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e�3-�80�002o City ofZephyrFtillsFir�e� Fa,�.et3-�ap.op2� t� <br /> Pertnit Application - <br /> oate Fteceivea — `�="Z�1� _ - Pn«ie cor�r.tforPertntt �—� �� �� __ <br /> .. <br /> Ovmers Name Owr�s Phone Nurnber �- 7e� l L.13�1�J !�J <br /> Owners Address Q ' ` � �„ <br /> Fee Simple Titleholder Name Titletwider Phone Nianber �� �� �� <br /> Fee Simplelitlehoider Address <br /> Job Address Lot # <br /> Sub Divislon Part�i # <br /> � Bio-Hazarid Waste Stotage - ANNUAL � Fumigation TeM <br /> Q Comm Exhaust 1�6d�en Hood/Duct � hlazardous Material (T'ier il or RQ Facility) ANNUAL <br /> � Controlled Bum � Flood f�stallaBon <br /> � EmergerxY G�o� < 30 kw � LP/Nabural Caas-Inshallation <br /> � Emergency Ger�a�or> 30 kw � LP/Nahual Gas-ANNUAL Sale <br /> � F'me Protection Maintenance - ANNUAL Q Places of Assembfy,ANNUAL <br /> o � ��� o I���I <br /> SP��ber ❑ ❑ ❑ RecreaUonal Bum <br /> Flre Alartn � ❑ ❑ ❑ � Q Sparlders <br /> M°°d Geary^9 �� ❑ ❑� a Sprinkler System Instaliations <br /> Hood Suppressfot� ❑ ❑ ❑ �� Standpipes (SpriNcler SYs) <br /> a Rre Atartn histallation a Torch Roofirg/Tar Kettle <br /> Fre P�enps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> �ammanie n�icanon-a�aun� �--� vaivation of Project <br /> Fuel Tanks <br /> r. <br /> cordractor � r► � ►yr <br /> S' Regisbered Y/ N r-ee cunent Y/ N <br /> �� Lkense # <br /> ELECTRIC � - �� <br /> sig"ec�e Re�ist,erea Y/ N Fee cumenc Y! N <br /> '� Liceose # <br /> PIUMBER � <br /> Signahx�e � <br /> Regismred Y/ N Fee ctgrent Y/ N <br /> �"� License # <br /> MECHANICAL � <br /> �"� Re9�cered Y/ N Fee c�,t Y/ N <br /> '�� License # <br /> OTHER <br /> ��Y <br /> slgnawre Rsgi�ered Y/ N Fee cuRent Y/ N <br /> A �� License # <br /> a�: <br /> Fill out aPP���eliai compietsiy. <br /> Owner 8 Contracbor sign back af aPP�ication. r�ed (Or. wPY ��9ned cbntract vuith ovuner) <br /> M ovar 52500. a Nofice aF Commer�err�ent is �squired.(llAschar�ical work ove� lS000) <br /> S�PP�Y �(2) aets of drawinps wRh appltcabie do«rr�enmHon <br /> ANow 10-14 days for review aRer s�rtdttal date. part�1 #-�y� {� <br /> Property Tax Notice (hupJ/appramer.pascogcv,cbm) <br />