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a�3agp.po2o City ofZephyrhillsFir$- Fax-��3aso-oo2� i= <br /> , Perrtiit Application - _._. <br /> �— 0 0 0 <br /> Date Rsc�ved � Phone Co� ior Permlt <br /> ��m�etrrsiso � �.� �.. . o�asmrm ��sen�im <br /> Ovvners Name <br /> '' Ownars Phone Nunber � L��+_I IL� <br /> Ouvners Add�es,s ,A.O ' ` � � <br /> Fee Simple Titlehdder Name l7tleFalder Ptwne Nurnber ���] <br /> Fee Simplelltlehdder Address <br /> � �� Lot # <br /> Sub Oivisbn ��� # <br /> a Bio-Hazard Wasta S�rage - ANNUAL � Fumigation Terrt <br /> a ��� �� �t a Hazardous Ma�erial (Tier ii or RQ Facflity) ANNUAL <br /> o ��e�„ . o ��� <br /> D Emergency C,enerator < 30 kw � LPlNahxal Gas-Installatlon <br /> Q Ert�gency Generatnr> 30 kw a LPRJ� Cas�ANNUAL Sale <br /> � Fre Protecdon Mairrtenance - ANNUAL � Places of Assemby-ANNUAL <br /> � � � � C 1 ,. � ��.SZ <br /> 5prinkler � � O ❑ � � � � ►v <br /> Rre Alarm � ❑ ❑ ❑ 1—� � Sp� L , / ( <br /> Hood Cleaning CI � ❑� � SP�rdd� SYstem �nstallations ( j� JJ <br /> Flood Suppression � ❑ ❑ ❑ � � StandpiP� �SP�� SYS) � ! <br /> � Fre A�rtn Instellation a Twd� RooFmglTar Kettle � <br /> Fre Pumps � Waste Tire Storage ANNUAL <br /> �re Works <br /> Flammabie ��canor►- w�u�u. r Valuation of Project <br /> �.�.�•�� <br /> Fuel Tar�cs <br /> er: <br /> Cotrtrac�r . �Y <br /> g�� RegisoeBd Y/ N r-ee currerrt Y/ N <br /> qdd�ss Lk�se # <br /> ELECTRIC - � <br /> 5� Regis�ered Y/ N Fee cument Y/ N <br /> qddress Lice�e # <br /> PLUMBER Co��Y <br /> Sigr�ebure Regis�red Y/ N Fee C�rrent Y/ N <br /> qdd�ess Licerme # <br /> MECHAN(CAL �Pe�Y <br /> Signarime Registered Y/ N Fee currerrt Y/ N <br /> Address Lic�se # <br /> OTHER Cort�arry <br /> signaame Regis�red Y/ N Fee currerrt Y/ N <br /> Address Lk�nse # <br /> �r m i m i _ -- <br /> DirectiW78: <br /> Fili out applica6on oompistely. <br /> Owner 8c Corrtractor sign back of appHcation, nartarmed (Or. euPf� oF signed contract with ovma') <br /> N over 52500, a Nofice of Cormiencament is required.(Meehanical wwk over 55000) <br /> S�piy iwo (2) aets aF drawings wNh applicable docurt�eMation <br /> Al�ow 1a1a dsys ror roview ake� s�� date. P��ei #- obtsmed srom Propertr Tax Notic:e thUp:/�sppraiser.paseogov.com} <br />