|
, s�s=rso-oozo Ci'ry ofZephyrhilfs��ir:e: F�-ai�-7so-oo21
<br /> � , � Permii Application
<br /> Date FZeceived =:' Phona Coniact for Permif �
<br /> i .�-�^•�` ��°°�--- :� -=:..�,�.-.- ,.°..�..-,��,s�,w-,.,�-�.-• _�- �rs
<br /> ��ti��,.��- ..
<br /> Own°t's hiame Owners Phone Number �� � C
<br /> g:( 3 626 5482
<br /> Owne�sAdd 4701 Oak Fair Blvd TAMPA FL 33610
<br /> Fea Simpfe Tf(eholder Name - - T�lehofder Phone Number ��� C
<br /> Fee SimpleTitteholderAddross
<br /> � �-_°� - -
<br /> JobAddress C ( h' ^ 5' � C,� J J �s Lot�# C
<br /> Sub Divisian Parcal �
<br /> � Bio-HazardWasteStorage-AFIKUAL � FumigationTent
<br /> � Comm Exhaust'Kitchen fiood/Duct � Hazardous Material (Tier If or RQ Facifity} ANt�lUAL
<br /> � Controffed Bum � yood Instalfation
<br /> ,� Emergency Generator < 30 kw � LP/7�latural Gas-Instaflafion
<br /> _ . .,�� . •Emergency Generator> 30 �kw � LP/Nafural Gas-ANPtUAL Sa[e
<br /> •� • -�' Fire Protecfion Mainfenance - ANhlUAL � Places of Assembly AP(NUAL
<br /> � �
<br /> Y �
<br /> .., - _ - � emi � er
<br /> , , , Sprinkter, � � ❑ p � • � Recreational Bum � �
<br /> � . , Fire Alarm �
<br /> , � Q � ❑• Spark(ers .
<br /> � ��� � Hood Cleanit� � �
<br /> 9 � � ❑ ❑ � � Sprin[cferSystem Inshalla6ons
<br /> - --- - . - .., ry . � : .. Hood Suppression - - ,� ❑ ❑ O � � Standpipes (Sprinkfer Sys)
<br /> , , ,.
<br /> � -
<br /> -__.....___,.,.. . � , � ..._ . , _ . ., . ,
<br /> ::,;�,� .::� ° ireAiarrn tnstallafion' - _ _ ... ._ _ .. _.. - - - - - _ _ . _ _ . . ,
<br /> .
<br /> ,.. ... ... ..__� _
<br /> ... F � _ - .'.'...
<br /> _..,., . . ..... . . . _� ._..
<br /> _.�.._. _--...._.: .:.....:..,_. _ _. ,.,.. ... , ,. .,__...: ...._..._. _ . ._._._._ . �._�...,�.�_.----•-- Torch Roofing/TarKettle -
<br /> ...
<br /> ... ,... .
<br /> . • . .. .__.._ �_ ' _ .,.. . :
<br /> _. , �. Fire Pumps . Waste Tire Storage - � � ^
<br /> �..._....--
<br /> , Fire Works
<br /> , . ;; �• ,- Ffammable App[icafion-ANNUAL . , � ValUaflOft Of PfOfeCf ,
<br /> ' � ° � ' Fuel Tanks � " ' " ' � • � - • •
<br /> � ' � 0 .Other: . •
<br /> �_-
<br /> �
<br /> Confractor ' � •
<br /> Company ! �y�'�� �n, �
<br /> Signafure ' Registered Y/ I� Fee Cuirent Y/�
<br /> Address ' _ _ " License #
<br /> - �..�.. - _ _ _ -
<br /> ELECTRICfAN �:::;' , ; : - - . • .. ., - - , Com an " _ �
<br /> Signafure . , ._ � . p Y � - � ':: '.:. � ::. �.
<br /> Registered < Y/ N ., Eee,Gurrent> Y/ N •
<br /> Address License # � - � ,
<br /> .PLUMBER � ' "' �
<br /> � - . . Com an '`
<br /> . P Y ,f- -• ,:'.
<br /> Signafure ' Registered I Y! N� I Fee Currenf Y �j.: '
<br /> Address .
<br /> . License # '
<br /> MECHANfCAL Company
<br /> Signa[ure Registered Y/ N Fee Currenf Y/ I�
<br /> Address . _ • LiceRSe #
<br /> OTHER � .
<br /> . Company _
<br /> Signature Registered �' / N Fee Current Y/ N
<br /> Address Licerts.e #
<br /> Direc6ons: ' - � _. - _
<br /> " . F[f ouf appiication comptefely_
<br /> ____ _ Owner & Contracfor sign back of appiication, nofarized (Qr, copy of signed confracf wifh owner)
<br /> (f oveF $2500 a rlofics of Commencement is required_(tvf=chanic.a( woric over $5000} .
<br /> -= '.- Supply fwo (2} sefs of drawings wifh app[icabfe docnmenfafion � -
<br /> _ _ - _ A[torv 10-44 days for review ar�er submi:fa[ dafe_ Parcef #- obfairced from Properfy Tax Hofice (h�fpJ/appraiser.pascogov.com}
<br />
|