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. fr l <br /> 813780 -0020 City of Zephyfiills fleetw <br /> Fax-813-780-0021 <br /> Permit Application • - • <br /> Date Received - 7 .1 Perndt 1 11 1 I j <br /> Owners Name - " 116 , Ali Owns Phone Number 1 1 1 1 <br /> owners Address 4. 0 - 4li1rd <br /> Fee Simple Titleholder Name Titleholder Phone Number I I I <br /> Fee SinpNlltleholderAddress I I <br /> �_'���L�e���/ � _ ���, ` ' Lot <br /> Job Address ____ -- — -- — — — <br /> Sub Division Parcel 0 '' <br /> 0 Bio-Hmrd WarAe Storage - ANNUAL • 0 Fu igdon Tent • <br /> D Comm Exhaust !Utensil Hood/Duct 0 Hmrdous IAstsrW (Tier II or RQ Facility) ANNUAL <br /> 0 Controlled Bum Hood Iron <br /> 0 Emergency Generator < 30 kw 0 LPititural Garinstallation <br /> jil Emergency Generator > 30 kw 0 LPNNatraal Gas4INUAL Sale <br /> Fke Protection Maintenance - ANNUAL 0 Places of Assembly-ANNUAL <br /> ® ®® <br /> Sprinkler D 0 0 0 Bum <br /> F. Alarm 0 0 0 Speriders <br /> Hood Clewing 0 0 0 Sprhw.r System I_Natlatlon1 - <br /> Hood Suppression 0 0 i Slsndpipes (Sprinkler Sys) <br /> Fire Norm Insfahtlon _ Torch Roo0npffar Katt e • <br /> Are Pumps , _ - - . Waste Tim Storage ANNUAL <br /> • <br /> Finns. Application - ANNUAL 1 I Valuation of Project <br /> Rai Tank 1 <br /> 0eSr: • corpora /aj:�,*.1 Ir��"r4 .1..`Ir/ <br /> Signature etor iieglatned [L� II [�T <br /> Address w47K-Orei'r±- y/ /1/.►'. t1 �!11. 11 GefAr47 / 11111 . Uwe* # ;E> a.170..1WW∎l'7.:4. i ; <br /> ELECTR <br /> Signature Registered Y / N Fee culvert Y / N <br /> A d d r e s s 1 License * L -. <br /> I <br /> PLUMBER I Registered ` Y/ N 1 Fee Current I Y/ N <br /> Signature I <br /> Address I 1 tense S I <br /> ME I I <br /> Sgnbae I Registered I Y/ N F. Current 1 Y N <br /> Address I 1 License * I I <br /> OTHER I I <br /> • <br /> Signsture I' Registered 1 Y/ N • � Fee Current Y N <br /> ent 1 <br /> Address I ___I License • . I ( , <br /> Directions: <br /> FM out & Contact rPLMMy. noterta.d (Or, copy a sigrnd =enact wtrh owner) <br /> Owner & Ca,tror sign beck a application. work over *9000) <br /> If owr *2900. a Notice a Commencement is required (Madonna! <br /> Supply two (2). eats of drawings .4111 appheebie doc umemYillof <br /> Mow 10-14 days for review ante submitW date. Parcel # - obtained from Property Tax Nodes (httpy/appveieer.pasoogov -com) <br /> • <br />