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813-780-0020 City of Zephyrhiils Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit <br /> Owner's Name Owner/s�Phone Number ] <br /> Owner's Address ' <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address Lot# <br /> Sub Division Parcel# <br /> Bio-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> Q Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier It or RQ Facility)ANNUAL. <br /> Controlled Bum Hood Installation <br /> Emergency Generator<30 kw LP/Natural Gas-Installation <br /> QEmergency Generator>30 kw LP/Natural Gas-ANNUAL Sale 7 }� <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> emi �n ter <br /> Sprinkler ❑ ❑ ❑ El Recreational Bum <br /> Fire Alarm El ❑ ❑ ❑ ❑ Sparklers <br /> System Installations / 1 <br /> Hood Cleaning 0 ❑ ❑ ❑ C� � S Prinkler ys <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Q Fire Alarm Installation Torch Roofing/Tar Kettle- <br /> o Fire Pumps Waste Tire Storage ANNUAL <br /> Flammable Application-ANNUAL —�� Valuation of Project <br /> Fuel Tanks <br /> 0 Other: <br /> Contractor — Company <br /> Signature i Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y i 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 <br /> License# <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> if over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />