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813-780-0020 <br /> City of Zephyfiiils Fire Fax-813-780-0021 <br /> Permit Application <br /> ' � Phone Contad for Pertnit �� 1 a ��.J R�� <br /> ate Received C � <br /> ^ �� Owners Phone Number � f � �� ` � <br /> wner's Name � � <br /> 3� � 3� cG 2 �1 '' h � � � s f <br /> wners Address ("—'� �� �� <br /> TiUeholder Phone Number �__ <br /> 3e Simple Titleholder Name <br /> �e Simple Titleholder Address <br /> �b Address <br /> n-�-e rnav�s 'vg 3o r,� cw h 1►� L�ot# � <br /> Parcel # <br /> �b Division <br /> � Bio-Hazard Waste Storage - ANNUAL � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Comm Exhaust Kitchen HoodlDuct � Hood Installation <br /> a Controlled Bum � LPMatural Gas-Instaltation ��� � <br /> � Emergency Generator < 30 kw � LPMatural Gas-ANNUAL Sale <br /> � Places of Assemby-ANNUAL <br /> � Emergency Generator > 30 kw � <br /> � Fire Protection Maintenance - ANNUAL Recxeational Bum <br /> �y mi � er <br /> ��C��d Sprinkler � ❑ ❑ ❑ � � Sparklers <br /> `/ Fire Alartn � ❑ ❑ � C] � Sprinkler System Installations <br /> v� 1 ` Hood Cleaning ❑ ❑ 0�� � Standpipes (Sprinkler Sys) <br /> � �� Hood Suppression � ❑ �� � Torch Roofingffar Kettle <br /> � � � Waste Tire Storage ANNUAL <br /> Fire Alarm Installation <br /> � Fire Pumps <br /> Fire Works <br /> � Flammabie Applic�tion- ANNUAL Valuation of Project <br /> Fuel Tanks <br /> � Other <br /> �ntractor , f Company <br /> �/J � V� I�' Registered Y/ N Fee Current Y/ N <br /> gnature <br /> Address (.. {�f f C�'1 �� License# <br /> _ECTRICIAN Q ��� <br /> gnature ` h ��f��- Ct s Registered Y/ N Fee Current Y/ N <br /> License # <br /> Address <br /> _UMBER �� <br /> Registered Y/ N Fee Current Y/ N <br /> gnature <br /> License # <br /> Address <br /> ECHANICAL Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> � License # <br /> THER �� <br /> Registered Y/ N Fee Current Y/ N <br /> gnature <br /> Address License # <br /> irections: <br /> Fill out application completely. <br /> Owner 8� ConVactor sign back of applicafron, notarized (Or, copy of signed contrad with owner) <br /> If over 32500, a Notice of Commenoement is required (Mechanical work over $5000) <br /> SuPPIy lwo (2) sets of drawings with applicable documentation <br /> Allow 10-14 days Tor review_s�r��l�r Paroel #- obtained from Property Tax Notice (httpJ/appraiser.pascogov.com) <br /> �/ f ilr�� <br /> H������ � a����s <br /> po. H� 2T3�T "'�• � � � � S!� <br /> P: S13 �-3� F: �� � <br /> gatora�thewaq�ar-COn' <br />