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MA %/28 /2007 /WED 07:20 AM ZEPHYAHILLS BUILDING FAX 1o. 813 -780 -0021 0' P. 001 <br /> If 6 <br /> ' <br /> 813-780 -0020 City of.Zaphyrhilis'Firie= Fax -813- 780 -0021 .I; <br /> Permit Application �i(r . _ <br /> Date Received .. _ Phone Confect r Permit.. _ . M ,,.,,, s J�� 201 <br /> Owner's Name „ • - j 1 • Owner's Phone Number _1 I I I <br /> Owners Address '132D &ii k \ " 61 q t = .1L1 ' i 1 t _ ._ <br /> Fee Simple TlUehoider Name . ' TUeholder Phone Number _ <br /> Fee Simple Titleholder Address I --, <br /> Job Address 1 mt) dL f s \v .. <br /> � Lot# <br /> Sub Division Parcel # 1 1 <br /> FT Blo-Hazard Waste Storage - ANNUAL n Fumigation Tent . <br /> • <br /> n Comm Exhaust Kitchen Hood /Duct : FT • Hazardous Material (Tier 11 or RQ Faculty) ANNUAL <br /> • <br /> n Controlled Bum I I Hood installation <br /> • I Emergency Generator < 30 kw 1 LP /Naturl Gas - installation ' <br /> • I ' 1 •Emergency Generator> 30 kw 1 LP/Natural Gas - ANNUAL Sale <br /> I I Fire Protection Maintenance - ANNUAL . F Places of Assembly-ANNUAL 1—(15P82:4-. <br /> !semi 1,, / !semi I Vtner <br /> K \„ _ J 1C(�1 1lac <br /> Sprinkler (� ❑ ❑ 7 Recreational Bum . j � 1 L � <br /> Fre Alarm fl . ❑ 0 ❑ I 1 Ti spar k lers : CJlI� ( N <br /> Hood Cleaning 0 . ❑ 01 I 1 1 Sprinkler System Installations <br /> Hood Suppression 13 tii( ❑ I. 1 7 Standpipes (Sprinkler Sys) <br /> • <br /> I-1 Fire Alain lnatallation I I Torch Roofing/Tar Kettle . . <br /> Fire Pumps Waste Tire Storage ANNUAL <br /> Fire Werke <br /> Flammable Application- ANNUAL .I • Valuation of Project <br /> Fuel Tanks <br /> Q • Other: 1 <br /> contractor • • • Company I <br /> Signature . . _ Registered Y / N 1 Fee Current 1 • Y / N 1 <br /> Address 1 _ ._ License # I 1 <br /> • <br /> ELECTRICIAN Company . <br /> Signature . . Registered - Y / N •• 1 Fee Current. { 1 Y / N 1 <br /> Address I License .# 1 <br /> • <br /> PLUMBER — • Company I <br /> Signature Li Registered Y / N 1 Fee Current 1 Y/ N 1 <br /> Address Llcenee •I <br /> MECHANICAL Company 1 <br /> Signature Registered Y / N 1 Fee Current 1 Y/ N 1 <br /> Address I _I • License # ( . 1 <br /> OTHER Company Li i - = �; <br /> Signature `� Registered • ram' Fee Current �� <br /> Address F 11z , a q�: 'i G r.. 2��'jy�'py . License # k�r:?� :1 <br /> a ,., .. ,, +:, rr..r,..••r+ :,:r.�•. .,�..,,._..r x- z ,v: ,,. .r_r..+ i:. ic: .,, .... .._, y..,,.,a..«.+ame ^ n;•a:..w,ns r r4'' .... ., •. r.•_... <br /> Directions: <br /> Fill out application Completely. <br /> Owner & Contractor sign bank of application, notarized (Or. copy of signed contract with owner) . <br /> If over $2500. a Notice of Commencement is required.(Machenical work over $6000) <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: / /appreiser_pascogov_com) <br /> • <br />