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13-14649
Zephyrhills
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13-14649
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Last modified
7/24/2014 10:54:30 AM
Creation date
7/24/2014 10:54:29 AM
Metadata
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Building Department
Company Name
RJ'S WILD WILD WINGS
Building Department - Doc Type
Permit
Permit #
13-14649
Building Department - Name
ROR LLC
Address
5130 GALL BLVD
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813-780-OD20 City of Zephyrhills Fire Fax-B'13-780-0021 <br /> Permif Application <br /> �te Received PhoriB GbntgC4 itir'PeYfriit <br /> ��4PMMT�0.�S�NkUK9A�'M911Qkf�l� ��14t , •Ci+�k70'Aie <br /> vner's Name 2 ,� � �)f 6 S OwnePs Phone IVumber ( 3 �j `5� 7 <br /> uner's Address `� � 3 c� /.}L� �LV.�:'1 Z C�/J �Z�/i(�1- � 3 j 5 y 2 <br /> �e Simpie Titlehoider hlam� Tftleholder PMon�-Nu�nber �� � � <br /> �e S�mple Tittehafder Address <br /> nYaq�c�F�1.� <br /> �b Address � t) � �,,L ,3Lv, <br /> C C ��i �2���<<1 TL 3 3 � y z Ltlt� <br /> �b Division <br /> r,,,�,� Parcel# <br /> � Bin-Hazard Waste Storage-ANWUAL Q Fumigation 79tYt <br /> � Comm Exhawst Kitchen HoodlDuci � Hazardous 1�i�t&tlgl{79er II or FI�Facility)Ak�T�tJ�41. <br /> aControlleB Burn � Hood Instaifation <br /> � Emergency Genarator�30 kw � LP/Natural C3as-lnstaltafion �'"� <br /> � � <br /> �mergency Gener�for�3G kw � �f','N�;ura1 GasWktlfJU�L 5ai <br /> � Fire ProCection Maintenance-I4NNUAL � Places of Asserribly�dNN L <br /> ❑ r y em nT t ar � <br /> Sprinkier CI ❑ Cl ReareetiCnsl Bum L/' <br /> Fire Alarm � D O ❑ � Q Sp��tars �� ( _ <br /> Hood Cleaning � J� ❑ ❑ � � Spnnkler System Instal ions <br /> hlood Suppression � ❑ O ❑ �� � 5tandpipes(�prirrkl�r Sys) ' <br /> � Fire Alarm installation � 7orCh 1�oofingRar Ktittle <br /> � Fire Pumps � Waste Tire 5torage 1EWNUAL <br /> Fire Works <br /> � Fiammable Appiication-ANNUAL �""""' <br /> f Waluation of Project <br /> Fuel Tanks <br /> [� Othef: <br /> �r�»�� <br /> Contractor <br /> ,� _ Compariy o d /�.t.�-2 i C�2 ,/Z,�,{i L� G. <br /> 5ignature • -- Registered 1�/N Fee Current Y/N <br /> Address <br /> , .. <br /> . . <br /> License# <br /> ELECTRICIAN °i--"""--� <br /> Signature <br /> Companq <br /> Registered �J Fee Current Y/►V <br /> Address <br /> License# <br /> PLUM�EF2 <br /> Signa;ure Company <br /> Registered `s''/f�l Fee Current Y�1`d <br /> Address <br /> Licanse# <br /> MECHANiCAL <br /> Signature <br /> Company <br /> Registered �Y%. ,fW � Fee Current Y/N <br /> Address <br /> License# <br /> OTHEF2 <br /> Signature <br /> Company <br /> Registered Y/(V Fe�e Current Y/N <br /> Address <br /> �h�x��.����wu.�n.�n. ,. m� . �, a ,. , Ucense# <br /> ,.r,ru .:,-„ r,��r, �v;r�,�wm�'Rrse;,u,� <br /> Directions F , „� , ,.. � . ,., .�,,, �. . �i.;4�-�F��N <br /> Filt out application completely <br /> Owner&Contr2ctor sign back of appiication,notarized(Or,copy of signea contract u,ith owner� <br /> If over$2500,a Notice of Commencement is required(Mechanfcal work over$5000) <br /> Supply two(2)sets oi drawings with appliceble documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtain2d from Property Tax tJotice(http:/lappra(ser.pascogov.com) <br /> 5 3 3 � � � S'�. � C f����'e�l�t' C Lf �� 3 3.3�`� 2 <br />
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