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MART28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING EAK No. B(3-780-0021 P.001 <br /> 813-7$�U20 City ofzephyfiflleFtrie� •. • Fax-a+a.�so.ao2t �� <br /> permit Applicetion -=- ' <br /> Date Ftecaived ' ' .. • . •,- .PhonB Con�tacHo�Pertnit <br /> Ownec'e Name • Ownar�Phone Number � � � <br /> Ownera Addresa � � g� � �� <br /> FeesimPleTlUBholderName � ' ' ' ' • ' lltleholderPhoneN�mbar �� � � <br /> Kee�mpleTldehaldc�Addra:a ' ' ' � � <br /> � ' �. . • • �Lot# <br /> Job Addtess ' ' . <br /> Sub Divislon Patoel# ' <br /> • Q Blo-Hazard Waete StoraBe—ANNUAL • .� ��� �� FumlpaUon7ent • . . • , . <br /> . L�., Comm Exhaust FGichen Hoodlouct: .' �� Ha�rdous Metedal�er II or RQ�eclllry)ANNUAL , <br /> �� Controtled Hum � � Ftnccl(nstalletlon . <br /> � �mergency Ganerator<30 kw • . _ � LPINatu�el Gas-Inetallatlon <br /> �Emergency Generator>3�kw , � t.PMalural Gas-ANNUpL 5elo : <br /> FlreProtec6onMa(ntanence=ANNUAL. � PlacesvfAssemblY-A�INUAL <br /> . � P l=J�' em� �� . � • . <br /> S dnkler '• ❑ ReoreaUonal Hum ; • . . <br /> • ' Fre Alarm �❑. ❑ [7'. O '� � SPwklaw : .• . • `�,_�►�.[,�� (� <br /> Hood Clasning d� ❑ D � � sPrinWerSyslem InstellaGons : . !�/-��"� " �� <br /> Hood Suppresslon . � p � ❑ �� , � Stendpfpes(Spdnklersys) � "�a �-��� �v, <br /> • � Fre Nartn Irietatteuon . . � ToM.tt Roofingffa�Ketlle; . . 1 �(y f 4 1 I ��I (� <br /> � Flre Pumpr ' ' ' ' • ' • � Wec►a 71ta Stocage ANNUAL . � � � v, � <br /> � Firo Wotke • . • • . : • <br /> _ Flemmabie AppfimUon-ANNUAL • • • � - • Valuetion�f PCOject . _ <br /> Fuel Tanks , �� �� � <br /> . [�: Other: • '. ' ' ' ' <br /> --- tn� �e� <br /> contractor %�.� �y�_, � ' � ' Company ' . <br /> Stgnawre ' Re�ictered (Y Fee Cur►Bnt Y N • <br /> Address __Lipense#�. <br /> �GEGTRICIAN ' � . ' � � CompanY ' <br /> Signatutt ' • Reg(s[e(ed• Y/N_ Fee CurtenG_ _,Y/N <br /> Addreae � �cense# ' ' � <br /> PIUMeER Campany � <br /> Sign�lure � � � Reelatered Y/N Fee Cartant Y/N <br /> Addross ' Llcenae#• • • <br /> MECNANICAG Company � _� <br /> SiBnature Rtgisle�ed Y/N Fae currcnt Y/N <br /> � Address ' . •Liceqee#. � <br /> OTHF-f2 ' � ' • Compeny . <br /> signature � Regielered - Y/N Fes Curtent Y/N <br /> � Addises ' • ' � � Llcenesi� <br /> t�LiilatM1'� i '1ka i iGi -'tm7949�°ahlhtE �i i - 1T''S�Y.� ' <br /> �IfOC�lOf1^u: • <br /> . FlII out applice6on complately. ' <br /> Owner&Caniractor eiga 6aok of applicetion,nola�ized(or,copy oFeignad contractwtth otimer) , . . <br /> � If ove�S25D0,a Notice of Commance�nant le required.(Mechenical Woi1c over$6000) • • • <br /> suppiy two(2)ee�of drawinge wilh appllcable docu�nentaQon . � � . <br /> AlIoW10-14dByeforravlowa�lereubmiQaldale. Perceli�-oblalnedlramPmpertyTaXl�loUce(hI1pJ/epptaiear.pasCOgov.wm) <br />