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813-780-OOZO \ �-U-�-''+ �,��t (ill�l Oi LBphyfhlllS fI1�E Fax-813-780-0021 <br /> ��Y�b��� . � Permit Application <br /> oate Recetved r - Z 7-13 Phone Contsa for PermR �� �7 7340 <br /> owners Name Ze h rhills Eiks Lod e owners w,ons Numbsr 813 82 4604 <br /> owners�adr.ss 6851 W i re Rd <br /> Fee Simple Tideholder Name Titleholde►F'Fwta Number � � � <br /> Fse Sirr�le Titlet�older Address <br /> Job!►ddross 33540 lot# � <br /> Sub Division Pa►cel# <br /> � Bio-Haza�nd Waste Storage-ANNUAL � Fwrdpatbn Tsnt <br /> a Comm Exhs�t Kitchen HoodlDuct a Hazaidoua Matarfsl(Tier It or RQ Facility)ANNUAL <br /> QContrcdled Bum � Fiood Installation <br /> � Emergency Generator<30 kw a lP/Natura!Gas-ir�atfon <br /> Q Emergency Generator>30 kw a LP/Nahuai Gas-ANNUAL Sak <br /> Q Fire Protecdon Maintenance-ANNUAL Q PI�of Assembly-A�INUAL <br /> � � � � <br /> Sprinkler � Q � O � Recreatf�al B�xn <br /> Fre Alartn � 0 O � � a Sparklsrs <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkbr System InstallaHons <br /> Hood Suppresslon a ❑ ❑ ❑ ReP�Pe � StandpiPes(SPrinkier SY$) <br /> QFire Alartn InsteOation a ToeGh RoofinSlTar Kettle <br /> Fre pumps o Waste liro S6orage ANNUAL <br /> F'ire works <br /> Flammable Applicetfon-ANNUAL $ g�o0 00 � Valuation of Project <br /> Fuel Tanks <br /> oQ�; Repipe for rearranged cooking appliances. <br /> COMracWt Company <br /> signature Reg�aterod Y/N Fee Current Y/N <br /> Address License# <br /> EIECTRICIAN Compeny <br /> S3gnatur�e � Regia� Y!N r-ee Curtsnt Y/N <br /> Address License# <br /> PI.UMBER Company <br /> s;gnature Reg�siered Y/N Fee Cument Y J N <br /> Addross Lice�e# <br /> MfCHANI ConN�any <br /> s�gnature Regtstered Y/N Fea Curtent Y/N <br /> Address License# <br /> OTHER ComPany Securit Fire E ui ment LLC <br /> sipr�ature Rogistered Y!N Fee Carent Y/N <br /> Addross 18330 Lawrence Rd Dade Cit FI 33523 License# <br /> a�;�: . <br /> Fiii out applfcaRion completeiy. <br /> Owner 6 ConMactor sign back af appllcaUon,notarfzed{Or,copy of signed cor�tract wHh owner) <br /> H ov�er 52500,e Notice of Commenoement is required(Mecbenfcai woric over E,5000) <br /> Supply two{2}sets of drawfngs wilh appl�able documerdab� <br /> AOow 10.14 days fa review after subm3ltel date. Parcei#-obtained from Property Tax Nodce(httpJlapp►siser.paseogov.com) <br />