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MAR /11 /2009 /WED 01:34 PM ZEPHYAHILLS BUILDING FAX No,813- 780 -0021 P. 001/001 <br /> i / 1 <br /> , B13-7E10-0020 ��O <br /> C ity ofZephyrhilis "Fire '•,:,_'. . Fax . ' . P Application • <br /> Date Radelved ' • `j -- ) '2.. -- 1 0. Phone contact•for Permit <br /> e.0114414 4 ant,a / 1 1 4 60 Ai A41i 'S 3i J Owner's Phone Number •1 21 3 (I 7g • I (OZ29 <br /> 154) f G AL 1- TLy 2EP#i' n /4,- -s . ) Z , 3 ✓ : <br /> e •' [Caret /2 "'' I 7111ehoider.Plrone Number I p3 I I ? 7 1 Iz2-3% <br /> ss • Z i,.•1, flsS'IIu ‘ r e.... #.1. " _ 3 3 6e• . <br /> m p t ft` t cKt� rider Lot# <br /> Sub Division . . . . • Parcel # • <br /> Hazard - Hazard Waste . -_..._ -_. ... _ - <br /> Q Storage ..ANNUAL • ' I t • Fumigation Tent • • a • Comm Exhaust KHchen•Hood/Duct 1 Material (Tier II or RLl Faculty) ANNUAL . . <br /> El Controlled Burn. • •: . . . . . ' .: n Hood Installation • <br /> . • Q Emergency Generator < 30 kw ' ' MI LP /Natraai Gas Inetallebon <br /> •R ' Emergency Genetator> 30 kw • 111111 LP _ NUAL Sale • • <br /> Fire Protection Maintenance - ANNUAL V C -(1-.- L &he <br /> ' Sprinkler D D • . 13 .. .' .. • n .re <br /> Recational Burn <br /> Fire Alarm Ei , la ' . ❑ D _ FT Sparklers • <br /> Hood Cleaning . a, O Q • ❑ . SprinllorSyetem Installations ' ' __``__ • <br /> Hood suppression n ❑ O D Standpipes (Sprinkler Sys) a i �TD'r'li's '14 • a Fire Nemr Installation • • • Torch Roofing/Tar Kettle AU4t,%. Batsidt e5 444 <br /> R . Fire Pumps wears Tire Storage ANNUAL 6 . .(14±I An-ea <br /> Fire Works' r k.'its J-L. A l <br /> • Flammable Appllcatlon- ANNUAL Flammable Valuation of Project <br /> • <br /> Fuel Tanks (• <br /> • <br /> 0 Other. • "I . .. . <br /> Signature -� 4,0%. � g "' G 3/ ire4. • Company <br /> Registered ' Y/ N j Fee Current I Y/ N,I <br /> • Address I I .' # , • • I <br /> ELECTRICIAN - .Company • Signature . • Registered , Y / N I Fee Currant I Y / N • <br /> r Address 1 I ' , License# I • • • <br /> PLUMBER . • Company <br /> • <br /> Signature . • • • ' • • • • Registered Y / N J Fee Current I Y / N I . <br /> Address I • • 1 License* <br /> M • • Company . <br /> Signature • , Registered Y / N I Fee Current I • Y• / N I <br /> " Address I . . • I • License# <br /> • <br /> OTHER .' Company • ' <br /> Signature _ • • , . • Registered • I Y / N I Fee current Y / N . <br /> Address <br /> !motions: \ Ucense # <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.(Meehanlcal work over $5000) <br /> Supply two (2) sets of drawings whh applicable documentation • • <br /> Allow 10-14 days for review after submittal date. parcel # - obtained from Property Tax Notice (httpJ/appreiser pascogov:com) <br />