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813-780-0020 ity of Zephyrhills Fire Fax-813-780-0021 I <br /> Permit Application <br /> Date Received �.S �f Phone Contact for Permit 727 1 523 1843 <br /> -----____..�,w.�� .�,...�.� �.�_._.....m_.�_.�._ <br /> c.._..,.�._.._..�......_..._.._.._._.__r_��__.___. .....�._..._._._.__. .._._ ,� __. <br /> _.��._ ..______.___._.__..._._._ . _._.._,. _�..... .._�.�.�_..�_.�__,_._.. ...._.__.._..__ _.w_.�_.M... .�_.�.._._._..._....._._. .._.�..�.»»..d_r._._,_...._._...__._.._.__. .r..< <br /> Owner's Name Townvlew Retail LLC Owner's Phone Number 610 667 5800 <br /> Owner's Address 725 Consh hocken State Road Bala Cynwyd, Pa 190042102 <br /> Fee Simpie Titleholder Name Titleholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> _____.....__,...�....�.��,._,,..._...... .�...�_ ..�.........w.M_.._..�..._... .....w..._.... .._ .. .____...�..__.. <br /> _. _..._. _. . <br /> _._..._._._�_� _._. ..__._.._.�..�..._....�......_�_._�..T.�.._ _._...,..._._.__�_....;._....:...._:��._.�_..._..;�.._��...____._�.... ._..�,._...__.�_..__. __:._._.�._..r...�...___._..___�.._:_..a-_. �� <br /> Job Address 7348 Gall Blvd Zephyrhills, Florida 33541 �ot# � <br /> Sub Division City of Zephyrhills Parcel# 35-25-21-0010-08800-0000 <br /> � _..� — __.__ ____�a_.� �. - ._. __ ----� <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> tr y emi t er � v <br /> Sprinkler � ❑ ❑ � � Recreational Bum � J <br /> Fire Alarm � ❑ ❑ � � Sparklers �L <br /> Hood Cleaning � ❑ ❑ � ■ Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ � � Standpipes(Sprinkler Sys) (.��� <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL �� �— Valuation of Project <br /> � Fuel Tanks <br /> � Other: <br /> .____._ _ ._�__,_.�__.� __��..�..�_____.�.._._.�._ _�._._._._�_____.___._ _.__.__._ <br /> �__.u._..._._.�.�_.�_._.�.._��_.,_.�_�... - _..______.__ _____. __..�._��.. <br /> _______...�_ --� <br /> Contractor B n cott Company Fire Safety Inc. <br /> Signature Registered Y/N Fee Current Y/N <br /> Address P.O. B x 17371 Clearwater, Florida 3 762 License# 748762-0001-2006 <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current 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 Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> �::_:.m�M.M.m.. , __.__.__...�__-^_.�_�- - -.. <br /> Directions:_.__. _..,_�.�..__. __..�.__�._______._.._...... .. �...�....�._...__...._� ._..._.._.__._..��..�...�.. .____�._._........_.�_._._...�...�_....__..�........_..� _ .. <br /> Fill out application completely i <br /> Owner&Contractor sign back of application,notarized(Or, opy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mec anical work over$5000) <br /> Supply two(2)sets of drawings with applicable documentat n <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />