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813-626-0143 09 23 31 a m 08-26-2013 8/15
<br /> 813-780-Oii20 City of Zephyrhills Flre Faz-813-7B0-OOZ1
<br /> Permit Appllcation ,f
<br /> 08te Received Phona G
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<br /> tau ror Parmrc 813 621
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<br /> owners Name TOWNVIEW RETAIL LLC Owners Phane Number «610���Y 667 5800���
<br /> ow,r,ar6 aac�as6 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102
<br /> Fee Sfmple Titleholder Name Titleholder Phone Number � �J �
<br /> Fee Slmple TlHefiolder Address
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<br /> Jo6Addresa 7348 GALL BLVD, ZEPHYRHILLS, FL �otp
<br /> SubDivision CITY OF ZEPHYRHILLS P8�e1�
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<br /> O Bfo-Hazard Waste Storage-ANNUAL � Fumigadon Tent
<br /> O Carim Exhaust Kltctien Hood(DuU � Hazardous Malerial(Tier II or RO Facility)ANNUAL
<br /> � Co�trolled Bum � Hood Installadon
<br /> OEmeigency Generator�3D kw � LP/Natural Oas-lnstellatlon
<br /> � Emergency Generalor�30 kw O LPlNatural Gas-ANNUAL Sal•
<br /> � Fire Protection Malnlenance-ANNUAL � Places ol Assembly-ANNUAL
<br /> � emi � er
<br /> Sprinkler � 0 ❑ ❑ � � Recreatlonal Bum j fL���
<br /> Fiie A1arm � ❑ ❑ ❑ � � Sparklers '� / T
<br /> Hood Cleaning � O O ❑ � a Sprinkler System Installations
<br /> Haod Suppresslon � ❑ ❑ p � � Slandpipes(Spfinkler Sys)
<br /> � Fire Alarm Instalial�on O Tor�RoaMglTar Kettte
<br /> � Fire Pumps a Wasta Tlre Slorage/WNUAL
<br /> Flre Wwk�
<br /> � Flammable Applicallon-ANNUAL $25.00 Valuation of ProJect
<br /> Fuel Tenks
<br /> O Other,
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<br /> Company
<br /> Signalure Registered Y!N Fee Current Y/N
<br /> Address
<br /> License�l
<br /> ELECTRICIAN �P�y
<br /> S�gnawre Reglstered Y/N Fee Currem Y/N
<br /> Address
<br /> License#
<br /> PLUMBER Company
<br /> Slgneture Rcgletared Y/N Fee Currant Y/N
<br /> Addrese Llcense M
<br /> MECHANIGAL Ganpany
<br /> Signature Reqistered Y/N Fee Currenl Y/N
<br /> Address
<br /> Llcense tl
<br /> OTHER JEFFERY D BURNHAM Cwnpany RODAN FIRE SPRINKLERS, INC.
<br /> Signature Registered Y/N Fee Gwrenl Y/N
<br /> Address
<br /> ; _ Llcense A
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<br /> Directians. ..._ _._._. ..._. _._ ._..
<br /> Fill out epplicaUon complelely
<br /> Owner 8 Contractor sign bade ol appllcatlon,natarized(Or,copy of slgned confrad with owne�)
<br /> If over 52500,a Natice of C�nmencement ls requlretl(Mechanlcal work over 55400)
<br /> SuAG�Y►wo(2)set5 0!drawinps with applipWe d�umentaUon
<br /> Allow 16-14 days for review efter submittal date Psrcel#-ohlalned from property Taz Nodce(http://appraiser.pascogov.com)
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