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- :::::/22::::7/777 ; 7 AY / C 4 'n . _i <br /> .' • ? � ..__ ZEPH1 � ILLu BUILDING . n,�: � �. - _ . _ iyiu, 1 _ . _i;_ _ <br /> B13-7,50-0020 , City of .Zephyrhilis Fire... ' j- Fax -813 -780 -0021 Al <br /> Permit Application <br /> ` <br /> P hone Contact for Permit Mil <br /> Date Received ., .. <br /> Owner's Name ! \c.- • 1 — C C (.- a f • Owner's Phone Number <br /> Owner's Address ( 6'LZ ' d Q f^ <br /> • <br /> Titleholder Phone Number I • <br /> Fee Simple Titleholder Name J <br /> Fee Simple 'Titleholder Address <br /> Lot # <br /> ::: Parcel # i <br /> _,...._.:..: <br /> Bio- Hazard Waste Storage : ANNUAL ' n Fumigation Tent <br /> ED <br /> Comm Exhaust Kitchen Hood/Duct : Hazardous Material (Tier 11 or RQ Facility) ANNUAL <br /> ED Controlled Bum • p Hood lnatallaUon <br /> • Emergency Generator { 30 kw . • . n LP /Natural Gas- Installation . <br /> •Emergency Generator • 30 kw Q LP/Natural Gas - ANNUAL Sale . <br /> Fire Protection Maintenance - ANNUAL ___.' • El Places of Assembly- ANNUAL <br /> rt lamer Q <br /> • Sprinkler p ❑ I{ Recreational Bum <br /> . Fire Alarm L�. <br /> • J o ❑ ❑ 1 1 F i Sparklers <br /> Hood Cleaning El ❑ . ❑ 0 1 . 1 Sprinkler'System installations. <br /> Hood Suppression ❑ • Di • ❑ I Standpipes.(Sprinkler Sys) <br /> 1 Fire Alarm Installation ' • = Torch Roofingfrer Kettle <br /> 1 1 Fire Pumps - • ri Waste Tre Storage ANNUAL <br /> • <br /> Fire Works <br /> Flammable Application- ANNUAL .. Valuation of Project <br /> Fuel Tanks . . <br /> Other <br /> Contractor \ . ' ! Registered Fee Current . 1 Y/ NJ <br /> Si <br /> Address Er. *,. a ° d. . License # • .� <br /> ELECTRICIAN Company <br /> Signature Registered Y/ N 1 Fee Currant 1 Y/ N i <br /> A ( ~ - , License # r --- 3 • <br /> — <br /> PLUMBER • Compy � I <br /> Signature J Registered Y./ N .Fee Current •l Y / I- <br /> Address License # <br /> Com I . <br /> MECHANICAL <br /> Signature i Registered Y / N I Fee Currant L. / N J <br /> Address ! - • License # 1 . <br /> OTHER Company <br /> Registered 7 Y / N J. Fee Current j Y / N 1 <br /> Signature <br /> License # . • <br /> Address <br /> Directions: ' • <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarised (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement Is required,(MeohanIcal work over 55000) <br /> Supply two (2) sets of drawings with applicable documentation <br /> Allow 10-14 days for review after eubmittal date. Parcel # - obtained from Property Taz Notice (http: / /appraiser.pascogov.com) <br /> . <br />