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• � � 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
<br /> Permit Application
<br /> Date Received Phona Contact for Permil 813 621 1357
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<br /> owners Name TOWNVIEW RETAIL LLC owner's Phone Number � � �
<br />� ' Owner's Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, PA 19004-2102 -
<br /> Fee Simple Titleholder Name Titleholder Phone Number � � �
<br /> Fee Simple TiUeholder Address
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<br /> JobAddress 7306 GALL BLVD, ZEPHYRHILLS, FL �ot# �
<br /> suboivis�on CITYOFZEPHYRHILLS Parce�# 35-25-21-0010-0880-0000
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<br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent
<br /> � Comm Exhaust Kitchen Hood/�uct � Hazardous Materiai(fier II or RQ Facility)ANNUAL
<br /> � Controlled Burn � Hood InstallaUon
<br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation
<br /> � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale `
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<br /> � Fire Proteciion Maintenance-ANNUAL � Places of Assembly-ANNUAL (�"`
<br /> � emi � t er ��
<br /> Sprinkler � I�J O ❑ � � Recreational Bum � \
<br /> Fire Alarm � ❑ ❑ ❑ � � 5parklers
<br /> Hood Cleaning � O ❑ ❑ � � Sprinkler System Installations
<br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
<br /> � Fire Alarm Installation � Torch RoofinglTar Keltle
<br /> � Fire Pumps a Waste Tire Storage ANNUAL
<br /> � Fire Works
<br /> � Flammable Application-ANNUAL $25.�� Valuation of Project
<br /> � Fuel Tanks
<br /> Q Other:
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<br /> Conlractor Company
<br /> Signature Registered Y/N Fee Current Y/N
<br /> Address License#
<br /> ELECTRICIAN Company �
<br /> Signature Regislered Y/.N Fee CuRant Y/N
<br /> Address License#
<br /> PLUMBER Company
<br /> Signature Registered Y!N Fee Current Y/N
<br /> Address License#
<br /> MECHANICAL Company
<br /> Signature Registered Y/N Fee Current Y/N
<br /> Address License#
<br /> OTHER JEFFERY D. BURNHAM �omPany RODAN FIRE SPRINKLERS, INC.
<br /> Signature Registered Y/N Fee Current l�/I�
<br /> Address 1 , W I A 1 �icense# 831 310001200
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<br /> Directions:
<br /> Fill out applicalion complelely.
<br /> Owner&Contractor sign hack of application,notarized(Or,copy of signed contract with owner)
<br /> If over 52500,a Notice of Commencement is required(Mechanical work over 35000)
<br /> Supply two(2)sets of drawings with applicable documentation
<br /> Allow 10-14 days for review after submiltal date. Parcel#-oblained from Property Tax Notice(htip:llappraiser.pascogov.com)
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