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s��-�ao-oo20 • City of Zephyrhilts Fire Fax-813-780-0021 <br /> Permit Application <br /> � Received - Phone Contact for Pertnit ��� <br /> � �✓�/' <br /> �er's Name ��� L(//�J /% S Owners Phone Number ��� <br /> ier's Address Ob � <br /> Simple Titleholder Name Titleholder Phone Number �� � <br /> Simple Titleholder Address <br /> Address Lot # � <br /> Division Paroel # <br /> � Bio-Hazard Waste Storege - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw Q LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> � emi �n er <br /> 5prinkler � ❑ ❑ ❑ � Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning �❑ � ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alartn Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> a Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Othef: <br /> tractor /f Company /'� � .e a �,� <br /> iature �ibr//d /p�P� Registered Y/ N Fee Current / N <br /> Address License # <br /> :CTRICIAN Company <br /> iature I Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> IMBER Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> :HANICA Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> iER Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ctions: <br /> Fill out application compietely. <br /> Owner & Contractor sign back of application, notarized (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 (http:l/appraiser.pascogov.com) <br />