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81. -780-0020 City of ZephyrhillsFire. CO If Fax-813-780-0021 <br /> _. Permit Application <br /> . . <br /> owners Name I A ER 'Ps <br /> 1 Owner's Phone Number IMI 1111 I 713 3 1 1 TS - 7 , <br /> Owner's Address 1 7 ye/6 a nxc At_vo <br /> Fee Simple Titleholder Name I I Titleholder Phone Number 1 11 I <br /> Fee Simple 'Titleholder Address I <br /> Job Address I —7Z / C (4. - AFZ- ' '■ 6 -2 - iff'zc 1 IL I <br /> Sub Division Parcel # 1 <br /> ED Bio-Hazard Waste Storage - ANNUAL r Funtgabon Tent <br /> ED Como Exhaust Kitchen HoodlDuct = Hazardous Material (Tier 11 or RQ -. - r' ) ANNUAL <br /> E . ] Controlled Bum r Hood Installation <br /> E::1 Emengency Generator <30 kw 1 LP/Niatural Gas-lnstailation <br /> ED Emergency Generator > 30 kw R LP/Natural Gas-ANNUAL Sale <br /> = Fire Protection Maintenance - ANNUAL Places of Assembly-ANNUAL <br /> r --- 1 1M1 <br /> SprinIder 1 .... J 0 o o ri Recreadonal Burn <br /> Fore Alarm 0 0 0 o 1 1 ED Sparklers <br /> Hood Cleaning D . p( 0 1 1 El Sprinider System Installations • <br /> • Hood Suppression o 0 0 1 I P SieedPiPes (SPrlidder Sys) <br /> ED Are Alarm Installation = Torch Roofing/Tar Kettle <br /> Fire Pumps . . 71 Waste The Storage ANNUAL <br /> Are Works <br /> Flammable Application- ANNUAL <br /> I 1 Va , t • of Project <br /> Fuel Tanks <br /> El Other: I ' <br /> SilYieeseicir , I i L.9 _ p.k..„ ._, <br /> , <br /> _ <br /> Cantract 1 ,. Company <br /> Registered yn? Fee e Y / N <br /> Address l ; BOWAta 01 ' , _ r _i ' 1 41 Pe. License # <br /> I <br /> EC 1 <br /> ELTRICKI <br /> Signae I <br /> I Company <br /> Registered I Y / N I Fee - . 1 Y / N i <br /> Address 1 1 License # 1 <br /> PLUMBER CcalOgulY <br /> Signature . Registered I Y/N 1 Fee 11 1 Y/N 1 <br /> Address 1 V License # 1 <br /> glECH . Company <br /> ftegistered YIN 1 Fee -. . 1 YIN <br /> I <br /> u <br /> Signat7 1 <br /> Address 1 I License # 1 <br /> OTHER I <br /> 1 Company <br /> Registered Y / N 1 Fee ..• 1 Y / N <br /> Signetme <br /> Address I License* 1 <br /> .1-777,---,7....._ <br /> Directions: <br /> FE out appRcation completely. <br /> Owner & Contractor sign back c4 applicition, notarized (Or, copy of signed contract with croner) <br /> if over S2500, a Nolce of Commencarnent is required(kiechanical work over $5000) <br /> Supply two (2) sets of disiviags With applied*: documerdation <br /> Allow 10-14 days for review after submittal Parcel # - obtained from Property TAW Notice (tittp:/ , , • • , -- ‘ • .- •- - • • • .com) <br /> /— Co -- ent7 <br /> i A - I S fyi 4s t 4.4 4 ..1 ° Pe 2. rer,,," t <br /> 04 A AAA 15 rtiVil ‘5S i ke-r-erpi <br />