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s�?-7ao-oozo City of Zephyrhiils�Fir� Fax-813-780-0021 <br /> Permit Appiication <br /> late Received - Phone Contact for Permit <br /> :�..�r�r�� »..,.:.�... - -- � � � <br /> �..,ti.. - .�:., <br /> 3wner's Name � �' � Owl�e['s Phone Number � 3 <br /> hvners Address <br /> 'ee Simpls TiUeholder Name �'r`� �� Titlaholder Phone Number C� �� <br /> °ee SimpieTiUaholderAddress <br /> ��.. • <br /> Job Add2ss �, � �'� (� . � S Lat # C <br /> Sub Division ' � Parcei # d,�j v�p • � - (JO/V � (.� �a�j�j '�(�(3 <br /> . 5�- <br /> � Bio-Hazard Waste Siorage - ANNUAL � Fumiga8on Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Matedat (lier II or RQ Facllity) ANNUAL <br /> � Controllsd Bum � Hood Installatlon <br /> � Emargency Generatar < 30 kw � LPlNaturel Gas-InstallaBon <br /> Emergency Generator> 30 kw � LP/NaWral Gas-ANNUAL Sale <br /> Firs Pruteatlon Maintenance - ANNUAL � Places of Assembiy-ANNUAL <br /> � emi � r <br /> 5prinkler � ❑ ❑ ❑ � a Reorea8onal Bum /) �� <br /> Rre Alartn � ❑ ❑ � � � Sparklers \ �' � <br /> � <br /> Haod Cleaning O O ❑� � SprinklerSystem Insiallations <br /> Haod Suppression �❑ p ❑� a Standpipes (Sprinkler Sys) <br /> Q Fro Alartn InstallaUon � Torcfi RaoiinglTar Kettle <br /> Fire Pumps � Waste Tfra 5torage ANNUAL <br /> Fire Wotks • <br /> Flammabla Applicabon-ANNUAL <br /> Valuatiort of Project <br /> Fuei Tanks <br /> � Oth@f: <br /> ConUactor Comparry '� . ,G y e� <br /> Signature - • Registerad . Y N Fee Cuttent N� <br /> Addross ► � license # � b � �'j <br /> ELECTRICIAN <br /> Comperry <br /> 5ignature Regtstered Y/ N Fee Current Y I I�) <br /> Address <br /> Ucense �! <br /> PLUMBER — <br /> Company <br /> Signature Reglstered Y/ N Fee Curtent Y/ N <br /> Address Llcensa # <br /> MECHANICAL <br /> Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> OTHER Company <br /> Signatuce <br /> Regiatered Y/ N Fee Current Y/ N <br /> Address <br /> LI # <br /> Directions: � �_� <br /> Ftl aut applicatlon completely. <br /> Owner 8 Contractor slgn back of appiicatlor�, notarfized (Or, aopy of signad �ontract with ownar) <br /> lf over $250D, a Notice of Commencement Es requlred (Mechanip! work over �SODO) <br /> Supply iwo (2) sets of drawings with applicable documernation � <br /> Aliow 10-14 days for raview aiter submitfal date. Parcel #- obtained from Property Tax Notice (http:Uappraiser.pascogov.00m) <br />