Laserfiche WebLink
. 11 �I <br /> 813 - 780-0020 city of Z imketimr, 1� I� 13- 780.0021 <br /> - Permit Application - <br /> Date Received ' I't%�iIL� i • ,• for :_ ,;,,w1N J WL:i 1 l ' <br /> Owner's Name . • V` i i � Owners Phone Number •1 1 1 •1 1—,—.-1 <br /> w <br /> Oners Addles 1 7 7.4R - V /11.Z... N /11.Z... Y /✓2 L/ i I <br /> Fee Simple Titleholder Name I • I Titleholder Phone Number I I I • I I I <br /> Fee SkrrplftllralrolderAddrsaaJ ( I <br /> semeieW <br /> do Lot * <br /> Job Address e� �1 <br /> Sub Division Parcel * 35 WG' I -A l' A/ 'v� 0o-il a <br /> - • .. , . , • • - ANNUAL • a Fudgaron Tent - <br /> Comm Exhaust Kitchen • • • • - I Hazardous Material (Tier II or RO Facility) ANNUAL <br /> IN Emergency Generator < 30 kw ill LP/Natural Ga-k aaWon • <br /> op Emergency Generator 3. 30 kw III LP/Natural Gas -4N UAL Sat. • <br /> • - Protection Maintenance - ANNUAL - Places of Aasembly,ANNUAL <br /> -11)ifillier ■ 0 0 0 Burn <br /> Roe Alemn 0 0 0 - Smolders <br /> • Clewing ■ 0 0 0 • Sprinkler System iMa#atlan . <br /> fir. 0 0 S <br /> p r Aim ai r stJNation _ - - T orch PoolingRar Kettle , <br /> Fire Pumps — - Eil_ Waste Tire Storage ANNUAL <br /> Pre Works , <br /> Remntabie A Plan- ANNUAL Vatuadon of Project <br /> • Rai Tanks , <br /> • ® s' <br /> Addrus r �u - a ®74 .dye <br /> s R.pisr.d [� Y / N F.. C"rwdt MUNI <br /> - <br /> Address * �2?.C. . <br /> Lktenaa 1 0 ; ; <br /> PUTAABEFt Company I <br /> Signature Reglewed Y N Fee Current I Y if N 1 <br /> Adldress I License * ( I • <br /> Rpetered I Y/ N j Fes arrant I Y/ N I <br /> Addr!ass St I I <br /> License <br /> LL <br /> OTHER <br /> Cornparty _ I <br /> Signature I Regia sm i I Y/ N. I No Current i Y/ N 1 <br /> Warps* . I <br /> , <br /> oirr . <br /> lay <br /> owner, 4 'Cdr<tderar aar± work over i30oo) <br /> If over > 2%0. a Melee t> . <br /> Supply -item t .e to of p • <br /> Now 10.14 cloys -for • ri s M d M: , . ' ` , vJ " parcel * - obtained from Property Tax Notion .0aIdrr0ov -�) <br />