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. I f • <br /> 1 <br /> 813- 780.0020 City of Zephyttilis .Fitmkx+2, Fax - 813 - 780-0021 <br /> Permit Application - <br /> Date .o ivied r <br /> R 1 1 _ , Permit 1 1 I J <br /> NU Owners Nome ... ' Iii l� :114 �Ii!/ 1JA owr, rs Photo Number .1 11 I <br /> Own.rsllddress v .. Lilt" Sar�� <br /> • <br /> Fee Simple Titleholder Name 1 ( Titleholder Plow Number ( 11 H <br /> I <br /> Fee SImplsl1tlsholder <br /> Job Address M r Lot <br /> Sub Division Parcel <br /> Bioftssard Waste Storage - ANNUAL a Fumigation Tent • <br /> 0 Comm ednust IOtchen Hood/Duct = Hazardous MetsiW (Tier 1I or RO Facility) ANNUAL. <br /> E l Controlled Bum a Hood <br /> Emergency Ge1e1 t r < 30 kw LP/N:turd Gas-Installation <br /> Emergency Generator> 30 kw LP/Natural Gu-/ iW1L sale <br /> Fire Protection Mak5enance - ANNUAL Pieces of Assembly-ANNUAL <br /> Splrrdr U 0 0 0 M Remotions! Bum <br /> Fire Mann 0 0 0 Sparklers <br /> Hoed Clearing 0 0 0 SprinklarSystent L_ Jallons <br /> Hood Suppression 0 0 0 Sbndpipes (Sprinkler Sys) , <br /> Fie Aawm I nstalation _ _ _ Torch Kerrie Are Purnps - - ' Wade Tire Storage ANNUAL • <br /> Fir. Works <br /> Ftsnmable Application- ANNUAL ) I Valuation of Project <br /> • Foe Tarots <br /> ® s ' <br /> C« a h. ® Conrpry /�;'•. 44 11 =4r416. <br /> Slgna4ae AMP , ,,,ga ! �LalSali51 If _ v � � <br /> Adams. 1 : r " P ,�.t9 --- a. l 4 Clime. # X44 " .".0. i • sw .; ; <br /> ELE 6°: Company <br /> Signature 1111.1111111111111 Registered Y /' Fee Cum.rtt ` <br /> Liras alt 1 <br /> ...„ , . ... .. <br /> PLUMBER { <br /> siyrrahm• I R Y /, N i Fee Ghent I Y/ M I <br /> Adaess I License 0 I I <br /> MECHANICAL' . . <br /> Comply <br /> i <br /> Siprabrne <br /> Registered I Y/ N 1 Fee Conant I Y / N 1 <br /> Address f I Lions s <br /> OTHER I I <br /> Signature Re I Y/ N• 1 F ie Cumint 1 Y I_N 1 <br /> V ... 1. I Uosrw e . 1 <br /> Fi aR <br /> Owner & t CoOki m 4rillticter " signed eonireot wqh owner) <br /> �. <br /> d <br /> It over $2000. a Notice r - ,, , : x ' work over$5000) . <br /> Sup*N two (2)sds-ot . <br /> • <br /> Alpo 10-14 days for sarsostL BIM t. ,« e' i'arcel - obtained from Property Tax Nodes (fitlpdh4P -0e .f.cont) <br /> Y'a .t <br /> • <br />