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� a�3-7so-oo2o CiiyofZephyrhiltsFir�:..._��.. Fax-s�saso-ooz� <br /> PeRnit App(ication <br /> , Date Received ��-� � Phone Contactfor Pertnit � <br /> Owner's Name I,t) �bt �s�ni ..2 S ONmers Phone Number �5 �� / C7IX � �� <br /> Du�mers Address ��,, „ f�.t�i �'1 J i rl uQl'l (�� " �'1 1�� � L• 33Sµdt <br /> Fee SimpteTrtleholder Name Titleholder Phone Number ��� <br /> Fee Simpte llUeholder Address <br /> ��°�S ��a �4 CR 5 � . � -e. l, � � FL 33s Z C51e �11�� �ot# � <br /> Sub Division Paricel # <br /> � Bio-Hazard Waste 5torage -�ANNUAL a Fumigayp� Ter�t <br /> � Comm Exheust Kitchen HoodlDuct • � Hazardous Material (Tier il or RQ Facllity) ANNUAL <br /> � Co�oiled Bum a Hood InstailaHon <br /> � Emergency Generator < 30 kw � LPMatural Gas-Instailatlon <br /> � Emergenoy Generator> 30 kw � LP/Natural Gas-ANNUAL 5ale <br /> � Flr� Protection Mairttenance - ANNUAL � Places of Assembly-ANNUAL <br /> � .❑ � 0 � e� � <br /> Sprinkler p p ❑ R�reatianal Bum � ��2 <br /> fiire Alartn � O ❑ ❑ C� � �Sparlders <br /> 2 J <br /> Hood Cieaning � O D ❑� � SprinWerSystem Installations � <br /> Hood Suppression � O p p. C� ���p�p� (Sprinkler Sys) <br /> � Fre Alarm Insiallation � Torah RootinglTar Keqie <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammabte Appliptfon- ANNUAL �� , Valuafion of Project <br /> Fuel Tanks <br /> Q Other. <br /> Corrtracior �� . . <br /> SignaW2 � <br /> Registered Y/ N r-ae currern Y/ N <br /> Address License # <br /> ELECTRIGAN . --- ��� <br /> si9nawre �9�d Y! N Fee Curtent Y/ N <br /> Address License # <br /> PLUMBER � <br /> Signature Registered Y/ N• Fee Current Y/ N <br /> Address � <br /> License # <br /> MECHANIGAL � <br /> signature - Reglsterad Y/ N Fee Curterrt Y/ N <br /> Address <br /> License # <br /> OTHER <br /> ComPanY <br /> Signature • Register�l Y/ N, Fee Currertt Y/►V <br /> Address � �� # <br /> Dlrectlons: � - <br /> FII out application completely. <br /> Owner & Coirtractor sEgn back of aPPUcation. notar¢ed (Or. copy of signed c�ntract wlth owner) <br /> H over ffi500. a Alatice of Commencemerrtis required.(Mechanical work over y5000) <br /> S�+PP�Y � �2) sets of drawings with applicabie documerrt�tion <br /> Allow 1 U-14 days far rev�ew after submittal date. Parc;el #- obta'med irom Properly Tax Notice (httpJ/appraiser.pascogov.aom) <br />