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s��-�eaoo2o City of Zephyrfiilis Fire Fax-s��-�so-oo2� <br /> ' " Permit Application <br /> ate Received 6/18/2 013 Phone CoMact for Pertnit 3 5 2 7 3 2 5 3 2 6 <br /> wner's Name RT TAMPA FRANCHISE LP ATTN TAX&LIC DEPT �ers Phone Number �� C� � <br /> �,ers nde.�ss 15 0 W CHURCH AVE MARYV I LLE TN 3 7 8 O 1-4 9 3 6 <br /> �e Simple Titleholder Name NA TlUeholder Phone Number C] C� C� <br /> ae Simple Tttfeholder Address <br /> �b Address 7 9 0 9 GALL BLVD (�� <br /> Lot# L_J <br /> .�bDivision ZEPHYRHILLS COLONY COMP Y ���# 34-25-21-0010-00100-0000 <br /> a Bfo-Hazard Waste Storage-ANNUAL � FumigaUon Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Flazardous Material Rer II or R�Facilitya ANNUAL <br /> � ControNed Bum � Hood Insfellation <br /> � Emergency Generatw<30 kw � LP/Natural Gas-Installation <br /> � Emergmncy Generator>30 kw � LPMatural Gas-ANNUAL SaN <br /> � Fire Protection Mair»enanee-ANNUAL � Plaeas of Assembly-ANNUAL <br /> ❑� emi � er � <br /> Sprinkler L! ❑ ❑ Reereational Bum �� � <br /> Fire Alarm � ❑ ❑ ❑ � � SPerklers � <br /> Hood Clearnng � p O ❑ � � SpriMcler System installatlons � <br /> Hood Supprossion a ❑ �[ ❑ � � ��pp�(Sprinkler Sys) <br /> � Fire Alartn Installation � Toreh Roofinp/Tar Kettle <br /> Fire Pixnps � Waate Tire Storage ANNUAL <br /> Fire Works �'�g �� <br /> Flammable Application-ANNUAL <br /> Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> '"��D� Compa�y AMERICAN FIRE & SAFETY SUPPLY <br /> gnecure Registered Y/N Fee Currsnt Y/N <br /> Address 953 NE OSCEOLA AVE STE 100 OCALA FL License# 06461500021985 <br /> .ECTRICEAN NA Company <br /> gnature � Regtatered Y/N Fee Cumsnt Y/N <br /> Address License# <br /> _UMBER <br /> �� NA C°mw"y <br /> Regiatered Y/N Fee Currord Y/N <br /> Add�ess License# <br /> ECHANICA r-- <br /> NA c°"'Aa"y ` <br /> �nature Registered Y/N Fee Cunent Y/N <br /> Address License i� <br /> rHER NA c°'"pa"y --� <br /> ��°�° Regtsterod f Y�N I Fee CurtsM Y/N <br /> Address <br /> License# <br /> rections: <br /> FII out application completely <br /> Owner 6 Contraclor sipn back oi appkication,notar¢ed(Or,copy oi signed contract with owner) <br /> tf over S25p0,a Notice of Comm�encement ts roquirod(Mechanical work over 55000) <br /> Supply two(2)sets oT dr�wings v,�th applicable documentation <br /> Allow 1a14 days tor review after submittal date. Pa�el#-obtainad from Property Tax NoNce(hppJ/appraiser.pascogov,com) <br /> c <br />