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813 =r 80-0020 City of Zephyrhiffs'Fire: <br /> Fix- 313 -7a0 -0021 <br /> Permit Application <br /> Date Received <br /> Phone Contact Permit t <br /> Owner's Name S TMPT,FXGR TNNFT,T, 1 Owner's Phone Number 1 81 3 1 1 626 1 5482 <br /> ` <br /> Owner's Address 1 4701. Oak Fair Blvd TAMPA FL 33610 <br /> • <br /> Fee Simple Titleholder Name I • - I Titleholder Phone Number 1 J <br /> Fee SimpleTitleholderAddress I <br /> - <br /> Job Address <br /> Ili IP, le .` g•('€. I .; ME Let I <br /> Sub Division <br /> Parcel <br /> . I ,I Bio- Hazard Waste Storage- ANNUAL Ii Fumigation Tent <br /> Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier If or RQ Facility) ANNUAL • <br /> I . • Controlled Burn I I Hood Installation <br /> ' I ` ` I' Emergency Generator < 30 kw I I LP /Natural Gas- lnsfallation <br /> Emergency Generator> 30 kw ' I I LP /Natural Gas - ANNUAL Sale <br /> • <br /> Fire Protection Maintenance - ANNUAL - I I Places of Assembly- ANNUAL .. <br /> . lCftriyl isemi( g <br /> Sprinkler, ❑ ❑ ►,. I I Recreational Bum <br /> Fire Atarrii • ' . I 1 ❑ ❑ ❑- I , 1 : 1 1 Sparklers 1 <br /> ' - Hood Cleaning I 1 ❑ ❑ ' ❑ I I 1 "1 Sprinkler System Installations • <br /> ' � <br /> Hood Suppression O � - - <br /> H ❑ <br /> - I I .. .1 . es (Sprinkler Sys) <br /> f • Fire Alarm Installation - <br /> T rch Roofin g(i`ar Ketfle` ` <br /> �, Fire Pumps • • I 1 - Waste The Storage ANNUAL <br /> j , ...1: 'I' Fire Works • <br /> I . I. Flammable Application- ANNUAL <br /> I ( Valuation o ject <br /> f Pro <br /> F uel Tanks <br /> I Other .. . .. <br /> Contractor <br /> Company -<, - -, .,,� >,.., . R;P` 4�,.�` �:.:>x -, a€ <br /> Signature I 3 cell- i �, 'S c. C <br /> I Registered Y / N • Fee .Current • Y / N <br /> Address I <br /> License # <br /> ELECTRICIAN • . „ ` Company <br /> Signature ( Registered ' Y / N Fee C <br /> un-ent Y / N I <br /> Address I I : <br /> . r <br /> . License # I I <br /> PLUMBER Company • Signature - Registered Y / N : F <br /> I F e Current Y / N;' I: • <br /> Address I I License # . I ' I <br /> MECHANICAL - Company <br /> Signature Registered I Y / N j Fee Current <br /> • i <br /> . Address .. . License #. I I <br /> Y / N <br /> f, f <br /> OTHER I Company <br /> Signature ! Registered Y / N J Fee Current 1 Y / N <br /> Address I <br /> Di " � «: _ License <br /> rections: . -.. -� ,,,,-. - =, -•� ,.: = s <br /> x, <br /> Fill out application completely. ' <br /> _ __ _ Owner & Contractor back of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required_(Mechanical work over $5000) . <br /> - Supply two (2) sets of drawings with applicable documentation - <br /> AI[oJ 10 -14 days for review after submittal date. Parcel 4- obtaind from Proper y Tax Nofica h f /(a <br /> ( p: ppraiser.pascogov.com) <br /> • <br />