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s�3aeo-oo2o City of Zephyrhills Fire Fax-e�s-�saooz� <br /> Permit Application <br /> Date Received '� '� Phone Contact for Pennit 813 621 1357 <br /> ow�er's Name TOWNVtEW RETAII LLC pw�er's Phone Number 610 667 5840 <br /> owner6 nddress �25 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-21 p2 <br /> Fee Simple Titleholder Name Titleholder Phone Number � � � <br /> Fee Simple TiUehotder Address <br /> dob nddress 7348 GALL B�VD,ZEPHYRHILLS,FL �ot u �� <br /> Su6 Division CITY OF ZEPHYRHIi.LS Pe�G�# <br /> � Bio-Hazard Waste Storage-ANNUA� Q Fumigatfon Tent <br /> � Comm Exhaust Kitchen HoodlDuct Q Hszardous Material(Tier II or RQ Facility)ANNUAL <br /> � Gontrolled Bum O Hpod Insta►latlon <br /> QEmergency Ge�erator t 30 kw Q lP/Natural Gas-InstallaUon <br /> � Emergency Generata>30 kw � �PMatural Gas-ANNUAL Sale ���/// � <br /> oFire Protaciion Malntenance-ANNUAL � Places ot Assembiy-ANNUAL J�'/� <br /> � em� � er / � <br /> Sprinlder � � O O � � Recreatlonai 8um <br /> Fire Alertn � ❑ � ❑ � � Sparklers —,___. <br /> Hood Cleanin9 � ❑ ❑ Q � � Sprinkler System Installetions <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> OFire Alarm Insiallatian Q Torch RoofinglTar Kettle <br /> oFire Pumps a Waste Tire Storage ANNUAL <br /> Fire Works <br /> FlammaWe Application-ANNUAI $25.00 � Valuation of Project <br /> oFuel Tanka <br /> Q Other <br /> Contractor Gorr�any <br /> Sig�ature Registered Y/N Pee Cuvent Y/N <br /> Adtlress licanse�i <br /> ELECTRICIAN Company � <br /> Signa�ure Registered Y/N Fae Cu�rent Y/N <br /> AOdress Llcense 31 <br /> PIUMBER Compeny �� �� � <br /> Signature Registered Y!N Fee Curtent Y/N <br /> Address License# <br /> MECHANICAL Campany �— <br /> Signature Registered � Y/N Fee Current Y!N <br /> Address �Ice�se# <br /> OTHER JEFFERY Q. BURNHAM Company rRODAN FIRE SPRINKLERS, INC. <br /> Signature Reg�stered � Y 1 N Fee Curcent Y!N <br /> Address 1 ] F License# <br /> Directions: <br /> Fill oui application compietNy <br /> Owner&Contractor sign back of application,�otarized(Or,copy of sigaed contract with owner) <br /> H over 52500,a Notice of Commencement is required(Mechanical work over 55000) <br /> Suppiy two(2)sets Of drawings with applicade documentaGon <br /> AUow 10-�4 days for review aRer submittal date. Parcel p-obtained trom Property Tax Notice{http:/Jappraisecpascogov.com) <br />