Laserfiche WebLink
., 813780 -0020 1 City of Zep hyrh ills -Fire. Fax - 813 - 780 -0021 <br /> " Ajt ""� Permit Application <br /> Date Received -- <br /> Phone Contact for Permit <br /> Owner's Name S T MPT,FXGR T NNFT,L I Owner's Phone Number i813 II 626 115 4 8 2 <br /> Owners Address 1 4701 Oak Fair Blvd TAMPA FL 33610 <br /> Fee Simple Titleholder Name I - f Titleholder Phone Number 1 1 1 1 1 <br /> Fee Simple Titleholder Address I <br /> -_-. yam. _ <br /> Job Address <br /> /® 50 CAc(kk %t‘1 k - 7 - €p es tkf ` S ,L 3 � 5 ill Lot # I <br /> Sub Division I <br /> Parcel # I <br /> 1 Bio- Hazard Waste Storage - ANNUAL Fumigation Tent <br /> i I Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier Ii or RQ Facility) ANNUAL <br /> I i Controlled Bum Hood Installation <br /> � <br /> 1 <br /> Emergency Generator < 30 kw LP /Natural Gas - Installation <br /> . I 1 Emergency Generator> 30 kw LP /Natural Gas- ANNUAL Sale <br /> I . I • Fire Protection Maintenance - ANNUAL 'i <br /> Places of Assembly- ANNUAL f b / T� <br /> L 1Semi )Aril ! Maw ce / / <br /> Sprinkler. ❑ ❑ v. I 1 Recreational Burn / -1 <br /> Fire Alarm 1 —.7. 0 , <br /> ❑ 1 1 I ( t ' �� <br /> ` I Sparklers \ 5'0 <br /> Hood Cleaning 0 ❑ ❑ nkfer m fl <br /> • Hood Suppression I I ❑ r a s ro s <br /> /3 fr <br /> O ...El 1 3 I I . St s (Sprinkler r Sys) n <br /> Sprinkler Install <br /> andpip le / r / �• 301 <br /> Fire Alarm Installation {!' <br /> I,. L Torch Roofing/TarKettle <br /> I- I Fire Pumps <br /> I I ' Fire Works <br /> • Waste Tire Storage ANNUAL <br /> I 3 Flammable Application- ANNUAL 1 j Valuation of + of n o Project <br /> I I Fuel T anks <br /> • <br /> I I Other: <br /> .. 5" ?24" X? :£?3✓.d..?_'k$".+453'v' y s _..w 6'' .. <br /> !s3^W'ifi:^a.'@ .f+. • <br /> ` x` hCEK+VZ M b B aS. -e ,,,, "7• .r`-J—',..- - 1'°" -b orax7., —, <br /> Contractor <br /> Signature I .£ .t Company 3 fyri � S � C <br /> . <br /> d Registered Y / N Fee Current Y/ N <br /> Address i , <br /> License # ..i <br /> ELECTRICIANL ... <br /> Company ' • <br /> Signature I Registered ( Y / N 1 Fee Current I " :Y / N <br /> Address' 3 I,` <br /> License # I I <br /> PLUMBER I Company <br /> Signature I Registered I Y/ N A Fee Current 3 Y/ N <br /> Address I <br /> i I <br /> License # . I • I <br /> MECHANICAL' I Company <br /> Signature Registered I Y/ N 1 Fee Current 3 yin, I <br /> Address I. I License # I i <br /> OTHER I I Company <br /> Signature Registered I Y/ N j Fee Current i Y/ N I <br /> Address <br /> License # <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) sets of drawings with applicable documentation <br /> • Allow 10 -14, days for review after submittal date. Parcel #- obtained from Property Tax Notice (http: / /appraiser.pascogov.com) <br /> • <br />