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813 -780 -0020 C of Ze h B? 1 v <br /> City p yrhilisFire FaX- 813- 780002i <br /> Permit Application <br /> Date Received <br /> Phone Contact for Permit 1 1 <br /> Owners Name I ANDERSON PRESSURE _CT,FANT TG , Owner's Phone Number IRl 3 I (RRLt I 717j <br /> Owners Address 5104 MURRAY HILL DR,TAMPA,FT,.33615 -4734 <br /> Fee Simple Titleholder Name I I Titleholder Phone Number 1 1 1 1 <br /> Fee Simple Trtiehoider Address f <br /> _. . __... . . ...:.:. .. .... .. ,Varlw.. � 5 , #. „��T°�r' `��''F� �*, as�,ka'°,�c'�..” .r * T 'C� - �� <br /> Job Address IGOL ''� <br /> .. r . <br /> DEN CORRAL 68 GALL BLVD. , HYRHILLs.FL.33542 -2576 Lot 3r <br /> Sub Division vrsion I I Parcel# <br /> , .� ` Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent <br /> El <br /> a Comm Exhaust I0tchen Hood/Duct n Hazardous Material (Tier II or RO Facility) ANNUAL <br /> Controlled Bum Cl Hood Installation <br /> E Emergency Generator < 30 kw n LP/Natural Gas - Installation <br /> Emergency Generator> 30 kw 1-1 LP/Natural Gas - ANNUAL Sale <br /> Q Fire Protection Maintenance - ANNUAL = Places of Assembly- ANNUAL <br /> ® [MI . <br /> Sprinkler 0 r ❑ n Recreational Bum <br /> Fire Alarm 0 0 0 1 n Sparklers <br /> Hood Cleaning EH ,= G I 1 J] Sprinkler System Installations <br /> Hood Suppression Dr: = G I 1 a Standpipes (Sprinkler Sys) <br /> El Fire Alarm Installation 1-) Torch Roofing/Tar Kettle <br /> Fire Pumps Q Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL ! Valuation of Project <br /> Fuel Tanks <br /> p other: I <br /> Contractor Company <br /> signature Registered Y/ N 1 Fee Current 1 Y/ N J <br /> Address ( 1 License # 1 <br /> ELECTRICIAN <br /> Company <br /> Signature Registered Y/ N 1 Fee Current 1 Y/ N <br /> Address 1 <br /> 1 License # <br /> PLUMBER Company <br /> Signature Registered Y / N . 1 Fee Current 1 Y / N ,J <br /> Address I 1 License # 1 1 <br /> MECHANICAL Company <br /> Signature Registered Y/ N J Fee Current f Y/ N 1 <br /> Address 1 <br /> 1 License # I <br /> OTHER Company <br /> Signature Registered Y / N j Fee Current ( Y / N . 1 <br /> Address <br /> n> , <br /> Directions: y �: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> If over 52500. a Notice of Commencement is required (Mechanical work over S5000) <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 (httpi /appraiser.pascogov.com) <br />