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s�3a50-oo2o Ciry of Zephyrhiils Fire Fax-813-780-0021 � <br /> Permit Application <br /> Received � Phone Contact for Pertnit �� �� <br /> er's Name ,Q� � Q. Ovmers Phone Number g"�.3 �"O e?�'o� <br /> er'sAddress ,�7930 �e�A.�it-L �' (s <br /> Simple Titleholder Name TiUeholder Phone Number � C� � <br /> Simple Titleholder Address <br /> Address Lot # � <br /> Division Parcel # <br /> � Bio-Hazard Waste Storege - ANNUAL � FumigaUon Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installatlon <br /> � Emergency Generator < 30 kw � LP/Naturel Gas-Installation <br /> � Emergency Generator > 30 kw a LP/Natural Gas-ANNUAI Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> � emi � er <br /> 5prinkler � ❑ ❑ ❑ � Recreational Bum <br /> Fire Alartn � O ❑ ❑� a Sparklers <br /> Hood Cleaning � ❑ .� ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ �J ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> tractor Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> :CTRICIAN Company <br /> �ature � Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> IMBER Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> :HANICAL Company <br /> iature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> iER Company �SE ,� �eF 67�v�p,„. > LL C <br /> �ature Registered Fee Current N <br /> Address License # 7�'y 6 5� f� /y <br /> ctions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized (Or, copy of signed contrect with ovmer) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> 5upply two (2) sets of drawings with appiicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:/lappraiser.pascogov,com) <br />