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813-780-�02C .,. Ciry of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application <br /> : Received Phone Contact for Pertnit � 3 �.s g 3 a� <br /> iers Name �_ c P ��/1/� p Owners Phone Number ��� <br /> ier's Address �� � LL �.. (J �� . <br /> Simple Titleholder Name Titleholder Phone Number �� � <br /> Simple Titleholder Address <br /> Address S O � L !J L��„ Lot # � <br /> Division Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> Q Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Naturai Gas-Installation � <br /> � Emergency Generator > 30 kw � LPMatural Gas-ANNUAL Sale � <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL I Z <br /> �� emi �n er � /� � <br /> Sprinkler ❑ ❑ Recreational Bum � <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Instailations <br /> Hood Suppression � ❑ ❑ O� � Standpipes (Sprinkier Sys) <br /> � Fire Alarm Installation � Toroh Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storege ANNUAL <br /> a Fire Works <br /> a Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> tractor � CompanY S� L /iJ'd �lAlS C. <br /> iature i�� `"' Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> :CTRICIAN Company <br /> �ature Registered Y/ IV Fee Cument Y/ IV <br /> Address License # <br /> IMBER Company <br /> �ature Registered Y/ N Fee CurreM Y/ N <br /> Address <br /> License # <br /> :HANICAL � <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> �ER <br /> Company <br /> iature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> ctions: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, noWrized (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 submittal date. Parcel #- obtained from Property Tax Notice (httpJ/appraiser.pascogov.com) <br />