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8137780-0020 City of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit <br /> Owners Name ® � Z'Z S Owner's Phone Number <br /> �. <br /> Owners Address t (D-4 Q -2�P <br /> Fee Simple Titleholder Name .TitlehoiderPhone Number• .. <br /> Fee Simple Titleholder Address " <br /> Job Address Lot# <br /> Sub Division - Parcel.# <br /> 0 WIN ON I <br /> IN" 41111 <br /> Bio-liaz rd Waste Si Orage-ANNUAL Fumigation Terit. <br /> Comm Exhaust Kitcheh Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> Controlled Bum El Hood Installation O <br /> Emergency Generator<30 kw LR/Naturat Gas-Installatior <br /> finergehcy Generator>30 kw LP/Natural Gas-A.NUAL Sale <br /> Fire Protection Maintenance-ANNUAL aces of Assembly-ANNUAL <br /> em ® er ` v V <br /> Sprinkler El ❑ ❑ ❑ ecreational Bum V ! <br /> Fire Alarm ❑ ❑• ❑ Sparklers n <br /> Hood Cleaning ❑ O ❑ Sprinkler System Installations I <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Torch Roofing/Tar Kettle <br /> Fire Pumps Waste Tire Storage.ANNUAL <br /> HFlammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> [� Other: <br /> Contractor Company <br /> Sign atu Registered Y'/N Fee Current IN <br /> A dress License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/�N Fee Current Y!_N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered I. Y/N Fee Current <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered I Y/N Fee Current <br /> Address License# <br /> OTHER Company <br /> Signature Registered I Y/N Fee Current <br /> Address 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$50001, <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.00m) <br />