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a«-�ov-uvzo City af Zephyfiitls Fire Fax-813-786-OQ21
<br /> Permit Appiication
<br /> ate Received rv { Pfione Contact for Permit Y��� ��.';�-�
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<br /> �e Slmp4e Titiehoider Name Titiefiolder Phone Number C� �� l�..l
<br /> �e Simple TitVeholder Address
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<br /> �b Address� Lqt# C�
<br /> �b Division Parcel# -
<br /> 2� � _-�_�� �_� ��v„�
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<br /> Q Bio-Hazard Waste Storage-ANNUAI. � Fuinigation Tent �
<br /> Q Comm Exhaust Kitchen HoodlDuct � �tazardous Matenai(Tier It or RQ Facility}ANNUAL
<br /> � Controlled Bum � Hood tnstaliation
<br /> '� � Emergency Generator<3p{tw � LP1Natura�Gas-installation
<br /> � Emergency Genera#or>34 kw LPMatural Gas-ANINUAL Sale .
<br /> � Fre Protection Main#enance-AFiNUAt � Places of Assembiy-ANNUAL
<br /> �� em� An er .�����
<br /> Sprinkler � ❑ � � � � Recreationai Bum �
<br /> Fre Alarm � C1 O D � � Sparklers ,��T I ���
<br /> «
<br /> Nood Cleani�g � O ❑ ❑ �� � Sprinkler System Instatiatiqns
<br /> Haod Suppression � � ❑ ❑ � � Standpipes(Sprinkler Sys}
<br /> o Fire Atarm tnstallafian Q Torch Roofing(far Kettte
<br /> o Fire Pumps Q Waste Tire Storage ANNUAL
<br /> � Flammabia Apptication-ANNUAL ��� Valuation of Project
<br /> � Fuei Tanks
<br /> Q Other:
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<br /> ontracto� Company . .
<br /> ignatur��� �� Registered Y/N_ Fee Cnrrent Y/N
<br /> Address License# �•
<br /> I.ECTRtCtAN Company �
<br /> ignature Registereci Y/N Fee Gutrent Y/N
<br /> Address - License#
<br /> LUMBEFi ' Company .
<br /> ignature �e��stered Y/N Fee Current Y I N
<br /> Address - License#
<br /> ECNANtCAL Company
<br /> ignature Registered Y/N Fee Current Y/N
<br /> Address License#
<br /> THER � Company
<br /> ignatura Registered Y/N Fee Curcent Y/N
<br /> Address License#
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<br /> irections:
<br /> FiII aut apptication compietely.
<br /> Owner 8�Coniractor sign 6ack of appticatian,natarized{qr,copy of signed contract with owner)
<br /> If over$2500,a Notice of Cqmmencement is required(Mechanical work over$5000)
<br /> Suppty two(2}sets of drawings with applicable documentation
<br /> Aitow 10-'t4 days for review after submsttal date. Parcel#-obtained fram Property Tax Notice(httpJtappraiser.pascogov.com}
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