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Oct 27 11 02:27p DJ Nowack 813-G49-8856 p.1 <br /> 8'13-78&}0020 Cily of Zephyrfiills Fir+e Faoc-813-780-002'I <br /> Permit Applicalion <br /> pate Received Phone Contac! ror Permtt ���� <br /> _ . . . .. __.. _...._ _ _ _ .. _.. ._ _. . .. - - - . . .... . .. . . . . _. _ .. .. .. . .. .. . . <br /> Ovmers Name v t� e�e► Owner's ffione Number �� �� <br /> Owners Address j <br /> Fee Simple Titleholder Name 7idehdder Phane Number ��� <br /> Fee Simpls TltleholderAddess <br /> ... ...... ...._ .._ . -• ----... . .. _..._. _ <br /> - . . -_ -_� _ ._. _. _ _ _ _. ._ - - - --- - <br /> . .-:.:- _ •... . <br /> . .. ... . _ _. _.... .. .. . ,.: . . . _... .: -'- - -� . . .. . .. . . ... . . . . .. _ .. . -. . . .. _.. . .: _ . . .. - . <br /> Job AAdtess C� U Lot # � <br /> Sub Divisian Parcel A� � " �i �— ?i ( �" � (� � �—(�(��Q� (�(}(,� <br /> ' . Q Bio-Fiazard Waste SMrage - ANNUAL .- . .. . � fumipation Tent - - <br /> a Comm E#�aust K�tcJ�en HoodlDuct a Hazmdous Mataial(Tier il ar RQ Fac[lity) MNUAi. <br /> a Controqed Bum � Hood k�atallation <br /> a Eme�ry Generaior � 30 kw Q LPINahu� Gas-Inst8l�tion <br /> � HmergenCy Generabor > 3p kw � LPINahxa{ Gas�MNUAL Sale <br /> a Fire P�oledia, �AaiRle�rt� - ANNUN. � P�s atAssem��r-A�t�AL �l �v 1 <br /> � mi � <br /> Sprinkler D ❑ O O� � R2taeatid�al8um <br /> FireAlamt � O � ❑ C� � 5parlders <br /> HoodCl�ning � Q ❑ ❑ /6wFC � Sprfnkler3ysteminsfalalions <br /> HoodSuppression � O � ❑ � � Sfandpipes(Spnnkle�'Sys) <br /> Fire Alarm Installa6pn � TaGh RoofinplTar Nedie <br /> Fire Pumps a 1Nas6e Tir�e Starage ANNUAL <br /> Fire YVOrks <br /> Flammable AppliCeliOn- Ai�111JAL V81lJ�IOtI Of PfOj�Ct <br /> Fuel Tanks <br /> Q OthEr. <br /> CauiaCtor � /-� Gort�ny <br /> Signewre Registered Y/ N Fee Curt+ent Y 1 N � <br /> nddress f r ... {� uoense # <br /> ElEC7RICtA Cort�any <br /> Signatu2 Registered Y/ N Fee Currern Y! ni <br /> Addre� l.icer�ae � <br /> Pi.UlNBER Com��nY <br /> SiBnature Reglstered Y i N Fee Current Y! N <br /> AdArass Lioense # <br /> MEChLAi�11CAL Cpmpenyr � <br /> Signature Registenad Y/ N Fee CurteM Y/ IV <br /> �� tJcense � <br /> OTHER �p��Y <br /> Signatura Registered Y/ N Fee Current Y/ N <br /> Aaaress ucense � <br /> DireCtiOns: ... . . . . , _ . . . . . . . . . .. _ .. _ - . . . . . ,. . _.. - :. ° . . . .. . . .. . _ . <br /> FIII out applicat�on competely. <br /> Owner & Contractor sign back W epplit�don, notarized (Or, CoQy pf sipned oontr�d with wmer) <br /> II over S2500, e Motice of Commencernent is required {M1Nediani[�f wak over SSUOD) <br /> Supply two (2} sats af drawings with ap�licable doctmeNation <br /> Allow �4-14 days 1br review af�er aubmittal date. Parod !� - obteined from Praperpr Tex Notiae (http:l/appraiaer.pe�coyov.00m) <br />