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ai�ao-oo20' City of Zephyrhills Fire Fau-813-780-002'! <br /> Permit Application <br /> ate Received Phone Co�tact for PeRnit 3 5 2 7 3 2 5 3 2 6 <br /> wners Name RT TAMPA FRANCHI SE LP ATTN TAX&LIC DEPT �ers Phona Number � � � <br /> wr,er5 address 15 0 W CHURCH AVE MARYV I LLE TN 3 7 8 01-4 9 3 6 <br /> ae Simple Tifleholder Name NA TiUeholder Phone Number � � � <br /> ae Simpfe T'Meholder Address <br /> �b Address �9 0 9 GALL BLVD Lot t� � <br /> �bDivision ZEPHYRHILLS COLONY COMPANY ���# 34-25-21-0010-00100-0000 <br /> aBfo-Hazard Waste Storage-ANNUAL � Fumigatlon Tent <br /> � Comm F�chaust Kitchen Hood/Duct � Hazardous AAaterial(Tier II or RQ Facility)ANNUAL <br /> � Controiled Bum � liood Instailation <br /> aEmergency Generator<30 kw � LPMatural Gas-Instalfation <br /> aEmergency Genarator>30 kw � LP/Natural Gas-ANNUAL Sab <br /> a Fire Proteetion AAaiMenance-ANNUAL � Places of Assembly-ANNUAL <br /> � em � r <br /> Sprinkler � ❑ D ❑ � Recroational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Geaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Supprcssion � ❑ � ❑ � Q Standpipes(Sprinkbr Sys) <br /> � Fire Nartn Installation � Torch Rooflng/Tar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Fiammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q her. <br /> �ntractor Company AMERICAN FIRE & SAFETY SUPPLY <br /> gnature Registered Y/N Fee Currorn Y/N <br /> Address 953 NE SC A AVE STE 100 OCALA FL Licanse# 06461500021985 <br /> .ECTRICWN NA Company <br /> qnacure � Regfstered Y/N Fae Cumsnt Y/N <br /> Address U��# <br /> _UMBER NA ComPer�y <br /> �^8��"B Regiatered Y/N Fee curtent Y/N <br /> �d� License# <br /> cCFWNI COrtIPenY <br /> �nature N�'' Registered Y/N Fee Cument Y/N <br /> Address License# <br /> �IiER NA �m��y <br /> �"°t1fB Reg�stered Y!N Fea CurteM Y/N <br /> Address License# <br /> rections: <br /> Fill out application�mpletely <br /> Owner&Contracbr sign back of application,notarized(Or,copy oi signed contract with ovmer) <br /> tf over$2500,a Notice of Commencement is required(Mechanical work over 55000) <br /> Supply two(2)se�s of drawings with applicable documerrtation <br /> Allow 1 at 4 days ioT review after submittal date. Parcel#-obtained fiom Pro}�erty Tax Notice(httpJ/appraiser.pascogov.com) <br /> s <br />