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813-628-01a3 09 �1 35a m 08-26-2013 2l15 �-
<br /> eia-�eo•oo2o City of Zephyrhills Fire Fax-913-780-0021 r
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<br /> � Permit Appllcatlon
<br /> Date Received Pfione Conlact for Pertnit 813 621 1357
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<br /> Owners Name TOWNVIEW RETAIL LLC Owners Phone Number � � �
<br /> Qwner's Address 725 CONSHOHOCKEN STATE ROA�, BALA CYNWYD, PA 19004-2102
<br /> Fee Slmp�e Titleholder Name Tltleholder P�one Number � � �
<br /> Fee Slmple Tiqeholder Address
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<br /> Job Address 7306 GALL BLVD, ZEPHYRHILLS, FL .���at tJ �
<br /> Sub Divislan CITY OF ZEPHYRHILLS paR�� 35-25-21-0010-0880-0000
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<br /> � Blo-Hazard Was[e Slorage-ANNUAL a Fumlgallon Tent
<br /> � Camm Exhaust Kitchen HoodlDuU � Hazardoue Maleriel(7ler II or RD Fecility)ANNUAL
<br /> OControlled Bum � Hood Inctallallon
<br /> OEmerpency Generator<30 kw � LPMatural Gas-Installation
<br /> � Emergency Generalor>30 kw O LPMatural Gas-ANNUAL Sale
<br /> OFire Protectlon Maintenance-/WNUAL � Places of Assembly-ANNUAL
<br /> ��y em � er a � ����/}
<br /> Sprinklcr � ❑ p Rccrcetlonal8um � �
<br /> Flre Alarm � ❑ ❑ ❑ � � Sparklers
<br /> Hood Clcaning � ❑ ❑ ❑ � � Spnnklw System Instellatlons
<br /> Hood Suppresslon � ❑ ❑ ❑ � � Slandplpes(Spnnkler Sys)
<br /> � Fve Alarm Inalalletlon � Torch RoofnglTar Keltle
<br /> OFire Pumps � Waste Tire Stordge/WNUAL
<br /> � Fire Warks
<br /> � Flammablo Appflcalian-ANNUAL $25.00 Valuatlon of Project
<br /> OFuel Tanks
<br /> O Other
<br /> Contraclo� Compar�y
<br /> 5ignature Registered Y/N Fee Current Y!N
<br /> Atldress License tl
<br /> ELECTRICIAN Campany
<br /> Slgnature Registered Y I N Fcc Currenl Y/N
<br /> Address Licenae tl
<br /> PLUMBER Company
<br /> Signeture Registared Y/N Fee Cunenl Y!N
<br /> Address Llcense#
<br /> MECHANICAL Company
<br /> Signature Registered Y I N Fee Gunent Y/N
<br /> Adtlress Llcense ri
<br /> OTHER JEFFERY D BURNHAM Company f�ODAN FIRE SPRINKLERS, INC.
<br /> Signatura Registered Y/N Fee Current Y/N
<br /> Addreas 25 TH T T PA F 1 �iu�a�a 1 1 1
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<br /> Direttions: _....:..:::...�.;::....._.,._.��.-..,,-..... _... ... . . .,. ._.
<br /> FIII out application completely
<br /> Owner&Cantractor sign hack of applicahon,notanzed(Or,copy of signed conlrad with owner}
<br /> i!over 52500,e Natice of Commencement ie requlred(Mect�anlcal work over S600D)
<br /> Suppty two(2)sats of drawings with appllcaple documentalion
<br /> Allow 10-14 days for raview eRer submittel dele Par�e!#-obtalnad f�m PropeAy Tax Nolice(http.lfappralser.pascogov com)
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