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<br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />City of .zephyr hills Fire <br />Permit Application <br /> <br />---~-cJcctr <br />I F1a I J ~ (.k.~. -:J.efJ "yJ )..t t&-. <br />I <br /> <br />I <br />I <br />17D50 <br />I <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />--0 <br />D <br />D <br />D <br />D <br />D <br /> <br />1f 1SB-7 <br /> <br />Fax-813-780-0021 <br /> <br />Phone Contact for Permit <br /> <br /> <br />I Owner's Phone Number <br /> <br />II <br /> <br />II <br /> <br />II <br /> <br />I Titleholder Phone Number I <br /> <br />6u-1/ <br /> <br />fj/ed, <br />I <br /> <br />I Lot# <br /> <br />Contractor Company <br />Signature Registered <br />Address I '-I7eJr C)Q.k... Pc-cr f!t- -r~ Pi- ,,,,q License # <br />ELECTRICIAN Company <br />Signature I Registered <br />Address I License # <br />PLUMBER Company I <br />Signature Registered <br />Address I License # I <br />MECHANIC4 Company I <br />Signature Registered <br />Address I License # I <br />OTHER I Company I <br />Signature Registered <br />Address I License # I <br />Directions: .- <br /> <br />EJ <br />D <br />o <br />o <br />o <br />o <br />o <br />o <br />o <br />D <br />D <br />o <br /> <br />Parcel # <br /> <br />tUl>I AII'Ill::U t"KUIVII"'KUI"'t:KI Y I_",^ l'lUIIl-t:) <br /> <br />- <br /> <br />BID-Hazard \/vaste Storage - ANNUAL <br /> <br />Comm Exhaust Kitchen HoodlDuct <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Controlled Bum <br />_ Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANfUIK <br />Sprinkler 112( h r€.. fl"-V'p <br />Fire Alarm D <br />Hood Clean/Suppression D <br />Fire Alarm Installation <br /> <br />FUllliYi:lliUII T tlllt <br /> <br />Fire Pumps <br /> <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Other: <br /> <br /> <br />Hazardous Material (Tier II or RQ Facility) ANNUAL <br />Hood Installation <br />LP/Natural Gas-Installation <br />LP/Natural Gas-ANNUAL Sale <br />Places of Assembly-ANNUAL <br /> <br />Recreational Bum <br /> <br />Sparklers <br />Sprinkler System Installations <br />Standpipes (Sprinkler Sys) <br />Torch Roofing <br />Waste Tire Storage ANNUAL <br /> <br />-I Valuation of Project <br /> <br />~Sjrn-~/.v b-t-10r=J( <br />Y I N Fee CUrrent Y I N <br /> <br />Y I N I Fee CUrrent <br /> <br />Y/N <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Y I N I Fee CUrrent <br /> <br />Y IN I <br />I <br />- -~ <br /> <br />Fill out application completely. <br />owner & Contractof signoaCk .of applicati6h,notariZea{Ot;copy.ofsigneacon1FclctWitl1 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. <br />