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.813-780-u020 City of Zephyrflills Fire Fax-s13780-0021 <br /> Permit Application <br /> Date Received � Phone Contact for Pertnit �� g 30 `�'/ <br /> . ,..>r. V,;: = ..:,_��,..;• - .,,>,... ey.-x���N��-.�..�. . <br /> Owner's Name Z. C P(� S Ovmers Phone Number ��� <br /> Owners Address L.L. l� l� <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � <br /> Fee Simple Titleholder Address <br /> ,. . , . '7°O:.rr�c+sr@ ^ .s'�."%'�i.<,.�.;.-. �4?�r+3'�':.a,�;c:<', ^a::z-...�.,> , ',`r :� � ' y.'�d,..�.° °��°?"'�'iu ".ki:h'SM :y„�;,..�.w .,,.< .: <br /> Job Address � � LL Lot # � <br /> Sub Division Parcel # <br /> .. . " .�, .. �;3" ,',�5�+.'UT �b^. - .. � .., � ���, .�� � F, as'¢.��.,4�3.rc'%�?Y�$'���,Ya`��Oa`r$?'iro:�'�rY.� a e .f .. > <a .' . . <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier 11 or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL f �2��D <br /> �y emi er �`'� ( <br /> 5prinkler � ❑ ❑ � � � Recreational Bum � � <br /> � �. <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alartn Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps a Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> . a. . -.. � R - . ._ ., k'- '�:;.'i�.%�, .k°'.^v. ,�✓;,`�.`.. , > , - . . ., . ' . �, . . ,. ;.:Li..'&s ¢ 2:.c; �'L�^,�>+�:. s. , �.s,: , ,..�� a . �.. . w .. <br /> Contractor Company $�L ,Z' !� Tf P/�S <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Addre 'L' ^� C- S w �. t License # <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 /> MECHANICA Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> Directlons: . • . . w... .. ... .� . . . . __ , . <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contrect 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 submittal date. Parcel #- obtained from Property Tax NoUce (httpJ/appraiser.pascogov.com) <br />