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813780-0020 City ofZephyrF►iIls�Fire• Fax-813-�80-0021 <br /> Permit Application <br /> Date Received - Phone Contact for Permit �„ 53Q L �Sa <br /> Owner's Name Owners Phone Number _� C�, � <br /> Owner's Address s5 <br /> Fee Simple Titleholder Name TiUeholdec Phone Number ��� �� <br /> Fee Simple Titleholder Address <br /> , �� Job Address � � � Lot# <br /> Sub Division Paroel # <br /> � Bio-Hazarcl Waste Storage -ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material �er II or RQ Facilfty) ANNUAL <br /> � ConVolled Bum � Hood Instaltatlon <br /> � Emergency Generator < 30 kw � LPMatural Gas-Installation <br /> � Emergency Generator > 30 kw � LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> r y emi �n er <br /> 5prinkler � O ❑ ❑ � Recreationai Bum <br /> Fire Alartn �❑ p `� � � Sparklers � t,/ 7 �� <br /> Hood Cleanin ❑ ❑ ❑ S rinkler S i� <br /> 9 � � � p ystem Installations <br /> Hood Suppression � ❑ ❑ p� � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh Roofingffar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Applicatlon- ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Othe - <br /> ConVactor Company � • y r <br /> Signature Registerad Y/ N Fee Current / N <br /> Add�ess 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 /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> OTHER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> Directions: <br /> FII out application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed conVact with ovmer) <br /> If over $2500, a Notice of Commencement is required.(Mechanical work over $5000) <br /> Supply two (2) sets of drawings with applicable documentatian <br /> Alfow 10-14 days for review after subm(ttal date. Par�el #- obtained from Property Tax Notice (httpJlappraiser.pascogov.com) <br />