /> aEm.�u.��r G.,,.�.�o�<30 rw � LP/i�.c�..i G..•lo.u�i.uo�
<br /> aEm..fl.��y G.�.�.�e�>30.w � LP/N.�„�.�G..•AMNUALSaIe /� ��y'�
<br /> � F��.P�o�.«�o.,M.��..�.��.-ANNUAL � P,.�..e.A...meir-ANNUAL -�'(
<br /> � "" �� h.. � ,
<br /> 5r���.i.. � O O R.�...ua�.�8���
<br /> F��.A�.�.� � O ❑ ❑ � So...i.�.
<br /> Hoen Ci..,,i„o � ❑ 0 ❑ � D SP��.�..5y.t.m I,,.�.n.uo�.
<br /> Heotl Supp��a�inn � ❑ ❑ ❑ � � .JL�nOpi��s�Sp�inti�fJ)f�
<br /> � Fir.Ai.�m I�.a.i�.uon a Te.cn ReennplT..K.su.
<br /> fi�.P�mo. a W�.�.T��.S�e..�.ANNUAL
<br /> F�..We,..
<br /> ��.m,�,.e�.Arv���.�ioo-ANNUAL ,$Z�j.� va�uat�on of{�ro�ecc
<br /> F.,.�T.,,..
<br /> � �thnr.
<br /> Ca„l..ecor CoTp.ny
<br /> s�a�..��. R.o„�.�.a Y/N F..Cw,,.�� Y/N
<br /> Aaar.s. L�c.�r.�
<br /> ELECTRICiAN Cemo•�r
<br /> s,o�..��. R.fl�,�,�.e Y!N F..c�.�.�� Y/N
<br /> Aea�... ���.�s.�
<br /> PLUM6ER Com�.�y
<br /> s,o�,.��. R.,�.��.a Y/N �..C„m.�� Y/N
<br /> Aea.... L�c.e..i
<br /> MECHANICAL Camp�ny
<br /> s���•.�.• R.9�...�.n Y/N F..C„�,.,,� Y/N
<br /> Aea.... Lic.�..t
<br /> OTHER comP.,,, RODAN FIRE SPRINKLERS, INC.
<br /> s p��Ly. �EFFERY 0. BURNHAM R.oi.�er�a Y/N F..c�.�.�. Y/N
<br /> A�d�.•• ,��H ST..T/�PA. FL 33619 _ u�•�••# 83153100012006
<br /> i�.u:r,.�,cacr �s -s �ry �can.ncr..�":r�i 3S�a c mai i . a�
<br /> D��.«�e�.:
<br /> Fm e���Pnu�.we cempl.tNY.
<br /> Q..n.��Conv�a�er.io�e ck or.�PU�.uen,�or«�:.a(�n�onr or.iun.a< �k•�a wnn own..�
<br /> Ire...S2500. .Neu�.erCemm.��.,�,.�.�...n���.a(M.��,.o��.�...a��e..�S5000)
<br /> Suva+y�We t2�vu er e..w�no.wian.00��e•e�•aoe��,•�a.na.�
<br /> Ane.�,10-14 a.r.ro.�..i.,,�,.n...�emu�.�e.a.. P�rc.i#-eeu��.0 rrem P. .� .� )
<br /> ev •r T..Nouo.(nuP:N.PP..�....p. 000..co�.
<br />
|