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813-780-0020 <br /> C►ty of Zephyrhills Fire Fax-813-780-0021 <br /> Perrtrit Application � <br /> Date Received <br /> , •__ ��mm,:�±�. ' � PbOne COntad for Permit <br /> }�} <br /> �-=� �-- �n� ����_ �9 43 <br /> - -- 9yz <br /> � ._�_ _:,:2t,�T.�.�:�r,:- <br /> Owner's Name l�l'{G'12.�'1/0 O fb t � A'�f(, ,-..... .... <br /> 39 ��N�� �i� p� �7qo <br /> Owner's Addregs i1 mE r,y y. q y 7�qy 1u s G� ?f'J5 Q <br /> Fee Simple Tiqehoider IVaryK � � ���''''''''''''���---------��� <br /> Fee Simple TiUeholder/��g �P�1e Numbef f j <br /> ., u <br /> . . .::r;.�,EJ��.i"�'�'_ <br /> . . . .T, . ^ .. <br /> /�. � ' - ..'�''�i�aAMN�+�i�bl1'(it�. .';_:_ .. <br /> JobAddress 3g'�p�,j �lm� -.: . - <br /> r�ysr l�/fiY Z�t�s FL 33SSfo <br /> 5ub Division Lo1 A� � <br /> =.. ,...�:�.���:. . .. Parcel� <br /> ,..., _._. � .. <br /> ❑ *�..-�-+�;t�- ; .� <br /> ,�«: �;;�,..-- �.__ I <br /> Ha2ard --+� ,�.�,___ <br /> Blo- Waste Sbrape-AI�MUAI. — -- . ��'�'�a��'- ,,,��'� <br /> ❑ CortKn Ezhaust Ki6ehen Hood/aua a �dous MaOGial jTter 11 or RQ FaalftY)ANNUAL _ <br /> ❑ Conholled Bum � f��Aation <br /> ❑ �Gerler86�r l3q�, a ��.�11861On <br /> ❑ �me►9erx�Genera6Dr>30 kw a ��G�'ANNUAI.Sale <br /> � Fire^rotection Maimenae�p�. a P����bN ANNliAL <br /> '�� �� Q ���s�, <br /> svriMcler �( ❑ � 1� � ❑ sPaAclers <br /> Fire Alefm ❑ ❑ a � ���� <br /> � ��� <br /> Nood Geaning � �Idcler.Sya�em Insfallations �J <br /> o ❑ o <br /> Nood Suppreasi� � ��fHPa.(�nkkr SYS) �?i <br /> ❑ ° ° ° ❑ rord,Roorr�tTar Ketde <br /> FireAiSrm Instalq�Opn (�.� <br /> Fire Pumps �.1 �T���@e AMNUAL <br /> Fire yNptkg <br /> FlemrtleblE/►ppiicatiprti�, <br /> � Fuel Tanks �/31U3bOf1 Of PfOJ@CT <br /> a �,�: <br /> , �:_ �., <br /> �_ <br /> ContraCtor •. .. ' _ „ ,..w�„ <br /> . . � � � � ��.�.�-. s�,i .�.�;.;...::,..; <br /> Signature �y . T i <br /> Aoaress j R� Y/.N:,.� pee Current Y/N <br /> c�ECTRicuw �oenses _91[�O��ane� <br /> Signature <br /> �'. <br /> Address � Y/N . Fee Cutrent Y/N <br /> i'!UMBER �C# .. <br /> rt)nature , �y <br /> Addr255 _ �G�d . . Y L N . FEE CUffEflt Y/N <br /> iv1 E CHANICAL �IOQf1,4a�! <br /> :;,ynature �y <br /> Aadress � . Y/N Fee Cument Y/N <br /> G i HER 1,Ip9�ge� ' . <br /> `:grature r,�,,�� <br /> ,....'wi! <br /> : <br /> Address Re9�sred Y/N Fee Curr�t <br /> Y/N <br /> , __.... <br /> [:rEC'ior�5. ..__`_ � ' . . . <br /> _ -:�_.... : _ �130 t <br /> Fill pu�aPWkation oOmple6eiy. •,> <br /> OWD2r&�CpOp7LYpf $�.� . - � . .••••• •--.• •, .,.. ... � <br /> Ii over S250p,a N�pf�� <br /> ��� (Or.�PY ot cipned contraet wrth owner) <br /> Suppy twio(2�se�s of drawirg$w�. ���worlc over•�S000J <br /> Alfow 10-14 d �� - <br /> aYs for revieyv a��� . �.` <br /> Pa►cet#-obtained frpm p�op��y T�z Noti�e{httpJlappraiser.Pesoogov.com) <br />