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813=�80-0020 CI{y OfZcPfly�fllllS FIF2 Fax-3i�780-0021
<br /> Permii Applica�ion
<br /> Date Re .- Phon� ConfactforPermit
<br /> e..�.�- �,.+;-.�, a. " _ ��� .. - . a�,..�xe��•.,.:a�-� -:
<br /> Owners hiame \j Owners Phone Numb g � 3 6 2 6 5 4 8 2
<br /> OwnersAdd 4701 Oak Fair Blvd T1�MPA FL 33610
<br /> Fee Simpie ,Tiflehalder Hame - Tr�leholdar Phone Flumb=r ��� C
<br /> Fee SimpfeTifieholderFiddrross
<br /> �� . - ' �
<br /> Job Address � i � r �1 Y 1 hS � 3 J�J "r � � � '+ r ��`F/Yl �(� ! Lbt �# �C
<br /> Sub Division Paroel �
<br /> �^,.--�x^•^ ��.,"'� - - _ - - - -
<br /> � Bio-Hazard Wasfe Storage -ANNUAL � Fumigation Tenf
<br /> � C�mm �haust'Ffitchen Hood/Duct � Hazardous Maferial (fier !f or RQ Facility) AHt�tUAL
<br /> � Controfled Bum � Hood Insfaffa4ion
<br /> ,� Emergency Generator <30 kw � LP/�Iatural Gas-fnsfaflafion
<br /> _ , � _ •Emergency Generator � 30 �kw � LP/�tafural Gas-AHPtUAL Sa(e
<br /> •: ..�' Fire Protection Maintenance - ANPIUAL � Places of Assembly AhINUAL ���
<br /> (� emi An er � I �
<br /> . , , Sprinkler. � ��� � ❑ p � � Recreafional Bum !
<br /> � -, Fire Alarm � ❑ ❑ ❑• � � Sparkfe[s •
<br /> � � �'�� � Hood Cfeaning � p ❑ ❑ � � Sprinkler'Sysfem Instal[a6ons
<br /> _ __ _ . _ � - - :., , .. Hood Suppression - - .� ❑ ❑ , _ p � � Standpipes (Sprinkler Sys)_
<br /> .____....:__°� �: . , . .,._ ,.._, . ,
<br /> - +.• --. _ . .._._.._� ...,. - , �. ,
<br /> - � � _ ` =° � Fire Alarm Instatlation � � � � � ` � � ` � " "" � - To'rcfi Robfing/Tar Keftle = = ' = � - �
<br /> .. ., z .., ... _ ... . . . _ _..
<br /> _.____.. .--- ....__.... � ...:..: -�_;....,........ , ,. .._ _. ..: . _ _ ..._ ..... .,.
<br /> .. . . _ . ._.__._.._ . _.�_ ._ �._.,...---...___._ �_ '
<br /> . . - ... ., ._
<br /> .. ...._. , .___ _. _ ._ _ __._�__ -- - --
<br /> _ � :;. � Fire Pumps . Waste Tire Storage AIdNUAL -
<br /> � , .� �, Fre Works • • �
<br /> ,-,;; �• ,- FfammabteAppticason-AHNU,aL . . Va(uation of Project .
<br /> • , ° � ` - Fuef �anks � - - • - , . . . � - - - -
<br /> � ' � 0 Ofher: . .
<br /> �- - - - �
<br /> Confractor � Company ! �Y�'`'� �n.,•ti f.�
<br /> Signafure Registered Y/ I� Fee �urrenf Y/ N
<br /> Add�es� _ _ _ " _ � License # -
<br /> ELECTRICIAN'::.. , : = _ - ! • , , ` - , Company , � -_..
<br /> Sighaftare - • -- ' � • - � Registered - � Y ��N � , �, Fee,Current> Y / N ' •
<br /> �;
<br /> Address License # ' - _
<br /> PLUMBER � Company ., u`. , • . . -
<br /> Signaivre ' .,� Regisfered Y( N� Fee Currenf Y �_�'� •
<br /> Address License #� `
<br /> MECHAN[CAL Company
<br /> Signafure Registered Y/ N Fee Current Y/[1I
<br /> %lddress , License #
<br /> OT[-fER • Company _ .
<br /> Signafure Registered Y/ N Fee Current Y/�
<br /> Address License #
<br /> Directions: ' - • . -
<br /> . FF[[ out appiicafion compfefely_ _
<br /> ___. _ Owner Yx Contracforsign 6ack of appfieauon, notarized (Qr, copy of signed cortttacf with owner) .
<br /> ff over $Z500, a t�fofice of Commencement is reqt�ired.(NEechanic.a[ woric over $5000) .
<br /> ----: " - Supp[y fwo (2) sefs of dr�wings with appficable docamenfa8on
<br /> �_ _ _. -- _ AlfoHt 10-'f4 days for review after submitta[ daf=_ Rarcef �- obfained fiom Property 7ax t�fouce (ft�fpl/appraiser.pascogov.cnmj
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