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� 813=r80-0O20 City ofZephyrhilfs'Fire� F�x-aj�-7ao-oo21
<br /> Pzrmii Applicaiion
<br /> Dats Ezeceived - Pho Coniact for Permit
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<br /> � a' ,�... �- -�.�.�:..� sy..
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<br /> O,n��ts Name Owners Phone Numb�r g:� 3 6 2 6 5 4 8 2
<br /> OwnersAdd-ess 4701 Oak Fair B1vd T�MPA FL 33610
<br /> Fea Simple ,Tif(eholder hlams " - T�leholdar Phone hlumber ���
<br /> Fee SirnpfeTifleholderAddress
<br /> � ...,.a.,.�.�:.. . _ - _ �- .
<br /> JobAddress J� L-33�G-v i'1�'e'" � - �eQh�fkIIIS -�� 33SN �L �SO '�� ��ny� Lot# �
<br /> Sub Division Paroef �
<br /> �-� ".. �� �.:�
<br /> � 8io-Fiazard Wasfe Storage - AHNUAL � Fumigafion Tenf
<br /> � Comm Extiaust'Ffitcfien Hood/Duct � Hazardous Material (Tier If or RQ Facifify) ANNUAL
<br /> � Controlled Bum � Hood (nstal(afion
<br /> ,� Emergency Generator < 30 kw � LP/t�fatural Gas-Instaflafion
<br /> � ° �Emergency Generetor> 30 �kw � LP/f�latural Gas-ANPtUAL Sa[e
<br /> �. �
<br /> .. , _�' Fire Protection Maintenance - ANPIUAL Places of Assembiy Ah(NUAL �� �
<br /> y emi An er ,� II
<br /> , , , Sprinkfer. � ❑ � � ' � Recreafional Bum ,�,
<br /> - � � , Fire Alartn � ❑ ❑ ❑� � � Sparkfers ` .
<br /> f . ,��� � Hood Cleanir�g � � ❑ ❑ � � SprinklerSystem Iresfa(fa6ons
<br /> _ _ _ . - - , .. Hood Suppression. - .❑ q O _O � � Sfandpipes (Sprinkler Sys)_ _
<br /> ..,., ...
<br /> . _.. •
<br /> _.. _._. .?._a:,,._,... .. •. . r , ., - - - - . . _ .. _.. - - - - - - = - _ . . � . _ . - - - ._.. ..
<br /> _ .. , . .
<br /> - = =�° - Fire/Xlamt Inslaflafion • ' �
<br /> :.;•.�.-,. . ..._ - - - - - , ___._ ....._ .- --_.__ _--- --
<br /> . ., _. .
<br /> ... .
<br /> �_._.,.,.. .. ~. .�.._. : ...._..._. ._ . __.�---._ _.,_......,..�.:_-•--....__. _ __ �.' ?o'rch R
<br /> oofinglT'ar Kettle � '`
<br /> � �. ��~,, �. Fire Pumps � ( Waste Tire Storage AMNUAL -
<br /> L-1 . .. _.... _.
<br /> ,- � ` Fire Works � ``
<br /> . � �;, �� ,� FlammabfeApp[icafion-ANNUAI� , , ValU3floit of PfojeCt ,
<br /> ' � � �`' Fuef - Fanks
<br /> � ' � �, .Other: •
<br /> � - �
<br /> Confractor � Company � �N`' tiwr'-c. �
<br /> Signafure ' Registered Y/ N Fee �urrertt l� / I�
<br /> Add�ess _ _ " _ A License # '
<br /> ELECTRtCtAN ; .- , ' . , . _ • ° .. �, • - , Company , ' ��.. • � . :�. '
<br /> Signature • � -- ' - � � ' • - ` Registered < Y / N � Fea,Currgnte , Y / N � ; •
<br /> , Address License # ' ,
<br /> PLUMBER , . ' . . Company � :� . � ':"•
<br /> Signature ' Regisfered Y(� Fee Current Y��;�
<br /> Address • License #� `
<br /> MECHANfCAL Company
<br /> Signafure Regisfered Y/ N Fee Currenf Y/ I�l
<br /> Address . License #
<br /> OTHER Company -
<br /> S[gnatu2 Registered Y/ N Fee Current Y��
<br /> Address Licerese #
<br /> Direc6ons: - �
<br /> " , FF[( out appficafion compfefely_ '
<br /> ' Owner � Contr�tcforsign back of applicafiort, nofarized (Or, copy of signed confracf with owner) -
<br /> ff over $Z500, a I�Iofice of Commencement is required_(M1rE_chanica( work aver $50D0� . .
<br /> '� ''_ - Suppty two (2) sefs of drawings with appficabfe doc�menfation -
<br /> -�.. - _ AlfoHr 10-14 days for revlew ai�er submi�Fa[ da4e_ Parcet �- obfair�ed from Pmperfy Tax Hofice (hifp'l(appraiser.pascogav.cnm)
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