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613-628-0143 09 22 10 a m 08-26-�013 4/15 <br /> e13-�eaoozo City of Zephyfillls Fire Fax-e�3-��ozi <br /> Permit Application � <br /> Date Received Phona Conlsct for Pormit 813 621 1357 <br /> Owner'e Nema TOWNVIEW RETAIL LLC owners Phone Numbe�+` � � � <br /> owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102 <br /> Fee Simple Titlehotder Name Tltleholder Phone Number � � � <br /> Fee Simple Titlehalder Address <br /> . _. ,., .:.. .._ .....:.,. ,. ............... : _.�._.._.. _M.�.�;..::,:. - <br /> JabAddress 7340 GALL BLVD, ZEPHYRHILLS, FL �pt� � <br /> suo oivision C�TY OF ZEPHYRHILLS p87C�q 35-25-21-0010-0880-0000 <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumlgalion Tent <br /> � Comm E�cheust Kilchen Hood/Duct O Hezardous Material(Tier II or R�Facil�ty�ANNUAL <br /> aControlled Bum � Hood lnslellepan <br /> QEmergency Generator�30 kw � LPMaturel Gas-Installatlon <br /> aEmergency Generator>30 kw a LPMatural Gas-ANNUAL Sale <br /> � Fire Proleulon Malntenance-ANNUAL � Places of Assembty-ANNUAL <br /> � emi � er � <br /> 3pnnkler � m O ❑ � � Recreatlonal Bum Cy � <br /> Fire Alarm ❑ O ❑ SparkleB � I � ( <br /> Hood Cleaning O ❑ O Sprinkler System Instatletions <br /> Hootl Suppresslan D ❑ ❑ Slandplpes(Sprinkic�Sys) <br /> � Fre Alarm Inslallation � Torch Roofing/rar Kettle <br /> OFire Pumps Q Wasle Tlre Storage ANNUAL <br /> aFlre Warks <br /> � Fiammable AppllcaUon-ANNUAL $25.00 Val�ation of ProJe�t <br /> Fuel Tflnks <br /> Q Olhef: <br /> _... .. - _.. .. . . ... .._._ ... ... ........__.._._, ._..._.... �.,,.__..., . ,,. .._., ...._s: ..._.......... .._.. .,_,�. ... ...:.! <br /> contractor ����y �— <br /> Signature Registered Y/N Fee Currenl Y/N <br /> Address Llcense iJ <br /> ELECTRICIAN Crnnpany <br /> Signeture Reglatcred Y/N Fca Curtenl Y/N <br /> Addrese Ll�ense q <br /> PLUMBER Gompany <br /> Slgnatura Reglstered Y 1�I Fee Curtant Y/N <br /> Add�ess Llcense# <br /> MECHANICAL Company <br /> Signewre Fegistered Y!N Fee CurteM Y/N <br /> Address Llcense i7 <br /> OTHER JEFFERY D. BURNHAM Campany N SPRI KLERS. NC. —� <br /> Sfgneture Regislered Y/nl Fae Current Y/N <br /> Address � , T T. TAMPA FL ��cense� 1 � y <br /> - . -_ .. <br /> , _.. ._..._ ..................._............ - - -- <br /> ..._._. ..___.... __...._....:_-'-- . ....;�,-:.:.:.........._ . ..... , � ---- - <br /> ,..._. ,...�,._,,.... . .. .,.,,...._...._ �.,.: - . <br /> �� ,.. .... ....:.;,..:c:.:::: ,�_.:��:�., _«..:. .........:�..�. . _.__..._ . . � <br /> .�_._... .... .__..... ...v_;-, <br /> �IfCCt10R9. ._.,,...._. _.,.��.. .ac-................. . . ..__.._...__.. <br /> Fill out applicalion campletely <br /> Qwne�8 Contractw slpn badc of application,notarized(Or,copy of sipned coMrad with owner) <br /> If over$2500,a Notice at Commencemenl is requirod(Mechenical work aver 55000) <br /> Supply Iwa(2)sets of tlrawings wilh appiicaWe documerrtaUon <br /> Allow 10-14 days for review after suhmlttal dete Parzel p-obtalned}rom Pr�perty Tex Notice(http:/lappraiser.pascagov.com) <br />