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1)I;WIU / MVII 11:4.4 AR LI;t11lft11LL 13U1LI/IIN. PRA NO. dii"1iiU'UULI r. UUL <br /> 813 -7 0-0020 - City of ZephyrhU115 tFIfa:.•. = ' / if 2/ Fax - 813480.0021 .:1:= i <br /> Permit Application. , • ( .:aao <br /> Pate rteOnive • `� Phone C ntactfor Permit . <br /> Owner's vents ES re / Owner's Phone NUMINK . f 1.l 1-1,_i <br /> OwnersMdress 3. ZSo 4- 4 ie V --- � 2 ph -4 (/s 7'. • 3 j 3 see Z 1 <br /> Fee Simple Name ! .. 1 Titleholder - Mona Number 1 - 1 1 1 • <br /> Fee Simple ittleholderAddreeo , <br /> JobAddresa Lot# 1 <br /> Sub•Divialo • Parcel # • L <br /> Ei Bto-Haz Woofs Storage -ANNU - fl Fumigation Tent • <br /> n . Comm Exhaust 14 Hood/Duct h✓ i - - ED Hazardous Material (Tier II or Rf2 Facility) ANNUAL. ` <br /> • u ��j Controlled Bum- 1 ----- 1 Hood Lrmtauation <br /> • 0 Emergency Generatorc 30 kw E lr . LP /Nagtral Gas- Natallation 6 /� <br /> mergsncy Generate } 30 kw 1 LP/Natural Gas - ANNUAL Sale 11 <br /> d Fire Pulsator' Maintenance - ANNUAL • El Places of AseembiyANNUAI. / > // '3 //G <br /> • EM•�� ^ / <br /> Sprinkler La ❑ la d { 1 Recreational Bum <br /> Fire Alarm ❑ ❑ 0 J .1 - E Spenders .....------- <br /> Hood Meaning tee 0 0 _ I Sprinkler System Installations i V � <br /> -po Hood $i pr eaon D GI ❑ ( Standpipes (Sprinkler Sys) <br /> CI Firs Nam installation - C=I Torah RoafirgiTerKeine - <br /> i ire Pumps E Waste Tire Storage ANNUAL <br /> Fire Works • <br /> 7 Flammable Application- ANNUAL ._j Valuation of Project <br /> R Fuel Tanks <br /> Other. I <br /> Company Signature <br /> Contractor / ' 2 S/�� Registered ered Y N � Fee Current j Y/ N I I <br /> Address I I7O4 6- 44 j�C✓verS 1,19 -. / license* -- <br /> A 41., o-( �/ 3•F Registered YIN 1 Fee Current I YIN 1 - <br /> Address r =` - = t lcar>>:a# 1 • <br /> PLUMBER Company I <br /> signature Registered Y N Fee Current I Y/ N I • <br /> Address - License* I I <br /> • MECHANICAL • - Company <br /> Signature _ Registered 1-714 I Feb Current I Y/ N <br /> Address r . - • Licanse it I I <br /> OTHER • - Company • <br /> Signature Registered QAIII . Fee Current EMI <br /> • <br /> Address • . Ueense# <br /> FYI out application completely. • • <br /> Omer 8. Contractor sign back of appttwtlon, notarized (Or. copy of eared =mired with owner) - <br /> If over 52600. a Notice of Cams ancemera is requlred.(Mecheni at work over $5000) - • <br /> Supply two (2) seta of drorringa with applicable documentation . - <br /> Allow 10-14 days for review d• ' " ' Patna' A - AtAnSti *urn Rowdy Tax Notice (httpdIappraisecpaseogov.00m) <br /> STEAM & PRESSURE CLEANING <br /> Building Exteriors Air Duct Cleaning Certified Kitchen <br /> High Rise Exhaust Cleaning <br /> Commercial Sidewalks <br /> Industrial Concrete <br /> Bruce Anderson _ .. ^ • _ •. <br /> Phone: 1- 888 - CLEAN -18 Licensed, Bonded, Insured <br /> CeII: 863- 224-1155 Serving Florida Since 1989 <br /> Email: pressureson ®tampabay.n:com Free Estimates <br />