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stia-7ao-oo2o City of Zephyfiills'Fi� Fax-813-780-0021 <br /> Petmit Appiication <br /> Jate Received - Phone Contact tor Pertnit <br /> :�y�:�•° �. . �,s..,...�.,,.��.,� <br /> ]wners Name � �Ir 1 (' p (' � pw�eC's Phone Number � � � (� <br /> �wner's Address <br /> =ee Simpte TlUeholder Name Tftleholder Pfione Number �� � <br /> =ee Simple TiUeholder Address <br /> Job Address �.J � � � � ` � -2 P` + S Lot # <br /> � <br /> Sub Division par�e� # <br /> a Bio-Hazard Waste 5torage - ANNUAL � FumigaUon Tent <br /> � Comm Exhaust fQtchen HoodlDuct � Hazardous Matedal (Tter il or RQ Facil3iy) ANNUAL <br /> Controlisd 8um � Hood Installatlon <br /> � Emergancy Generator < 3p kw � LP/Natural Gea-Installa8on <br /> Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale <br /> Flre Prote�tion Mairtenance - ANNUAL � Places of Assembly-ANNUAL ,�. ��� r� <br /> ❑ � m� ^T � � �� � <br /> 5prinkler ❑ ❑ ❑ Recreadonel Bum <br /> Fire Alartn � O ❑ � � � Sparklers <br /> Hood Cleaning ❑ O ❑ Sprinkler System Insta{lattons <br /> Hood Suppression �❑ p ❑ U � Standpipes (SprinWer Sys) <br /> a Fre Afartn Installa8on � Torch.RoofinglCer Kettle <br /> Fire Pumps a Waste Tire Storage ANNUAL <br /> Fire Works • <br /> Flammable Appllcatlon-ANNUAL <br /> r � Valciation of Project <br /> Fuet Tanks <br /> � Other. <br /> Contractor <br /> Comparry '� .G y � <br /> Signature � Registereil Y N Fee Current nj <br /> Address ( � Liceree # Fj b � � <br /> ELECTRICIAN <br /> Comperry <br /> 5ignature Registered Y/ N Fee Curtent Y/ N <br /> Address <br /> Ucense # <br /> PLUMBER <br /> Company <br /> Signature Registered Y/ N Fee Curtent Y/ N <br /> Address <br /> Licensa # <br /> MECHAWCAL Comparry <br /> Sigr�ature Registered Y/ N Fee Ciurent Y/ N <br /> Address <br /> License # <br /> OTHER <br /> 5ignature <br /> Company <br /> Regiatered Y/ N Fee Current Y/ N <br /> Addrass <br /> License # <br /> Directions: ..� <br /> FII aut appUcaOon completely. <br /> Owner & Contractor sign back of applicatlon, notarized (Or, copy of signad oonhact with owner) <br /> If over 52500, a NaGce of Commencement fs requtred (Machanipl work over 35000) <br /> Supply twa (2) sets of drawings with applicable documerrtatlon ' <br /> Allow 10-14 days for revfew after submittal date. Parcel #- obtained irorti Property Tax Notice (http:/lappraiser.pascogov.�om) <br />