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. a�s-78o-€�a�o , City of Zephyrhi[is Fire Fa.c-8�3-78�?-0021 <br /> Permit Applicafion <br /> Qafe Received � � Pnone ConYactfor Perrnit C�S5� 567 7340 <br /> o�.vner's t�ame Ze h rhills Elks Lod e Owner's Phone Number 813 82 4604 <br /> a�,ner�s Address 6851 Wire Rd <br /> Fes Simple 7itlehotdsr Name Titletmlder Phone lVUmb&r L_� � � <br /> Fee Simpie'fitlehoider Address <br /> .1ob Address 33540 Lot r� � <br /> Sub Givisian Parcef# <br /> Bio- -ANN � Fumigation7ent <br /> Comm Exfiau Kitchen Ho c \ � Hazardaus Mater€al(TEer fl or F2Q�aciiiYyj ANNUAL <br /> ankroil � Hood InstaElation <br /> � Emargency fi�enar�tor<3(1 kw � lPlNatural Gas-Insfaitalion <br /> � Emergenoy Generotor>30 kw Q LPlNatural Gas-ANNU,0.L Sala <br /> � Fjre Protecfion Maantenance-ANN�EIA;�L � Pfaces af Assembry-ANNUAL <br /> �t��•.r� em� A��nT er � <br /> S�rinkter � � rJ D � � Recreat[anal Burn %/� ,y <br /> Fire Aiarm � � Q � �� Q Sparklers � � `1 <br /> Hpad Ciaaning � C; D C1 � � SprinklerSystam[nstallations <br /> Haod Suppressian � f�' C � "'- �� � Standpipes{Sprinkler Sy5) <br /> � Fir�Atarrn ins;af6atian � TOrch Rflofingfiar Kettle <br /> � �ire P�mps � Waste 7irg Siorage AtINUAL <br /> Fire Warks <br /> � Flammable App[Ication-ANNUAL g E,;;r.r,n VaJuatian of Proje�t <br /> Fuei TankS <br /> � Q{(�@r' Repipe for rearranged caoking a�plEances. <br /> Contractor Campany � <br /> 5ignature Registered Y!IV Fee Cunent Y 1 N� <br /> Address Licensa# <br /> ELECTR(CIAh� Company �� <br /> Signature Reg'rsterea __Y 1�l �ee Cusrent Y/N �� <br /> ACdress Lieense t� <br /> PLUMBER Company � � �r �� <br /> Signature Reg�s#ereu' Y/N Fee Current Y/N <br /> Address LiCense� <br /> MECHAN�CAI Campany � <br /> Signat�re Regisiered Y/N Fee Cucrent �`/�� <br /> Address License# <br /> QTHER Company _`�ect.�i��"��_� qt:i oit:�.:1t j LLC � <br /> Signatura Registered Y/N Fee Current Y/N <br /> Address 1 r_s 3 G Lasti�b erlue iZci Dade Cit , F(33523 License# ,ti• , �•,�, <br /> Directians: <br /> Fili aut appticatian campietety <br /> Owner&Gonuactar sign back�f appiication,nofarized(Or,copy of signed coniract wfth ovmer} <br /> ft over$2500,a Notice of Commencement is reqwred(M,echanica!vruric over$5000) <br /> Suppiy Two(2)sets of drawings with applicabie documenfa6on <br /> Atlow 1C1-14 days for rev;ew after submitta!date. Paresl#-obtained frarn Property Tax Notice(http Itappraiser.pascogov.epmt <br />