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/9 <br /> 813- 780.0020 City of Zephytfipls nil TL+2 ^• Fax - 813-780 -0021 <br /> Permit Application • • <br /> Date Noshed PhoPermit e Contact for P• - - <br /> Own•ra Name .. �I%��4��i _ ,41r.' ,' _ rtfrifelaT/ Owrr Phone Number <br /> Owner's Address ` ---- -G.A P... ; ! � � �•r_ ir� • �� <br /> Fee Simple Titleholder Name Titleholder Phone Number 1 I 1 1 <br /> Fee SimplSTltldoldar Addnes I I <br /> Job Address 3 I A t t Lou, <br /> Sub Division Parcel # m <br /> ❑ No-Hazard Wade Storage - ANNUAL El Fumigation Tent • <br /> ❑ Comm Exhaust kitchen Hood/Duct El Hazardous Msted & (Tier 11 or RO Facllty) ANNUAL <br /> ❑ Controlled Bum ❑ Hood instabdiot► <br /> Emergency ii Generator < 30 kw LP/Natural Gas-Instigation <br /> Ustion <br /> Emergency Generator > 30 kw LPltisRael Gas 4NNUAL Side <br /> Fire Ph:motion Maintenance - ANNUAL Places of Assembly - ANNUAL <br /> MEI MEI 12T3 v.4-11•1 <br /> SprInIder i 0 0 0 M Reasatlonal Bum <br /> Fire Alarm 0 0 0 Stems <br /> Hood Clearing 0 0 0 Sprinkler S1 kmalls J S . <br /> Hood .8rrppelMa, 0 0 . Standpipes (SOdkle <br /> nr Sys) , <br /> IIII Fire Atom kndatlatlon - Torch RoolnptTar Kettle <br /> ® Reims Res • — - H l Wade Tire Storage ANNUAL <br /> S Fire Works <br /> . Amenable Application- ANNUAL 1 I Valuation of Project <br /> • .. MI Fuel Tanis <br /> - <br /> • <br /> 4 ' ® Company /rl.5:4 4'0411:4: r 1r° <br /> COMMON RsgMaad rt { � <br /> Addram rt <br /> Skinskin <br /> ri fi e._.._ .41/11111r9;1 .. mow* it;f le: ", "P Tool ,.--.r s ; <br /> S Registered Y / N F.. Current lanai - <br /> Signature <br /> Addmss 1 I License # 1 <br /> fi <br /> Si g • ns T ER f L...1 N Fee Current ( Y/ N Registered <br /> Address I 'Jeans' # I 1 <br /> mEcHmicAll Comperty 1 <br /> Registered L Y/N J Roarer* I Y/N <br /> sigrratrr• I License ft 1 1 <br /> Address I <br /> Signature • n f L..... N • F.•Giant I Y/N I <br /> PB,out CN. * Maat with owner) <br /> OrlaMr S'Carta lvf `� � �. • of Waned oon <br /> 11 aver $2000. a Notice work ever MOO) <br /> Supply two f d) s f r g :4 # • obtained from Property Tax Notice ( .p ov.com) <br /> Allow 10.14 days for .. <br />