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sis-�so-oozo City of Zephyrhiils Fax-s�saso-oo2i <br /> Permit Application _ <br /> Date Recei�,,,�! -� - Phone Contac� for Pertnit - <br /> Owner's Name /f � !f' Owners Phone Number �� � <br /> Owner's Address �� — ,p / �(/ <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � <br /> Fee Simple Titleholder Address <br /> Job Address Lot # � <br /> Sub Division ' Parcel # <br /> � Bio-Hazerct Waste Storage - ANNUAL � FumigaUon Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Instailation <br /> � Emergency Generator < 30 kw a LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL ���� <br /> �y emi �n er ,� ( <br /> Sprinkler � O ❑ �� � Recreational Bum <br /> Fire Alartn � ❑ ❑ O � � Sparkters <br /> Hood Cleaning � p ,;�' ❑� a Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installatlon � � Toroh RooBng/Tar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL Valuation of Project <br /> Fuel Tanks <br /> her: <br /> Contractor Company ,� 4 �� <br /> Signature Registered Y N Fee Curre Y/ N <br /> Addres License # <br /> ELECTRICI N Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fea Current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER Company <br /> Signature Registered Y/ N Fee CuRent Y/ N <br /> Address License # <br /> Directions: � <br /> FII out application •completely <br /> Owner 8 Corrtrector sign back of appiication, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> �, Supply two (2) sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittai date. Parcel #- obtained from Property Tax Notice (httpJ/appraiser.pascogov.com) <br />