|
' , 87�=�eo-co2o Ciiy ofZephyrhilis'Fir:e� F�c-a��7ao-oo21
<br /> Pzrmii App(icaiion
<br /> Dafe Re -•- Phone Coniact for Permif
<br /> .
<br /> s .� , �.. , . , « ��:��- � -�.,�-•-,._..... � -
<br /> - �--� - - �...�:�:�.�
<br /> O�rrne�s t�iame �wners Phone Number g� 3 6 2 6 5 4 8 2
<br /> Owne�sAdd 4701 Oak Fair Blvd TfiMPA FL 33610
<br /> Fe� Simpfe Tfleholder �Iams • - Tiileho(dar Phorte Humb=r ���
<br /> Fee SirnpteTifteholderP.ddross
<br /> .y. - -- - - �
<br /> � I � -:%
<br /> Job Address ( y�, ��� S� j j � �� Lbt #
<br /> Sub Division Parcel �
<br /> . . - - - - - - -5�...:,�.-:�
<br /> � Bio-HazardWasteStorage-AhlNUAL � FumigationTenf
<br /> � Comm F�haust'Kitcfien fiood/Duct � Hazardous Material (iier I[ or RQ Facifity) ANPIUAL
<br /> � Controfled Bum � Nood (nstalfation
<br /> � Et-iergency,Generator < 3o kw � LP/Nafural Gas-Insfatlafion
<br /> _ . �,_ •Emergency Generator � 30 �kw � LP/t�latural Gas-APtPtUA�. Sa[e
<br /> -. •� Fre Protecfion Mainfen�rtce =;4NhIUAL • � Places of Assembly ANNUAL
<br /> ..., - . . _ � r y emi � er � � �
<br /> ..
<br /> . ,, � �. 5prink(er, � ❑ � D �/ �. • � Recreational 8um I �
<br /> � _, ... � _�_ __ —_----- '
<br /> � - - -_ -
<br /> � � �, �i�e ATarin� ❑ ❑ O. �� _- � 5park(ers .
<br /> , � !.A' , ' ' �
<br /> Hood Cleanir�g � p ❑ ❑� � Sprinkfer'System Instafla6ons
<br /> - --- - - - .. - :... Hood Suppression - - ,� ❑ ❑ O �' � Standpipes (Sprinkler Sys)
<br /> .� ,. „; . � . .
<br /> •
<br /> .. _...-.'�.�`�. � . — � ._....._.«. . .. . , .. _ ' � . ' . . . �
<br /> . ....; . � — .. ..
<br /> ..,:- _�° Fre.4larrnlnsfallefion'. _ ......_ . .. _.. - - -.-- -. ' _' - -
<br /> ....; � ,... , . ....._ _.. ._ _..___.
<br /> .. �..
<br /> ..;-•-
<br /> . ... .... . ._,.... .. . . .. . _ ._.. ,
<br /> ..__.._...---...._.._..�...:..-_ _ ...,........, ,. .,__..._ . .._...-- - - ._.___-- . _._._......_.,_�.__ _ � l"orch RoofinglTarKetfle
<br /> , � , ....__. .__ . ._ - - - --•>- -•.._. ,. .. .
<br /> . ..---�- -- •- -__.__..---- --
<br /> _. ,;; ,�. Fire Pumps . Waste Tire Storage At�[NUAL -
<br /> , ,��. Fire Works � ' - --
<br /> _ -!; �� ,• FfammableApp[icafion-ANt�[UAL . . �--� Va[uation of Project ,
<br /> ' � ° �` ' Fuel Tanks � � � - " " " ' ' - � - • -
<br /> � ' ' Q .Ofher: . �
<br /> �: -
<br /> Confractor Company � �H'�'
<br /> - 7++'�+-ti �-�
<br /> Signature ' Registered Y/ N Fee .Current Y/' N
<br /> Address _ _ _ _ - License # ' -
<br /> ,..,, _ . ,.. . . . . ,. . . . _ _ . , _
<br /> .... ...
<br /> ELECTR :, :; �" - - - . . � • � , - - - - -
<br /> > , , �. _ _ • . Company . ,. - .
<br /> Signafure - � -- ` � ' � ' • - Registered Y / N . Fee,CurrenE> , Y / N ,, �
<br /> Address License # �, _
<br /> PLUMBER � - � Com an
<br /> - _'; . . P Y , `' -
<br /> Signafure ' Registered Y( N� Fee Curre�C Y (�(;: '
<br /> � Address • License # '
<br /> MECHANICAL Company
<br /> Signafure Registered �` /(� Fee Currenf Y/[�I
<br /> . fAddress , ' LiceRSe #
<br /> OTHER � Company _
<br /> Signature Registered I Y! N I Fee Current Y/�
<br /> Address License #
<br /> �
<br /> Directions: - • . �
<br /> _ Fi[f out aPpiicafion compfetely_ ,
<br /> ___: _ Owner & Contracforsign 6ack of applicaiion, nofarized (Qr, copy of signed contracf wifh owrter)
<br /> ff over $Z500, a Nofice of Commencement is required_(Mechanicat work over $5000� _
<br /> .- - Supp[y two (2) sefs of drawings wifh app(icabfe doc�tmenfafion '
<br /> _ _. - _ Aifodw 10-'(4 days for review at�er submifta[ dafe. Parcef �- obfaiRed fmm Properfy Tax hiofice (hifpJ/appraiser.pascogov.com)
<br />
|