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813780 -0020 City of Zephyrhilfs'Fire. Fax -813- 780 -0021 <br /> '' Permit Application <br /> Date Received Phone for Permit <br /> Contact ertntt <br /> 1 <br /> Owners Name S TMPT,EXGR TNNELL Owners Phone Number 813 626 5 4 8 2 <br /> Owner's Address 4701. Oak Fair Blvd TAMPA FL 33610 <br /> Fee Simple .Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> i= 5' ' a .` 2 �H ���« aM` p', .Migi tr���,'=..;�`ckr?� =e1.:7.4& ���T.Ig. �.+. -�.� .7.R,:�E��. - «, ._ a"=�.s.�..�s ,.,dam..? „�, <br /> Job Address 1 05 3 C-'0 < 3 . `hy1 h iilS V-L 3 3 541 Lot <br /> Sub Division Parcel # <br /> as s i — 'x.. x= ".sue.;. E --w.d - -- s ,a t a:,R_ . - „ <br /> I - Bio- Hazard Waste Storage- ANNUAL Fumigation Tent <br /> Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier If or RQ Facility) ANNUAL <br /> 1 - Controlled Bum I Hood Installation <br /> I 1 Emergency Generator < 30 kw I LP /Natural Gas - Installation <br /> I I Emergency Generator> 30 kw I LP /Natural Gas - ANNUAL Sale <br /> I - Fire Protection Maintenance - ANNUAL I Places of Assembly-ANNUAL <br /> I(:ltrlyf 'Semi! lAnt j MOM <br /> Sprinkler. I ❑ - ❑ iz. I I Recreational Burn <br /> Fire Alarm 1 1 ❑ ❑ ❑- 1 I . I ( Sparklers <br /> Hood Cleaning ID ❑ ❑ 1 I I I Sprinkler System Installations <br /> : Hood Suppression 1 1 ❑ ❑ ❑ 1 1 I I Standpipes (Sprinkler Sys) <br /> Fire Alarm Installation r <br /> I � .. 1 I Torch Roofing/Tar Kettle <br /> I I Fire Pumps I 1 - Waste Tire Storage ANNUAL <br /> 1 1 Fire Works <br /> 1 Valuation Flammable Application- ANNUAL 1 I V on of Project <br /> • L <br /> I <br /> Fuel Tanks • <br /> 1. ( Other: I • <br /> remr- .z :.:::: , 5. - ..X-0, ,,.. - ,. ,,,;. ..b., 5 i. . �_'. ... _ - .: T.- <br /> Contractor Company C Y iA ' titi t( <br /> Signature Registered Y/ N I Fee .Current I. Y/ N j <br /> • Address I y:, 1 ... License # I <br /> . - Company <br /> Signature Registered Y / N 1 ' Fee urrent I C Y / N 1 <br /> . . <br /> Address 1 I License # <br /> PLUMBER . <br /> _ Company <br /> Signature Registered Y/ N J Fee Current' I Y / N I <br /> Address I 1 License # . • I <br /> MECHANICAL Company <br /> Signature Registered Y/ N I Fee Current I Y / N I <br /> Address I. License # I <br /> OTHER Company - - <br /> Signature Registered Y / N . 1 Fee Current I Y / N I <br /> Address J License # <br /> Rm�.# <br /> Directions: Fill out application completely. - <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required - (Mechanical work over $5000) - <br /> - Supply two (2) sets of drawings with applicable documentation <br /> - Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com) <br />