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s�3-7ao-oo20 Ciry ot Zephyrhills Fire Fax-913-78p-0021 <br /> Permit Application <br /> Dete Receiveaf �r `� Phone Gonlact far Permit 2 <br /> . . s�:�-w,.,�.,q.—,...�.n..�--,.-..-.,..�9�a�:�!*�n»m�rc�.�m�,.-,-�.�-n.M::,x«�er+��'�- . _ a, .. e�as•�4�z�,s�-� « <br /> Owners Name Zephyr Haven Rehabilitation pwner's Pfione Number �� �� � <br /> c�rs ada�$s 3825Q A Ave Zephyrhills, FL 33542 <br /> l=ee Simple TiUehalder Name 7itleholder Phon�Number � � � <br /> Fee Slmpie Tft�eFwider Address <br /> Job Address Lot# � <br /> Sub Division Parc:ei# <br /> Q Bio-Nazarc!Waste Siorage-ArINUAL Q Fumigaticn Tent <br /> � Comm ExFraust Kitchen Haod/Duct Q Mazardaus Material(Tfer II or Rp Facility)ANNUAI. <br /> � Controiled Bum a Nood instaitatian <br /> � Emerge�y Ge�er�tor<3Q kw Q LP/Natural Gas-Inslalladan <br /> � Emergency Generator>30 kw o LPlNetural Gas-ANNUAi.3ate <br /> � Fire Protection Mainlenance-ANNUAL Q Places ot Assembly-ANNUAL <br /> 'C[�y emi � er <br /> SpriMcie� � O Q O � Ftecreatlanst Bum <br /> Fire Alartn � f7 ❑ O � � Sparklers <br /> Hood Geaning � ❑ CJ O � � Sprinkier System Instaliations � f �� �� <br /> Nood Suppressfon � C} Cl O � � Standpipes{Sprinkler Sys) <br /> � Rre Alarm Instaliation � Toroh RooflnglTar KetGe <br /> � Fire Pumps � Waste 7'Ire Storage ANNUAL <br /> Fire Works <br /> FlammableApplicatiora-ANNUAL r $14,16, 6.48 1 Valuation of Project <br /> Fuxel Tank& <br /> �. <br /> � Other. Instailation o approximate (26 sprin er heads under autside awnin s per AH requ�rements. <br /> CanVactar �Da�Y <br /> gig�� Reg;stered Y 1 N �ee cument Y!N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address �icense# <br /> PLUMBER �PanY <br /> gi9�t� Registenad Y/N Fae Current Y/N <br /> Address license# <br /> MECHANICAL �r4 Company <br /> g;g�� Registered Y/N Fee Cwrent Y f N <br /> Address Ucense# <br /> OTHER ��►P��Y <br /> Signature � Registered Y/N Fee Curront Y/N <br /> p��s liCense# �� <br /> I�r,: ._t �—Ss� n^- � �sm a..-m+. �r'a+�° _ .;?�`�., ..f -.'— ^�as '—"--�"e�' '�--�m•���t�.�.3�p,-�+^_ ,. <br /> CH(6Ct10f1$: <br /> Fiil out ap�piication compietely. <br /> dvmer&Contractor sign back of appiicetion,natari�d(th,copy of signed contract with owner) <br /> N aver$2500,a Na6ice ot Commencement fs required(Mechanical work over�6000) <br /> St,�pply txro(2)sets of drawings with applicabie documentation <br /> Albw 10-14 days tor review after submiltai date. Par�ce)#-oblained from Property Tax Notice(httpJ/appraiser.pascogov.com) <br />