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313-750-0020 City of Zephy�hills FIFZ' rax-o ��-� ov-v�� i <br /> Permit Application _ . _. <br /> Daf° R°ceiv=d _ S` 3�' Z�7 �� - Phone Contact for Pemit �� Z� � 7 <br /> ..�s-��;.�as<<�--° .�r� .a � �ss�zc�s�.��..s� .�.,��,A,�.�...._:.�...ta_. <br /> Owner's Name � �- �� /V Owners Phone Numb=r � �� �� <br /> Owner's Addr=ss �' 7 � �a(�/�� � ��S L. 7 S 7� <br /> F=e Simple Titleholder Nams Titleholder Phons Number ��� <br /> F>e SimpleTitleholderAddrsss <br /> ���""� �`�'YS��* - �rsx.ws�� 2- e 't3,� a.._=°�r'.� ' ? •r•�•.:� : <br /> xr�.�ms��a w a�.�`'.=. <br /> �'�`.+a},.'..�.x3:� ` .�.tw.,.k ts:�,. <br /> Job Address $ Q� r GG • Lot # �� <br /> Sub Division Paroel # Q�' ' �' '�Z <br /> is4 • <br /> ---�r_�"��`�.'�' -�`�'_,- <br /> � Bio-Hazard Waste Storege - ANNUAL � Fumigation Tent <br /> � Comm �xhaust Kitchen HoodlDuct � Hazardous Material ('i'ier II or RQ Facifity) ANNUAL <br /> � Controtled Bum � Hood Installation - / <br /> � f � � „ <br /> � Emergency Generator < 30 kw � LPlNaturai Gas-Instaliation q� <br /> � Ememency Generetor> 30 kw o LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> � tr y emi Q er � <br /> Sprinkler t9� �7 ❑ Recreational8um <br /> Fire Alarm � ❑ ❑ p � � Sparkl=rs <br /> Hood Cleaning � ❑ ❑ O� � Sprinkler System installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alartn instaUation � Tor�h Roofing/Tar Kettle <br /> n Fire Pumps � Waste Tire Storage ANNUAL <br /> U Fire Works <br /> � F�ammable App(icafion-ANNUAL �� Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> .�. ..: a�:��•-� <br /> Contrector T• Company j S IV L.. <br /> Signature � Registered N Fee Current N <br /> Address Q � . "7 ( License # Ip <br /> ELECTRICIAN Company <br /> Signature Registered Y! N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License � <br /> MECHANICAL Company <br /> Signature Registared l� / N Fee Current Y/ N <br /> Address Lieense # <br /> OTHER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License � <br /> _ . , . . . , . _..,...<- . _ . .._ _ - _ -.::_ -- -,-°- - �� � - � � ��....-- _- - �.�,.,.��. - �...a_,._.. - - - -..._...,._..��.�-- - - - -,...�.� �:�:. <br /> . . :.. _ _ _._ . _ .... . _.. :.. .. -;:Ff <br /> Direct�ons: <br /> Fill out application completely. <br /> Owner & Con;ractor sign back of application, no;arized (Or, copy of signed contrect with owner) <br /> !f over 52500, a Notice of Commencement Es required (Mschanical woric over 55000) <br /> Supply two (2) sets of drawings with appfioabia documen,ation <br /> Atlow 10-14 days for review a`tsr submf;tal date. Faroel r- obtained from Property Tax Notice (http:/,'ap�2iser.�asoogov.com} <br />