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<br /> ' `"`ats-7&o-0020 � Cify ofZephyrhillsFir�- � Fax-s�saao-oa2�
<br /> ; � z ', Permit Applicafton -_
<br /> Date Received . � - �Fhone Corrtactfor Permit
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<br /> Owne�s Name ANDERSON PRESSURE Owne�s Phone Number •� � (�
<br /> owners adaress_ 5104 MI7RRAY HILL DR —
<br /> Fee Simple TiUeholde�Name " T�IeHolder Rhone Nurti6er � � �
<br /> Fee Simple?'�UeholderAddress �
<br /> a<:<�,._r.,:. .� ..•. �
<br /> ��� >.,-r-;€�=ti�e..��._";�a--�-�.�����'�::a��"�.� �`����:�="'�..�"�� . -�<� °_L..�.a�::-`_._._'-'s- "�'s- `�'�
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<br /> Job Address GOLDEN CORR.AT� 68SS GALL BLVD. Z��T S '�, 33 - ' Lot#~rv .�
<br /> 5ub Division Parcel#
<br /> .�--�:,.�"'=a��-����..:._.v:._.:r.�v.:.�,-�._„ :•_�.:., -..� :., :s ��� .. .,....,..- �°-��s�;aE,�.+-� . ::�'.,�v , : ."--�:�-�..,,-x�,.w. �,5-:�--r,-:v�.:-:�.rz.M:�n,;�>...:��w�.:.'=r.a.�}
<br /> � Bio-Heiard Waste Storege-ANNUAL . � Fumigation Tent '
<br /> � Comrti F�chaust fGtchen Hood/Duct � Hazardous Material(Tier II orRQ Facility)ANNUAL
<br /> � Controlied Bum � Hood installation �
<br /> � - Emergency Generator<30 kw � LPMatural Gas-Installation ��
<br /> � Emergency Generator>30 kw � LPMatural Gas-ANNUAL Sale � ` ��
<br /> � Fre Protection Mairrtenance-ANNUAL � � Places of Assembly-ANNUAL. � `� , �
<br /> �y emi � er ,�( �/
<br /> Sprinkler .❑ ❑ ❑ ❑ .� � Recreational Bum
<br /> Fre Alartn � Q ❑ ❑ � �. Sparkiers �
<br /> � Hood Cieaning � ❑ ❑ ❑ � � Sprinkier System Installations
<br /> . Hood Suppression � ❑ ❑ . ❑ � .� Standpipes(Sprinkler Sys) .
<br /> � � Fre Alarm instailation � Torch Roofingffar Kettie
<br /> _ a Fre Pumps � � Waste Tire Storage ANNUAL
<br /> � Fire Works
<br /> �. Flammable Application-.ANNUAL ,V31U8fiUfl Of P�OjECt
<br /> � FuelTanks, � - -
<br /> � Other.
<br /> ��--'�,.��:•u.„n���--�,��.,�� �.�,,�^s��._c,-.T����v-+:�-:�,•*�-g,.,_ - - - -•-_";I���s�.;.�:�—°���`' -- �x.
<br /> Contracfor Company
<br /> Signature ' Registered Y/N Fee Current Y/IV
<br /> Address License#
<br /> ELECTRICIAN �Company
<br /> Signature � � R2gistered Y/N Fee Current Y/N
<br /> Address license#
<br /> PLUMBER Company
<br /> Signature Registered Y/N Fee Curtent Y/N.-
<br /> Address � - License#
<br /> MECHANICAL Company
<br /> Signature Registered Y/N Fee Current Y/N
<br /> Address �License#
<br /> OTHER � '� Company �
<br /> Signature � Registered Y/N Fee Current Y/N
<br /> Address License# •
<br /> - - - .•�..�. -- - -- - - -- � ,�n�:�--��
<br /> Directions: . .
<br /> Fill.out application completely. _. , . .
<br /> Owner E�Contractor sign back of application,notar¢ed(Or,copy of signed contract with owner)
<br /> lf over$2500,a Notice of Commencemerrt is required.(Mechanicai worfc over$5000) .
<br /> � Supply two(2)sets af drawings with,applicabie documentation
<br /> Alfow 10-'14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com)
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