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813-780.0020 City OfZephyrFil1 Fax-813-780-0021 <br /> Pemvt App lcalon <br /> Date Received 1 I - Phone Contact Permit 1 1 1 _ 1 1,--... <br /> Ownees Name WI I is Phan Number 1 O I3 r 1 1.(4 <! . <br /> Owners Address (1 ?F r ' '' i 0 L , / - - hire / <br /> Fee Simple Titleholder Name I J ! TiMshaider Phone Number WE ! _ ' 1 <br /> Fee Simple ?ltleholderAddress 1 1 <br /> t„ti n.rA.sar - .4 4 <br /> - — - 1 t_at# <br /> Sub Division Pared # 11111111W4 <br /> 2 _ <br /> s ry u t D Bio41azard Waste Storage - ANNUAL n Fumigation Tent <br /> ! 1-1 !- =^a_� Malarial Mar n _; nn F—Tsi � men 11ee <br /> I t o "ir Exhaust iGtdten ii0od€tYurw L _ t _ <br /> 0 Controlled Bun - I Hood Yptaieion <br /> _ Emergency Generabr <30lore 1 i _ tE'INatrrarUes staltemon <br /> Q F_nrergerxy Generator> 30 kw EJ LPAlaksal Gas - ANNUAL Sala / t <br /> u Fire Protection Maintenance - ANNUAL y� 1 Macau or f <br /> ® r--■ Cot I r <br /> SprdnId . t ? M t MS J Rer rionet Burn ✓ <br /> l=rre Alarm D Alarm ❑ z <br /> Hood Clearing 0 ® 0 1 t 1 Spereer slims= tem.ations <br /> Hood Suppaeston El 0 ❑ 0 ) ` El SlwdPiPes (SpWJ.t Sys) <br /> I Fire Alarm instrdlatlorr = Tomb liooiirgi'Tar Kettle <br /> Fire Pumps 1 Way lie Storage ANNUAL <br /> Fee Works <br /> - <br /> Flarrerrable Appicabon. ANNUAL J i fjotr of Project <br /> Fuel Tanks <br /> ED Other- i <br /> Contractor Company- signature 1CXI�l/�r/ k i 4/0 l (�!/ P o d- I Y/ 1 Fee Current 1 Y / N <br /> Address — . .1/ '' : -"" . - . se . License it 1 , 76 Sig � 0/ - Company <br /> i!f Registered YIN 1 Fee curren 1 YI I <br /> Address 1 - License* 1 <br /> PLUMBER Company <br /> Signature Registered I Y/ N 1 Fee c a ent 1 Y/ N J <br /> Address I Lam* i <br /> MECHANICAL w <br /> Signature Registered I Y/ N 1 Fee Current I Y/ N 1 <br /> Address I I License if I <br /> OTHER Company <br /> Signature Registered Y/ N 1 Fee Current 1 Y/ N 1 <br /> Address License # <br /> Directions. <br /> Fit out application compteteiy. <br /> Owner & Contractor sign back of applicdion. notarized (Or. copy of signed contract with owner) <br /> if over $2500, a Notice of Conimencarnant is required (Mechanicat work over $5000) <br /> Supply two (2) sets of drawings vii► applicable documentarian <br /> Allow 10-14 days for review after submittal dale. Parcel # - obtained from Property Tax Notice <br />