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813-780-D020 City of Zephyrhills Fire <br /> Fax-813-780-0021 <br /> Permit Application <br /> Data Received �--1 Phone Contact for Permil $13 62j <br /> _ , 1357 <br /> owner's Name TOWNVIEW RETAIL LLC owner's Phone Number 610 667 5800 <br /> Owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102 <br /> Fee Simple TiUeholder Name �— � �� �� <br /> Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address 7348 GALL BLVD,ZEPHYRHILLS, FL �� <br /> Lot# <br /> sub Division CITY OF ZErHYRHILIS Parce�# <br /> OBio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen HoodlDuct � Hazardous Malerial(Tier II or RQ Faciiity)ANNUAL <br /> Q Controlled Bum � Hood Installation <br /> QEmergency Genere[or<30 kw � LPINatural Gas-InstallaUon <br /> QEmergency Generator>30 kw O LPINatural Gas-ANNUAL Sale <br /> aFire Protection Maintenance-ANNUAL � Piaces of Assembly-ANNUAL u 3 <br /> � r y emi � er ❑ � lj�� <br /> Sprinkler � ❑ p Recreational Bum r <br /> Fire Alarm ❑ p � � � � <br /> ❑ Sparklers <br /> Hood Cleaning ❑ ❑ ❑ Sprinkler System Installaqons <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofingJTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Appfication-ANNUAL <br /> � $25.00 Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> ConVactor <br /> Signature <br /> Company � <br /> Registered Y/N Fee Current Y!N <br /> Address <br /> License# <br /> ELECTRICIAN <br /> Signature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> Signawre Company �----t <br /> Registered Y/N Fee Cunent Y/N I <br /> Address <br /> License# <br /> MECHANICAL <br /> Signature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> OTHER JEFFERY D. BURNHAM company RODAN FIRE SPRINKLERS INC. <br /> Signature <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# 1 1 1 <br /> Dvections <br /> Fill out applica6on completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over 55000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow�0-tq days for review after submittal date. Parcel t/-obtained lrom Property Tax Notice htt //a <br /> ( p: ppreiser.pascogov.com) <br />