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FF2/20/2007/TUE 11,10 AM ZEPHYPHILLS BUILDING FAX No, 813 P.002 <br /> 813=780'0020 • City of.Zephyrhiil$ l L-oo_^ Fa x- 813 - 7800021 • , '• :h, <br /> Permit Application : -•-• `. • . • •... lic <br /> • N .. J • <br /> Date Received <br /> 3;.4 � <br /> i0 ° <br /> P <br /> � - . ho - • <br /> ne Contact for Permit Y_.�M /•.i. ..�N. ..::.�.. ...... NW,.�.�!...+? e.1...�.�. •.ren.o�•.. ..'. Y .�. - ..._.._... .. -.. . ,.�...:. . �.. '__ :f. '. '. _ � .... . .... _...T+s }lIN.�S+._ <br /> Owner's Name - -..- -• J /e�i� � <br /> q �Gfi - .- _ . owner's Phone Number 949 I / 1 y z _ I3‘06' ....._ <br /> Owner's Address ar 57 3 .1 . .(:).5 . � �_ .. • . ' . ,i• . s 7 . - .3 2' y 4 <br /> • <br /> • Fee Simple TItleholder Name • . • • Titleholder Phone Number I <br /> Fee Simple Address { <br /> • N l ' yi <br /> Job Address ��� / U i �J�/' �� Lot # _ <br /> Subfivlston ,f' // i// 111COMMIIIIIIII Parcel <br /> Bio- Hazard Waste Store' <br /> tore'ge -ANNUAL '' • . ' • I • . Fumlgeti ❑n Tent • <br /> 1 Comm Exhaust Kitchen Hood /Duct I I Hazardoua Material (Tier II or RQ Facility) ANNU • <br /> I Controlled Bum 1 1 Hood Installation �,i, <br /> • El - Emergency Generator < 30 kw .. n LP /Natural Gas - Installation • , b <br /> I 1 ' kmemency Generator n 30 kw • I I LP /Natural Gas - ANNUAL Sale <br /> I I Fire Protection Maintenance - ANNUAL ' 1 I - Places of Assembly - ANNUAL . <br /> . ._ Iuttr'9I L!erra IAN Uther • • <br /> Sprinkler I• o ❑ 0 • _ • 1 Recreational Bum . <br /> • Fire Alarm '' ' n D ❑- 0 I . n Sparklers . • • <br /> Hood Cleaning IX E•• 0 . ❑ I 1 I • 1 Sprinkler System installations . <br /> Hood Suppression u ' ❑ D .❑ • I [- Standpipes (Sprinkler Sys) <br /> I • I Fire Alarm Installation . n Torch RoofIng/Tar Kettle • <br /> Fire Pumpa ' I I W aste Tire Storage ANNUAL <br /> Fire Works • • ' - • . ... • ' <br /> Flammable Application ANNUAL . 1 j Valuation of Project • • <br /> I I Fuel Tanks . ' <br /> • <br /> n Other: ______] <br /> Contractor <br /> Signature � Company <br /> ' Registered Y / N I Fes Current 1 Y / N 1 • Address 1• • . . .. . . ....1 — License# .! 1 . . <br /> ELECTRICIAN Company 1 <br /> Signature Registered Y/ N I Fee Current ' Y / N 1 • <br /> Address I . ^ I' License # <br /> ' PLUMBER . . . • Company I <br /> Signature Reglatered Y/ N 1 Fee Current Y/ N 1 <br /> Address I ' - I License # 1 <br /> MECHANICAL • Company <br /> Signature . Registered .Y/N 1 ^ Fee Current I Y' / N I • <br /> Address L 1 .License # . . - 1 . <br /> OTHER . . Company • 1 <br /> Signature . • Registered Y / N ' I Fee Current 'I Y / N 1 <br /> Address Llcenea# <br /> :... .n_..: :warn.: L r. r *r. mow. - -, .m w.•as .. r y.. v w... a: + .. .. _.� + -r nr.,. , �.,. r'� +rn_u - era ,. ....,.... ,.. .6uc ^ r.:wl^r..r.r.._ ari r. _, FY....9:rf*r�_ 1., <br /> Directions: <br /> Fill out application completely. • <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) - <br /> lf over 52500, a Notice of Cornmancement Is required.(Mechanical work over $5000) <br /> Supply two (2) seta of drawings with applicable documentation . • <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http: / /eppraiser•pascogov.com) <br /> • <br />