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sa3-78o-002o ity of Zephyrhills Fire Fax-813-780-0021 <br /> ; � Permit Application <br /> Date Received �'2 y ")� � Phone Contact for Permit 81 3 91 8 , 3 4 7 5 <br /> � •• . ... ._ . . . . _ • . . ... . <br /> Owners Name MATTRE S S F IRM� INC. Owner's Phone Number 71 3 9 2 3 1 0 9 0 <br /> Owners Address 5 81 5 GULF FREEWAY� HO STON� TX 7 7 0 2 3 <br /> Fee Simple Titlehoider Name Titleholder Phone Number � �� � <br /> Fee Simple Titleholder Address <br /> JobAtldress 7880 GALL ROAD� ZEPHY HILLS� FL 33541 �ot# ` '� <br /> Sub Division Parcel# <br /> 3 "` . . __-_ - , _ : ._ � � ..- «. _ _ . ,. ... ` . , �- , ..,.... .... .. <br /> � BiwHazarcl Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhausl Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<30 kw � LP/Naiural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale �/�` �(� <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �' S �� / <br /> tr y emi n t er ❑ <br /> Spr�nkler ❑ ❑ Recreational Bum <br /> Fire Alarm O ❑ �� � Sparklers <br /> Hood Cleaning ❑ O �� � Sprinkier System Installations <br /> Hood Suppression � O O � � Standpipes(Sprinkler Sys) <br /> . � Fire Alarm installation � Torch Roofing/Tar Kettle <br /> a Fire Pumps o Waste Tire 5torage ANNUAL <br /> � Fire Works <br /> � FlammabieAppiication-ANNUAL , � Valuation of P�oject <br /> aFuel Tanks <br /> Q Other: <br /> Contractor Company SECURITY AL�R�1�I' Syg'I'E�1'i�W'_ <br /> Signatute �' �� <br /> Registered N Fee Current Y N � <br /> Address 2$1 2 1\T., 3 4 th S T. TAMPA� F �icense# rEF 0 0 0 0 <br /> ELECTRICIAN <br /> Company <br />, Signature <br />, . Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER <br /> Company <br /> Signature Regislered 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 /> eDirections: " � <br /> F(II out application completely. <br /> Owner&Contreclor sign back of application,notarized(Or, opy of signed coniract with owner) <br /> if cver$2500,a Notice of Comme�cement is required(Mec nical work over$5000) <br /> Supply two(2)sets of.drawings wilh applicable documentati n <br /> Ailow 10-14 days for review after submittal date. Parcel#-obtained irom Property Tax Notice(http://appraiser.pascagov.comJ II <br />