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. 8� ;-,3o-co2o Ciiy of Zephyrhilfs �Fir:e: ��x-ais-7�o-o�zi
<br /> °ermit Appfica�ion
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<br /> Dafe Flecz�ved ' Pf�one ConiacE for Permit
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<br /> O4vne�s Name ��MPT�EXC�RINNET�L -� Ownars Phone Number g� 3 G 2 G 5 4 8 2
<br /> owr,z,�s�dd;ess 4701 Oak Fair Blvd T�MPA FL 33610
<br /> Fe� Simple l I�tame - TiBeholdar Phon� Number �� �
<br /> Fee Simpfe
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<br /> Job Address � � s Y r .�. 5 _ v 3�5�.,.�.�L., -- P `"<."'="` �hy��l�j y Lot� �C
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<br /> Sub Division Parcel �
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<br /> � Bio-Hazard Waste Storage -ANhlUAL � Fum�gation 7enf
<br /> � Comm Exhaust Kifchen Hood/Duct � Hazardous Maferial (Tier If or RC2 Facilify) AhlNUAL
<br /> � Controlled Bum � Hood (nstalfation
<br /> � Emergency Generator < 30 kw � LP/t�latural Gas-Insfallafion
<br /> ..� Emergency Generator > 30 kw � LP/Nafural Gas-AHNUAl� Sale
<br /> � Fire Protection Mainf -enan,r - ANI�1LlAL- - ----•._....__ Places of Assembly-ANNUAL
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<br /> , Sprinkler, � � Recreational Bum � � � I�Y �
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<br /> , e arm ❑ � ❑� � � Sparkfers
<br /> Hood Cieaning � p ❑ ❑�� � Sprinkler Sysfem Insfaftations
<br /> _ ._ _ Hood Suppressio� - � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys)
<br /> __ . ... ' • _
<br /> .. r . - FireAfarm Insfallation � ' To'rcf� Roofing/TarKetfle" '- • - �
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<br /> �, Fire Pumps • � Wasfe Tire Sforage ANh1UAL
<br /> ;:; � Fire Works • ,
<br /> , ,,, � ;� Ffammab[eAppficafion-ANNUAL. Valuation of Project .
<br /> ' � �' Fuef Tanks � ' '
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<br /> Confractor � Company � �Y�"' � �n.,-�L L
<br /> Signature Registered Y/� Fee Current Y� I�
<br /> Add�ess License # •
<br /> ELECTRIC►AN` �.,''... ,"- . . - . " " - , Company
<br /> Signafure - •- ' - Registered Y/ N- Fee Current L Y/ I� ••
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<br /> Address License # -
<br /> PLUMBER . , Company � -
<br /> Signafure - FZeyistered Y( N � Fee Currenf Y/. �j' +
<br /> Address - License #
<br /> MECHAN(CAL Company
<br /> Signafure Registered Y/ N Fee Currenf Y��
<br /> . Address . License #
<br /> OTHER Company .
<br /> Signature Regisfered Y! N Fee Current Y/�
<br /> Address Licertse #
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<br /> Direcfions: ' -
<br /> . Fi[f ouf applicafion complefely. _
<br /> � Owner Y� Confracforsign back of appiication, notarized (Qr, copy of signed contracf with owner)
<br /> If over $ZS00, a riotice of Commencemenf rs required.(Mechanicat work over $5000)
<br /> -.- - Supp[y fwo (2) sefs of drawings wifh apPfcab[e documenfafion �
<br /> __ . _ Alfovw 1Q-14 days for revievr affer submiifaf dafe. Parcet �- obfained from Properiy T� t�ioiice (hifp:((appraiser.pascogav.com}
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