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11:10 AM ZEPHYPHILLS BUILDING FAX No,813 780 - 0021 1104( P. 002 • Ci of.Ze h yrhill$ !C ��o2" Fax- 813 -7B0 -0021 • • • .41:-1-": <br /> - 813'-'7130020 tY P , <br /> Permit Application ..-. -• • '•'�il:c <br /> - <br /> _Date Received r � 0 • :Phone Contact for Permit _ <br /> Owner's Name .. -w-1• .,.:,1J,rec...72X.i 5 �Cf - . Owner's Phone Number 9 2 £J o' y.2 — I3 / ...._ <br /> • Owner's Address to 5 ,J .i .C1.5 4 4.1 1 . " s ) �,'V 6 <br /> 4 , <br /> Fee Simple Name • ' . Titleholder Phone Number • <br /> Fee SlmpleMtleholderAddress , k t „ ,, •,_ ,_.: r., M• <br /> Job Address r1 <br /> Sub "Division <br /> 'Parcel # <br /> - <br /> pi Bio-Hazard Waste Store <br /> torage ANNUAL • n FumigationTent ' . . <br /> Comm Exhaust Kitchen Hood /Duct in Hezardoue Material (Tier II or RQ Facility) ANNUAL . <br /> I I Controlled Bum I I Hood Installation • <br /> . El ' Emergency Generator < 30 kw . • .. . = LP /Natural Gas - installation • <br /> • n ' Emergency Generator 30 kw • I7 LP/Natural Gas - ANNUAL Sale . <br /> • I I Fire Protection Maintenance - ANNUAL I . . '' n • Places of Assembly-ANNUAL . <br /> R <br /> • . r O_.V 1 ( I I - . ... 1 (Abe <br /> 0 ❑ ❑ n Recreational Bum . . <br /> • Fire Alarm ' ❑ CI' O L . ED Sparklers . - • <br /> Hood Cleaning » " ❑ . ❑ I I r] Sprinkler System Installations . <br /> . • • • • • . Hood Suppression • O ❑ • A I • • I IT Standpipea (Sprinkler Sys) <br /> • . I • I Fire Alarrh Installation • .. FT Torch Roofing/Tar Kettle . . • • Fire Pumps . El Waate Tire Storage ANNUAL <br /> Fire Works • ' • . • . ... - I • <br /> flammable ble Application- ANNUAL • ' • . ( Valuation of Project - <br /> F --- I Fuel Tanks <br /> I I Other: I <br /> nrtu ., ... Company Y / N I • contractor • <br /> Sig re Fee Current I Y/ N I <br /> Addresa 1 • - License # . _I . • <br /> ELECTRICIAN Comp <br /> Signature Registered YIN I Fee Current I Y/ N • <br /> Address I • I• license# I <br /> • PLUMBER . Company I <br /> Slgnature _ Registered Y/ N I Fee Current I Y/ N 1 • <br /> Address I ' ' ' • I •• License # <br /> MECHANICAL • company t I <br /> Signature Registered . Y/ N 1 Fee Currant 1 Y/ N I <br /> Addreaa I I .License # . I . • • <br /> OTHER Company • <br /> Signature . ' • Registered Y / N • I Fee Current 'I Y / N j <br /> Addraes Licence # <br /> read � i■ � <br /> Directions: <br /> Fill aut application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contraot with owner) • <br /> if over $2500, a Notice of Commencement is required .(Meehanlcal work over 55000) <br /> Supply two (2) seta of drawings with applicable documentation . <br /> Allow 10 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http / /appraiser.pascogov_com) <br /> • <br /> • <br /> • <br />