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<br /> Owne�'sAdd 4701 Oak Fair Blvd T�MPA FL 33610
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<br /> � Bio-Hazard Wasfe Sforage - ANNUAL � J � Fumigafion Tent .��
<br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Materiai (Tier If or RQ Facilify) ANHUAL
<br /> � Controfled Bum � Hood Irtstalfafion
<br /> � Emergency Generator < 30 kw a LP/Natural Gas-InsfaflaPion
<br /> _ � Emergency Generator � 30 kw � LP/t�fatural Gas-At�tNUAl. Sale
<br /> � Fire Protection Mainfenance-ANNU�iL � Places ofAssembly-ANtdUAL
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<br /> � Fire Alarm � ❑ ❑ _�� � Spark(ers ��
<br /> ������.�g � ❑ ❑ ❑ � � Sprinkler'Sysfem IRSfallafions�
<br /> - -- . Hood Suppression � ❑ ❑ O � � Standpipes (Sprinkler Sys)
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<br /> Fire Pumps � Wasfe Tire Storage Rt�[HUAL
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<br /> -;., � .� FlaminabfeApplicafion-AHNUAL Valuation of Project
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<br /> Signafure Registered Y! N Fee .Currenf Y/ N
<br /> Add�ess • _ License # •
<br /> ELECTRICfAN'; .- " ° - . ' ' , Company �
<br /> SignaEu�e - • " - � Regisfered � Y / N. Fee Current �' / N • .
<br /> Address License # ' - -
<br /> PLUMBER - _ - � " CompanY `�' - .
<br /> Signafure Registe; ed Y[ Iv � Fee CurrenP Y/. nj ~
<br /> Address � License #�
<br /> MECHANECAL Company
<br /> Signature Regisfered Y/ N Fee Currenf Y��
<br /> Address . License #
<br /> OTHER Company .
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<br /> Address License #
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<br /> Fi[( ouf app'licafion comp(etely. ,
<br /> � Owner � Contracforsign back of applicaiion, notarized (Or, copy of sign=d contract with owner)
<br /> [f over $Z500, a t�Iotice of Commencemant is required.(M=chaniea( wortc over $5000}
<br /> - Supply iwo (2} sefs of drawings with applica6[e documenfafion "
<br /> ,_ _ A(todf 10-14 days for review at�Eer submiifaf dafe. Parcet �- obfained frnm Prope�Ey Tax t�lofice (Ftifp://appraiser.pascogav.com}
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