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813 = 730.0020 City of ZephyrhiHs - t=ire: 'Pr 1 f Fax -813- 780 -0021 C q Permit Application l <br /> Date Received <br /> Phone Contact for Permit <br /> Owner's Name S TMPT,FXCRTNNFT,T, Owner's Phone Number 813 626 5482 <br /> Owner's Address 4701. Oak Fair Blvd TAMPA FL 33610 <br /> Fee Simple Titleholder Name - - ' Titleholder Phone Number <br /> Fee Simple Titleholder Address . <br /> ;ta w- :=,.r - . _ffE a.- .__s., >.,. .iZ'✓'' "-' '.:.._., rM , - d 1.:a:....e,.: -#. "'`.s ..m,En„&z:_�zf _.... .. - .=73,-a W <br /> o F _ATT . . ,� M - g:-52.dg�.... ,.._.� ' .• -` _. <br /> Job Address �-� -Lql Z €.31- `Ir ^ - <br /> s " �(✓� C.- It 'b 2eihyr i5 �L Lot# I . . <br /> Sub Division Parcel # <br /> >:s.a.. »,..�. s, >� ,. mMW... .... a..>...... �. c» ��: 7.:. s.,,.. r.. A.4.--. y ..,�_..t..i..,,....tS11r. -..- �.:..,.... ..,,:... Y....:..-.,-. u..,.: ::..:. c" �', �• �y,..+..- �.. ...�, a��v..."��h:'g.��.:� <�...� e,:s..�"� ,., s. ...... ..,._ <br /> Bio- Hazard Waste Storage - ANNUAL 1—I s Fumigation Tent <br /> Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier 0 or RQ Facility) ANNUAL <br /> 1. Controlled Bum 1 1 Hood Installation <br /> n Emergency . Generator <30 kw ( ( LP /Natural Gas - Installation <br /> . 1 Emergency Generator > 30 kw 1 1 LP /Natural Gas - ANNUAL Sale <br /> • Fire Protection Maintenance -- ANNUAL - 1 1 Places of Assembly- ANNUAL . <br /> 1 sag 1 1 wet [S II <br /> • Semi • ' <br /> Sprinkler, ED " ❑ rA - I Recreational Bum <br /> Fire Alarm • • in ❑ ❑- 1 [ , I 1 Sparklers . <br /> Hood Cleanin I p ❑ ❑ 1 Sprinkler System Installations <br /> Hood Suppression ❑ 0 ❑ I I Standpipes (Sprinkler Sys):. <br /> 1 Fire Alarm Ins ion n tallat Torch Roofing/Tar Kettle F r i 1 ; 1. Fire Pumps Waste The Storage ANNUAL <br /> I 1 Fire Works <br /> 1 1. Flammable Application- ANNUAL . 1 a Ua ton of Project <br /> Fuel Tanks • <br /> i.. 1 . Other: .1 . <br /> • <br /> .. <br /> Contractor Company 3 Cyr Ks,� t( <br /> Signature Registered Y / N Fee Current • Y / N j • <br /> - Address 1 .. . se # <br /> .. License <br /> ELECTRICIAN Company . <br /> Signature :• . <br /> g . . , - - . _ • Registered Y / N t i, ' Fee Current Y / N 1 <br /> Address 1 1 License # 1 <br /> • PLUMBER - Company N'� 1 <br /> Signature Registered • Y / N Fee Cun - ent 1 Y / N • <br /> Address 1 - 1 <br /> 1 License # , ' 1 <br /> MECHANICAL • Company <br /> Signature Registered Y / N 1 Fee Current Y / N 1 <br /> Address 1,, - • 1 License # 1 <br /> OTHER - Company _ <br /> Signature - Registered Y / N 1 Fee Current I Y / NL1 <br /> Address 1 <br /> License # <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.(Mechanieal 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 />