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, %' I 01(2 <br /> 813- 780 -0020 City Of Zephyrhiils Fire fax - 813 - 780 -O02i <br /> Permit Application <br /> rte Received � ) Pawns Contact for Permit 1 <br /> X <br /> vner Vv s Name I >�d y S 1 Owner's Phone Number , i) 1 f i) i 1 <br /> armies Address <br /> .e Simple Tttteholder Name Tklehoaoer Pho Number 1 j ( 1 1 ne <br /> e Simple Titleholder Address 1 <br /> b Address S Y5 Ci9 USW 7 pphV r /,) it S F L'359 0 Lot # <br /> lb Division Parcel # 1 — <br /> 1::: Bio- Hazard Waste Storage - ANNUAL Q Fumigation lent <br /> 1D Comm Exhaust Kitchen Hood/Duct = Hazardous Material (Tier 11 or RO Facility) ANNUAL <br /> Controlled Bum EJ Hood it lion <br /> H Emergency Generator < 30 kw LP /Natural Gas - installation <br /> Emergency Generator > 30 kw LP/Natural Gas- ANNUAL Sale <br /> Fire Protection Maintenance - ANNUAL Paces of Assemviy- ANNUAL <br /> ® ® <br /> � '} ED <br /> Sprinkler r. ❑ • Reeatlnna! Burr <br /> Fire Alarm ❑ ❑ ❑ Sy <br /> Hood Cleaning ❑ ❑ ❑ Somber System Installations <br /> Hood Suppression ❑ ❑ ❑ Standpipes (Sprinkler Sys) <br /> E Fire Alarm installation Torch Roofing/Tar Kenai <br /> Fire Pumps 3 - 4 Waste Tire Stomps ANNUAL <br /> Fire Works <br /> T '� i� l <br /> a.m. Frammable Application- ANNUAL S 1 1 Valuation of Project <br /> mem <br /> Fuel Tanks <br /> Q Other: 1 <br /> :ontractor . for 1 Company 1•__ aa - . t t <br /> g • '^a li%7.1 Adr � �e L Registered Y / N Fee Current / N f <br /> Address ,*�*„ 7y. T1t� i�� • ' b.k a f 5 tcense 1 <br /> # <br /> iLECTRICIAN I Company <br /> iigna e - i Registered Y / N j Fee Current I Y/ N j <br /> Address 1 I License # ( 1 <br /> 'LUMBER Compan <br /> ;ignaiire Regi>sed Y/ N 1 Fee Cent I Y/ N 1 <br /> Address 1 1 License* 1 1 <br /> AECHANtCAL 1 ernpany <br /> 3ignadae 1 Registered Y/ N I Fee Currant ' Y/ N I <br /> Address 1 1 License # ! <br /> OTHER Company <br /> Signature Registered Y i (Na , Fee Current I Y/ N I <br /> Address License # <br /> Devotions: <br /> Fill out application eoi'npisieiy. <br /> Owner & Conductor sign nacic of application:, notarized (Cr, copy of signed t.c•rd.o.c - t with owner) <br /> tf over 12500, a Notice of Commencement is required .{M.chanica1 work over 15000) <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 (htipJ /eppraiser.paecogov.com) <br />