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ais-7ao-oozo City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Appiication <br /> Date Received r � Phone Contact for Permit 813 621 1357 <br /> Owner's Name TOWNVIEW RETAIL LLC Owner's Phone Number C� � �� <br /> Owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102 <br /> Fee Simple Titleholder Name Titleholder Phone Number C� � �� <br /> Fee Simple Tilleholder Address <br /> JobAddress 7306 GALL BLVD, ZEPHYRHILLS, FL �ot� �� <br /> suboivision CITY OF ZEPHYRHILLS Parcelit 35-25-21-0010-0880-0000 <br /> � Bio-Hazard Waste Storege-ANNUAL Q Fumigation Tenl <br /> O Comm Exhaust Kitchen HoodlDuct Q Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<30 kw � LPMatu21 Gas-Installation <br /> � Emergency Generator>30 kw a LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL Q Places of Assembiy-ANNUAL <br /> ��y emi �n er ❑ ,e <br /> � ') <br /> Sprinkler � ❑ ❑ Recreational Bum � �� l/ <br /> Fire Alarm � O ❑ ❑ � � SparWers / <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Instellations <br /> Hood Suppression D ❑ ❑ Standpipes(Sprinkler Sys) <br /> OFire Alarm Inslaltation Q Torch Roofinglfar KetOe <br /> � Fire Pumps � Waste Tire Storaqe ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL �25.00 �1 Valuation of Project <br /> Fuel Tanks <br /> QOther: <br /> Contractor Company �— <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRIC�AN Company �— <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License tt <br /> PLUMBER <br /> Campeny —� <br /> Siynature Registered Y/N Fee Current Y/N <br /> Address <br /> Licanse# <br /> MECHANICAL Company <br /> Slgnature Registered Y!N Fee Current Y!N <br /> Address <br /> License# <br /> OTHER JEFFERY D. BURNHAM company RODAN FIRE SPRINKLERS, INC-� <br /> Signature Registered �(/N Fee Cunent Y/N <br /> Address License�t 1 <br /> Directions: _ _ <br /> Fill out applicalion completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over 52500,a Notice o(Commencement is required(Mechanical work over$5000) <br /> Supply two(2)sets ot drawings with applicable documentation <br /> Allow 10-t4 days for review after submittal date. ParcN#-oblained from Property Tax Nolice(http://appraiser.pascogov.com) <br />