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09/04/2009 10:50 FAX a 006 <br /> q5I • <br /> 813.78t -'ooz0 City of Zep hyrh ills Fire: Fax - 813-790 -0021 <br /> Permit Application <br /> Date Received . . • :;• Phone Contactfor Permit 1==i � — <br /> Ov net's Name S TMPT,F,7CC;'R TNNELL 1 Owners Phono Number . 813 626 J 15 4 8 2 <br /> Ov ner's Address 4701 Oak Fair Blvd TAMPA FL 33610 <br /> " • <br /> Fe : Simple Titleholder Name Titleholder Phone Number I 1 1 <br /> Fe'Simple titleholder I - - <br /> Jot Address — 7 69 `"I 7 Cl c. c?)I vG • lie Ph6YhItI s ,,-- J35k-iI Lot# 1 <br /> Sul, Division Parcel # I <br /> Sio-H Hard Waste Storage - ANNUAL = Fumigation Tent <br /> . D Comm Fodiaust tatehen Haod /Duct = Hazardous Material (Ter 11 or RQ Facility) ANNUAL <br /> D . • Controlled Bum n Hood Installation <br /> Emergency Generator < 30 kw 0 • LP /Natural Gas - Installation <br /> - Emergency Generator > 30 •kw LP /Natural Gas - ANNUAL Sale <br /> Fire Protection Maintenance ANNUAL ' • . I 1 Pieces of Assembly-ANNUAL <br /> �-; f y u 1 J Mil comer F Sprinkler d e r , D O l J • <br /> prir Recreational Bum <br /> • <br /> • • r; • . Fire Alarm . ❑ ❑ ❑• I , (, 0 Sparlders , - <br /> = S rinerm Installatfoha • Hood Clean ❑ ❑ I ld5 <br /> P Y te <br /> _ . ' Hood= SUPpre sIon' :., ..�Ji p .. P_ • . A .•! 1,• . : = Standpipes (Sprinkler Sys). . _ .. ., ,. , . • ..: <br /> — `.!.. -. �' FireAat fns IIatlon _.._ -- 7. ....._w... - -- _ - T•or n RabFg tar a'•. ;.. • *.-,..'''.".e.- - _..• --- • '• - • - •— • <br /> P re Pumps _ Waste Tire S torage AN <br /> . ,i, • gif ' - Fire Works , . , - <br /> -,• Flammable Application- ANNUAL ` <br /> .1 Valuation of : . <br /> roject <br /> ' . Other: <br /> Con rector ' . Company rrrt 0 ,, r fC t • <br /> Sigr attire i ' . Registered Y / N • Fee Cunnt I• YIN I - <br /> . Addres•5 • I ; . , .. , . . , • r. _ . I . License # <br /> ELE;TROJAN "f.".- . ,; !- ! ComPanY ,• ' *,- ... -. • : • , <br /> Sign tura ..,• ' •' . . • •, . I <br /> • Roglstered • , l• Y/ , •FeeCurrytt• I;r.•;Y /N .,.1p.: <br /> Address I 4; . I License # ; .r 1 <br /> .PLU:dBER - �. ' CompOrty s + : ;'• : r <br /> Sign iture Registered Y / N Fee. Cunent'• Y / N;° . • <br /> • <br /> • Address I . • • • I License # , ' . I <br /> MEC 4ANICAL Company. • <br /> • Sign; dire - Registered Y/ N I Fee current I Y 1 N J <br /> . Address I; - ' • . I License # I <br /> OTHI _R - - Company . - - • Slgris bare Registered Y / N 1 Fee Current I Y / N • .I <br /> Address License # • <br /> _ . , - -- <br /> Dirac ions <br /> - - Flfl out application completely. <br /> Owner & Contractor sign back of applleation, notarized (Or, copy of signed contact with owner) - <br /> If over $2500, a Notice of Commencement Is required.(Mechanicral work over $5000) . <br /> Supply two (2) at of drawings With applicable documentation <br /> Allow 10-14,days for review alter submittal date. Pan:e1 i/- obtained from Property Tax Notice (httpl /appraiser.pascogov -com) <br /> • <br /> • <br /> • <br />