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a��-7ao-oozo City of Zephyfiills'Fi��� Fa�c-813-7ao-oo2� <br /> Permit Application <br /> )ate Received - Phone Contact for Permit ��� � <br /> a�a�'_' - �• - �...,..�.....,..e.�..,.. .. ._..,...a_... <br /> ;�:r�s�ac:�::;a��a�z,>..a w....: � � � <br /> )uvners Name �.� C.� r� � 5 � Owrtet'S Phone Number � <br /> • � /- � ] 3 �3 . <br /> �wner's Address � � l� - � <br /> =ee Simple T�lefiolder Name Titleholder Pfione Number �� C <br /> =ea SimpleTiUeholder Address :�x� <br /> m �`� Lot # <br /> Job Address , I - <br /> � Parcel # -5�'�� - .� 5 - ..1� ' L;�L��11 ' L�� / L�l� " ���i <br /> Sub Division � � � <br /> !• ^�?F�T�+irfi <br /> � ` Bfo-Hazard Waste Storage - ANNIlAL Q Fumigatlon Tent <br /> Comm Exhaust Iatchen HoodlDuct a Haze►dous Material (f[ar {i or RQ Facliity} ANNUAI. <br /> ❑ ConVo{led Bum a Hood {�stallaUon <br /> � Emergency Generatar < 30 kw � LP'Platural Gas-Instaliation <br /> � Emergency Generator> 30 kw � LP1Natural Gas-ANNUAL Sale <br /> Firs Protec8on Mairtenance -ANNUAL � Places of Assembly-ANNUAL <br /> r y emi A"Tn er � <br /> Sprinkler �❑ O O Recreatlonal Bum <br /> Rre Alartn � ❑ �1 � � Sparklers - ri { �j � � � <br /> � S rinkler System Instal�atlons � <br /> Hood Cleaning ❑ 0 � C� � P <br /> Hood Suppression � � ❑ ❑� a S�^�P�Pgs (Sprinkler Sys) <br /> � Fire Alartn InstallaUon � Torcfi Roofing(Iar tCettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works ' <br /> Flammable Appiicatlon-ANNUAL Valuation o� Proj2Ct <br /> Fusi Tanks <br /> Q Other: <br /> � <br /> ,ConVactor Comparry � " •` `'����L�� <br /> . �. <br /> Signature ' Registerad Y N Fee Current N <br /> Address 1 � License # J b i t'7 <br /> ELECTRlC1AN Company <br /> 5ignature Registered Y/ I�I Fes Current Y/ N <br /> Address Ucense # <br /> PLUMBER Company _ <br /> Signature Registered l� / N Fee Curtent Y/ N <br /> Address Ucense # <br /> MECHAN1CAl Company <br /> Signature Registered Y 1 N Fee Curtent Y/ N �- <br /> Address License # <br /> OTHER Company <br /> Slgnature Regiaterod � Y/ N Fee Current Y/ N <br /> Address License # ��,��, <br /> _ — _ ' _-- __rr�rc+au�u - rrau..rs.0 rvo—� s.�� <br /> ��IfBCt1011S:�� <br /> Fill out applicatlon rampletely. <br /> Owner 8 Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Natice af Commencement fs requlred (Mechanipl work over 35000) . <br /> Supply two (2) sets of drawings with applicable documer�tation <br /> Allow 10-14 days for ravisw after submittal date. Parcel #- obtained from Property Tax NoUoe (http:/lappraiser.pascogov.00m) <br />