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11-�4- 1? 1� . �� FROC1-ESSI �.i.,_q;, o T-- p?��`� '%� �^- F-��1 <br /> _ � �1-����_ _ _ , , � , �,��� <br /> ea3-7ao-oo2o City of Zephyrhills Fire FaK-a13-7B0-0021 � <br /> Permit Applicat�on <br /> J � <br /> Dale ReCe�ved Ghone ConfaCf for perm�t +�sF'?,•. ", %.35,. ��! i <br /> .ty++'�;9f,'h'",m�Titkn»'.+e��d,%�el'7�ts ., , ..... r � . .,�,,,.�:1�•K��:o�'K/r..`+A•)�s::G.4"ASS�12.tIt'5�cc?�'r,[c»sYi�rao��m.aP"+uw;"�v.:.:Y�„1,t::. ?Y g,: <br /> Ownars Name .�}' � ���, f�n.,�`S -- ((f Owners Prtone Numoer �� 7�v � ,� j <br /> , <br /> Ownefb Address <br /> Fee Simpie Tiaeholaar Name TitlBhoma�Pnone Number � � � <br /> Fee Simple Titlsho�tler AdOress <br /> t <br /> Job Address �' � � <br /> 3 I� $ �-r�r�- �at# ! <br /> Sub Dbis�on Parce!1F <br /> O8�o-Hezard Waste Storage-ANNUAL p FumigaGonTenl i <br /> � Comm EXha�s(KiICHe�NOOd/0uG � HaLaraous Msterial(Tier il or RQ Facrory)qNNUAL <br /> � Conlrolled 0urn � Nood Insts�lalion ? <br /> � Emergency Generetor:3o kw � �P/Nalurai Ga6•��5ta�ial�on i <br /> � Emergency G6neralOr>30 kw � LP/Nalufal Ges-ANNUAL Sale i <br /> F�rs Profecbon Maintenance-ANNUAL a Piaces ofASSembly-qNNUAL I <br /> 6 em� � er <br /> Sprinkler O O O � � Recreatrona�Burn <br /> Fire Alarm � O O J � p Sperklmis <br /> Nood Gieaning � O O D � p SprmKier Syslem Insta4atione ��� � <br /> Hood Suppress�on � O O ❑ � � Stanapipea(Sprinkier Sys) / <br /> a Fire Alarm Inatauation � [ <br /> p�� TOICh RpOfingRar Ketlle <br /> Fire Pumpa SC�`R-C��-�` � Waste Tire Storage ANNUAL <br /> � Fir6 Wo�ks r_ „ <br /> � Fiammabia AppliCaf�on-ANNUA� ���){ � I���3 Valuation of Project i <br /> � � <br /> fu61 TB�KS � <br /> � Olher� <br /> contracto. Company ��,Gn2 iJiG S �'a�t y-���-Ff•-•S �r�G � <br /> Sipnelure Registered /N Fee Currenl Y/N � <br /> Address ��)O 1�..�A"L.G /��Fj �I� '�l�Ffiyr��(-l�. G(� �,3G%l L�Cense# � � <br /> � 0� G 6 t� ', <br /> FLEC7RICIAN Company <br /> S�gnature Registerea Y/1�! fee Current Y!N <br /> AddrASS Li�nee# <br /> i <br /> 3 <br /> PLUMBER �pmpany <br /> Si9nature Reg�stered Y f N Fee Current Y/N I <br /> Address LiCc'nse�t � <br /> MECNANICAL Company � <br /> Signature Reg�slered Y/N Fee C�rreM Y/N f <br /> Addr�ss Ucense� ' <br /> OTHER Compa�y � � <br /> S�gnature Registered Y/N Fae Cur�ent Y/N ; <br /> Address liCenee� � <br /> .DifeCliO�a: - ��� '' <br /> Flu ouC appncabon completery <br /> Owner&Contractor sig�back of appiicaUon,notaiizeG(Or,copy ot aignetl conlract w�th owner) <br /> if over;2500 a NoUCe Of COmmencemsnl is required(Mechanicai work over$5000) <br /> Supply rivo(2)sets of arawi�gs w�ln app�icable documentet�on ' <br /> � <br /> Allow t0-t a days ror rsview afler submittal data. Parcel p-obtainetl lrom Properp�Tax Wotice(hltp:Uappre�ser.parscogov.com) <br />