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• 813-780-0020 ,�°� City of.Zephyrhilis"Fir.�e• Fax-a�aaaaoo2� <br /> �°L ���� PermitApplication <br /> Date Received - � - Phone Contact for Permit <br /> 2 <br /> Owners Name � Owners Phone Number -�� �, �� <br /> rd I � ,� <br /> Owner's Address �r � <br /> Fee Simple Titieho�der Name TiUeholder Phone Number ��� C� <br /> Fee Simple Titleholder Address <br /> Job Address � +h �/ Z ��, � Lot# � <br /> Sub Division Parcel # _ _ � _ <br /> � Bio-Hazarcl Waste Storage -ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material �er II or RQ Facility) ANNUAL <br /> � Controlled Bum Q Hood Installatlon , � <br /> � Emergency Generetor < 30 kw � LP/Natural Gas-fnstaliation /� L � <br /> o ,�, � - <br /> Emergency Generator > 30 kw � LP/Naturel Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n er <br /> Sprinkler O ❑ B� � Recreational Bum /'l <br /> Rre Alarm p p A� � Sparfclers ��7) �� <br /> Hood Cleaning p ❑ ❑� � Sprinwer System InstaltaUons � <br /> Hood Suppression � p ❑ ❑� a Standpipes (Sprinkler 5ys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettie <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL � Valuation of Project <br /> Fuel Tanks <br /> 0 Oth@ ' <br /> ConUactor Company m � i ' � � <br /> Signature Registered N Fee Current Y N <br /> Add�ess License # <br /> ELECTRICIAN Company <br /> Signature ` Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER <br /> Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> Directions: <br /> FII out application complately. <br /> Owner 8 Corrtractor sign back of application, notarized (Or, copy of signed conVact with owner) <br /> If over $2500, a Notice of Commencemerrt is required.(Mechanical work over $5000) <br /> Supply two (2) sets of drawings with applicable documentation <br /> Ailow 10-14 days for review after su6mittal date. Pareel #- obtained from Property Tax Notice (httpJlappreiser.pascogov.com) <br />