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81780-O020 City ofZephyrhilis -Fire. I U J 1" Fax - 813-780 -oo21 <br /> Permit Application l <br /> Date Received - P Contact Phone ror Permit <br /> Owner's Name S TMPT,F 4a ')4XGRTNNFT,L / 1456-1' o-S Owner's Phone Number 813 1 626 1 15 4 8 2 <br /> Owners Address 4701 Oak Fair Blvd TAMPA FL 33610 <br /> Fee Simple Titleholder Name I - Titleholder Phone Number <br /> Fee SimpleTitleholderAddress I <br /> Job Address . L iii e VG.0 1 b1 ZeavArOttiS L 335 L 2 - Lot <br /> Sub Division Parcel # <br /> I, 1 Bio- Hazard Waste Storage - ANNUAL Fumigation Tent <br /> 1 Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier If or RQ Facility) ANNUAL <br /> I . I • Controlled Bum Hood Installation <br /> I EmergencyGenerator < 30 kw s LP /Natural Gas - Installation <br /> 1 I <br /> Emergency Generator > 30 kw LP /Natural Gas - ANNUAL Safe <br /> • <br /> Fire Protection Maintenance - ANNUAL I. _ � L. Places of Assembly-ANNUAL .. <br /> `lZ./t .+Se_ niI lAnl I Other <br /> S rinkler, <br /> Fy ill../tr <br /> ` t <br /> P • ❑ ❑. • 1 I Recreational Burn <br /> Fire Alarrn ■ L I__._s ---- 0 ❑. I , I , I I Sparklers <br /> . • Hood Cleaning I I D ' ❑ ❑ I 1 I I Sprinkler' System installations <br /> Hood Suppression I 1 ❑ CI ❑ I I 1 I Standpipes (Sprinkler Sys):. <br /> 1 1 ... Fire Alann fnsfallation - " ' - Torch Roofing/l ar Kettle"' - <br /> II- . •, 1. Pumps I Waste Tire Storage ANNUAL . <br /> 1 I' <br /> Fire Works <br /> I I. Flammable Application- ANNUAL /. 1 <br /> 1 Valuation of Project <br /> 1 1 ' ` Fuel Tanks <br /> ' I • ' I . Other: 1 <br /> �'�.... 22 :h` ' .- -t2 "XI:hT ' <a.?SfYt -S2 .d.>{L: ;:, '_:i:3 £r _.S: _t .:_ ..v+.Y_a_E$ :Y _� ^•: ..mL.._F_LL Y_v .ry flv "^.�r� -, —'4:' ,s.. ..4:.n �.'J :ZK ".:' ,F.+.- t- t,�i_. A'S•)'? ?_ix — ?,'>51tx•�s2'tY.h <br /> Contractor Company 3 cYr�jA Current I <br /> Signature Registered Y / N J 1 Feeurrent • Y /'N • <br /> • Address I .,.,..` - •,:; .. . .. ;, _ - License # _ - <br /> ELECTRICfAN ",.":.:r-• ; <br /> Company . <br /> Signature . - '' . _ Registered : / N I Fee Current I ; , ,Y / N <br /> Address I • .: . . 1 License # I . , , I <br /> PLUMBER <br /> Signature - ' - Registered Y / N '1 Fee Current' I Y / Ni" • <br /> Address I 1 License # , I • . , 1 <br /> MECHANICAL • Company <br /> Signature Registered Y/ N I Fee Current 1 Y/ N <br /> . Address - <br /> 1 <br /> I -`' 1 License# I <br /> OTHER f Company <br /> Signature ! Registered Y/ N j Fee Current I Y / N __I I <br /> Address <br /> 3 ++-s' Y. '4'= Sri- �. x._ u. rae :+uv',�.'+vY:r'- �ix..:vna::_ :- _::-:_ - _ - <br /> License <br /> Directions_ = Y�.ti 4 � _. _ . 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 (httpl /appraiser,pascogov.corn) <br />