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813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021 <br /> �' ' Permit Application <br /> : Received Phone Contact for Pertnit �� � <br /> ier's Name i(if i+�,� d J C�inmers Phone Number �� � <br /> r <br /> ier's Address � ,� - � � L - (�� - �� <br /> Simple Titleholder Name Titleholder Phone Number �� � <br /> Simple TiUeholder Address <br /> Address Lot # � <br /> Division Parcel # <br /> Q Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> �� FYh���.�+ K�t�en Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> D Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LPlNaturel Gas-Installation <br /> � Emergency Generator > 30 kw � LP/Naturel Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum <br /> Fire Alartn O ❑ � � Sparklers <br /> Hood Cleanin ❑ a SprinklerSystem Installations <br /> o Suppression ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm 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 Other. <br /> tractor Company - ' /���s' L/ <br /> iature Regis�ered Y/ N Fee Current / <br /> Address G.!',<✓�/,r'„�c � G ' ense# <br /> :CTRICIAN Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> IMBER Company <br /> �ature Registered Y/ N Fce Current Y/ N <br /> Address License # <br /> :HANICAL <br /> Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> �ER Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ctions: <br /> Fill out appfication completely. <br /> Owner 8 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://appraiser.pascogov.com) <br />