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813-628-01d3 09 22 52a m 08-26-2013 6/15
<br /> e�s-7ao-oozo City oF Zephyrhills Fire Fa�c•813•7B0-OD21 �
<br /> Permit Application
<br /> Date Received �--� Phona Conlad for Permft 8�$ 62� 1357
<br /> Owncrs Nema TOWNVIEW RETAIL LLC Owncra Phona Number��88B � 7Tl �3557��
<br /> ow�,ers Addr�ss �25 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
<br /> Fee Slmple Tlqeholder Name Titleholtler Phone Number � � �
<br /> Fee Simple Tltleholder Address
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<br /> Job Address 7346 GALL BLVD, ZEPHYRHILLS, FL �oi# r—�
<br /> l_1
<br /> s�o oivis�on CITY OF ZEPHYRHILLS Parcel f� 35-25-21-001 Q-0880-0000
<br /> ,_ � BiaMazard Waste Stnrage-^IWNUAL _ ,-_ ,._,. .. .-.... -,_'`:�'Fumlgatlon Tent^r. ...<:i.. .�,i S�;i:�..:':.__�:.:: ..... ... .. .. � w,...-- -
<br /> � Comm Exhaust Kitchen Hood/Quct � Hezardoua MatarieJ(Tier I�or RO Fecility)ANNUAL
<br /> OCantrolled Bum � Hood Installallon
<br /> OEmergency Generalor c 30 kw � LPINatural Gas•Installat4on
<br /> � Emart3ency GeneratDr>30 kw � LPMatural Gas-ANNUAL Sale
<br /> aRre Protectlon Malntenance-ANNUAL � Places ot Assembly-ANNUAL
<br /> �lr"I�y emi (}�nT er
<br /> Sprinkler � 0 ❑ ❑ � � Recreational Bum //
<br /> Fire Aiarm ❑ ❑ ❑ Sparklers �f �� ` 9
<br /> l
<br /> Hood Cleanmg ❑ D ❑ Spnnkler System Installations
<br /> Hood Suppression O ❑ ❑ Slandplpes(Spnnkler Sys)
<br /> � Fira Alarm Installation � Torch RoofingRar Kettle
<br /> � Fire Pumpc � Wasle T7re Slwage ANNUAL
<br /> � Fire Worics
<br /> Flammable Apphca4on-ANNl1AL. $25.QQ Valuation oF Project
<br /> � FuelTenks
<br /> � Other,
<br /> ----�-__.__�_ ,._._,_�...._.__:.��_,..::.... .... ,_:.:�__�...,a,......,.,......Y�:�.,,...�.;....::.:.:.....�,.::�.,,
<br /> Contractor - v...-J ,.,_
<br /> Campany
<br /> Slgnature Ragistered Y!N Fee Current Y/N
<br /> qddress Llcense#
<br /> ELECTRICIAN Company
<br /> Slgneturc Reglstered Y/N Fee Cunenl Y/N
<br /> Addrass LJccnse q
<br /> PLUMBER
<br /> Comparty -�
<br /> Sipnature ReQistered Y/N Fee Current Y/N
<br /> Address License#
<br /> MECHANICAL
<br /> Comparty
<br /> Signawre Registered Y I N Fee Current Y/N
<br /> Addrass
<br /> License#
<br /> OTHER JEFFERY D. BURNHAM Comparty RODAN FIRE SPRINKLERS. INC.
<br /> Signaturc Reglstered Y/N Fee Cunent Y!N
<br /> Addreaa 2 N T . TAMP L 1 Llcense#
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<br /> Directions: ---. ' ` --__.___...__._..._._.__..._._.
<br /> Ful out eppilqtion completely
<br /> Owner 8 ConVactor sipn back ol epplica[ion,noterized(Or,cnpy ol slpned contract wilh owne�)
<br /> It over$2b00,e Notice ot Commencemertt Is requi2d(Medianicsl v+ork over 55000)
<br /> Suppfy two(2)sets of drawings wlth appll�able documentatlon
<br /> AI1rnv 10-14 days for review efter suhmittal dele. Parcel t!-obtalned(rom Property Tex Notice(http://apprslser pascogov com)
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