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FEB /20 /2007 /TUE 11:10 AM ZEPHYPHILLS BUILDING FAX No,813 780 - 0021 P. 002 <br /> • <br /> 1y raa j�zo • City of ZephyrhiIIs iC �_^ oO <br /> 4.1 ( ' : Fax 813 780 -0021 Permit Application -•-• -• ', • . •- •:::•lic <br /> - Date Received . •I ,..�_. • <br /> hone Contact for Pcmilt <br /> Owner's Name -- J. 1r/&_'i`s•P j _ �j' ,Qlfj Cdr.-C. __ .... _ Owner's Phone Number 190 y y..2 1.3496 • ..,.._ 1 • <br /> Owner's Address ac 5/ , J AI ,6 4 . . • 4: . `s 7 3 .22•y6 �• 1 l 1 • <br /> • Fee SlmpleTltleholder Name . • • Titleholder Phone Number <br /> Fee SlmpleTnleholderAddress • • <br /> �. , q 1 <br /> Job Address _ / ,�, � � � , � �' / g1 • s i Lot # <br /> • <br /> • <br /> Sub Division • °r ?NU . 410 / • Parcel # <br /> n 'Bio- Hazard Waste Storage -ANNUAL • • • • . • I • .I Fumigation Tent ' • .. , <br /> Comm Exhaust Kitchen Hood /Duct Il Hazardous Material (Tier II or RR Facility) ANNUAL . <br /> I Controlled Bum I 1 Hood Installation • <br /> . n ' Emergency Generator < 30 kw • • . • .. ED LP /Natural Gas - Installation • <br /> I 'Emergency Generator 00 kw • n LP/Natural Gas - ANNUAL Sale . <br /> • Li Plre Protection Maintenance - ANNUAL I I • Places of Assembly-ANNUAL <br /> • . ILItT9I IbemrI F"1 timer <br /> • Sprinkler I. I CI • ❑ ❑ I J Recreational Bum . . <br /> Fire Alarm ' f I ❑ D. 0-1 _ 7 . El Sparklers . . <br /> • <br /> Hood Cleaning XI 0' ❑ 0 ❑ I I I * I Sprinkler System instailetions . <br /> . Hood Suppression I I. D ❑ . ❑ 1 • • . I 1 1 Stand (Sprinkiar Sys) <br /> • I • 1 Fire Alarra Installation • • • . n Torch Roofing/Tar Kettle . . • <br /> • Fire Pumps • • • Ii Weals Tire Storage ANNUAL • • <br /> Fire Works . . <br /> Flammable Application- ANNUAL . .1 1 Valuation of Project • • <br /> .Fuel Tanks . . . • • <br /> — Other: I <br /> I <br /> • <br /> Contractor Company I <br /> Signature Registered Y / N I Fee Current I Y/ N 1 • <br /> Address I . ` License # .I_ <br /> ELECTRICIAN ^ Company - 1 <br /> • <br /> Signature . . Registered Y / N I Fee Current •I Y / N 1 • <br /> Address I J License # • 1 <br /> • PLUMBER . . . • Company l <br /> Signature Registered Y/ N I Fee Current 1 Y/ N J <br /> Address 1 • I •• License # I <br /> MECHANICAL • Company I <br /> Signature Registered . Y / N _1 Fee Current I Y• / N I <br /> Address 1 ,License# . I . • • 1 <br /> OTHER . ' . • Company I <br /> Signature . ' Registered Y / N " I Fee Current •I Y / N <br /> Addra License # <br /> • •� r.'u:_. /'T� •. •.µ.r_...nr: �n T/, Tr..:: .r_.,... 'DTI'. ..�• r. ".i.:._,]•. .. ... ,... .. .1•�. r... T:...�. 5/.:-+i,:_Y1 <br /> Directions: . <br /> 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) seta of drawings with applicable documentation • <br /> Allow 10-14 days for review after submittal date, Parcel # - obtained from Property Tax Notice (httpJ /appraiser,pascogov.com) <br />