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• <br /> // city t$ T2^ of ZephyrhillS F Fax -013. 780 -0021 <br /> 813 - 780-0020 Permit Application - • <br /> = J Phons Contact for Permit ���� ��j <br /> Data Received ® O wn er' s P Number Fyiki i ���`l i <br /> Owners Name � — '' 71 J <br /> ,,,. .. f , <br /> wners Address l . _ . <br /> O I <br /> I Titleholder Phone Number I I I I <br /> Fee Simple Titleholder Name <br /> Fee SMnpN'11reholderAddnae ` <br /> Job Addtisa .d9/9"4 <br /> 1 Division 1 Farrel 0 <br /> Sub <br /> ED Blond Waste Storage - AMU. AL a Fumigation Tent • <br /> ❑ Comm Exhade Kitchen MoodlDuct a Hazardous Material (1W 11 or RO Facility) ANNUAL <br /> 0 Con boN•d Bum Q Hood installation <br /> Enwgency Generator < 30 kw R Lp/N t rat Gaa -kttr ► <br /> Emergency Generator > 30 kw LPA4.tis i Gas�irjNNU J- Sa <br /> Fife Prabctlon Mlahrlernsrnce •• ANNUAL Q Phone of Assembly-ANNUAL <br /> 1253 LEM EMI &cam Oil 0 <br /> Sprinkler U 0 0 0 M Rec eetional Bum <br /> FkeAhem 0 0 0 Spenders c <br /> Hood Clawing 0 0 0 Spri ides System L.Mai.dons <br /> Mood Suppression 0 X 0 standpipes (SprimderSys) <br /> Fire Alarm inebriation - Tonfi Roofing/Tar Kettle <br /> Am Pumps , _ - . Waste Tie Storage ANNUAL <br /> Fire Works <br /> Fismnodite Application- ANNUAL <br /> 1 valuation of Project <br /> Fuel Tanks <br /> ,.N.,iM........ Conpany gd�41:fit °�h�: !s" "'r1 :� -0i'�, <br /> Ccatiliar Signet.' �� l ® �® ` ►T� �' [ `!'�' <br /> se es <br /> ..� � ' .....� .� Ucsn.. � 0 ' .TO.Y,1• Jr, s; Company <br /> Mails lir-Wlf:e sig Rapish'.d Y / N <br /> Fee Current Signa4se • r License tlE 1 <br /> Address I - . 1 <br /> 1 <br /> PLUMBER Registered Y N F« Cunrtnt 1, Y / N j <br /> Signature � ) <br /> Lien..* I <br /> Address I <br /> MIE Registered I YIN ] F« arrant 1 .. Y / N 1 <br /> ' <br /> Address license S I I <br /> I . Company <br /> Signature OTHER Registered L Y / N. J Fee arrant 1 Y/14 1 <br /> lberw >x . <br /> FM out apptb m t f s 4 '�"° M. =Wad ad wgh owner) <br /> Owns i Coniaryor wor owtr (.'5000) <br /> . <br /> If awn $2800, a Notice meneslAe Ggsn r r <br /> • <br /> SSup* boo (2) sets of f * - obtained from Property Tax Notice (httpY/ppraisK P• o'r com) <br /> Allow 10-14 days for at tfawsubrfNif dets . <br />