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• <br /> • <br /> 813- 7360020 City of ZephyrhillS fiAdtIcrn Fax -813 -780 -0021 <br /> Permit Application <br /> Date Received _ —1 ____I Permit 1 I 1 ___(_l <br /> Owners Name .. . r_mre�'. lift %Gillimpo Owners Phone Number _ <br /> Own.rs Addmes !MICJ ilreA �.. ��:�s'I��l__J r r <br /> Fee Simple Titleholder Name L Titleholder Phone Number MI 1 I <br /> Fee SlnipieTNlehoWM'Addnae I I <br /> Job Address Lot <br /> Sub Division Parcel e <br /> E Bio.Hezard Waste Storage - ANNUAL a Fumigation Teat • <br /> 0 Comm Exhaust Kitchen Hood/Duct nW C) Hazardous Me Cher ll or RO Facility) ANNUAL <br /> o Conbelled Bum o Hood <br /> M EMI MI .. R Ev»tgen y Generator < 30 kw LPnVatuel G patlon <br /> Emergency Generator > 30 kw LP/Natural Gas�1}NNUAL Sale <br /> Fire PmMctlon Maintenance - ANNUAL a Piaoas of DUAL <br /> Swinw.r 0 0 0 R.a..tl«al Scan <br /> Fire Aar, 0 0 0 — Sp•*+•re <br /> Hood casino 0 0 0 _ SpriniderSystam k.1 I.tlone . <br /> Hood spa 0 0 0 — Standpipes (Sprinkler Sys) <br /> Fire Akem kr tdetlorr _ Torch Rooting/Tar Katie ' <br /> tare Pumps - - Waste Tire Storage ANNUAL <br /> Fir. wort valuation of Project <br /> Flammable Appieatlorr- ANNUAL 1 • ' <br /> Fuel Tanks <br /> ® Chef: <br /> costa idor ® co ra" / ®r✓ :4427 :J.:Z - 11FAIL APA!A <br /> Sign ae l�0 _6►T� _ - f•d •d [t r [!?`iii <br /> Addrep 1,4170. ' ` � .11'17Airo _ : . > ®'''' a1J'' FAIII .. _ um * : " : ° : . 01.0' F.ff 9 ; <br /> ELE Con y <br /> Signature Regi.tered Y / N F.. Cu mi ' <br /> Address I I License ft I <br /> PLUMBER <br /> Signature I Registered Y N Fee Current I Y/ N I I <br /> Address <br /> License e I I <br /> I Coe eny I <br /> 3 <br /> Regawed L Y/ Nj Fee Covent j Y/ N <br /> Add ess I # I I <br /> OTHER <br /> I , Company <br /> Registered L Y/ N• I F« Owed I Y/ N I I <br /> s <br /> MO** ---1 Lio ms #. I <br /> bier tl ons: <br /> Omer & ro W d (i 'r:o of sighed om tract w th ow er) <br /> If aw ply two (2):sen $2dO0 a Notice E1err �!rllffr d ( work dc over $5000) <br /> Supa 01 <br /> AMow 10.14 days forrevlow.Nteasubn I; date. ' -. e . obtakad from Property Tax Notice (tRtpdhpPraN.r.peecrecw.00m) <br />