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8 � � City of Zephyfiills'Fi�� Fax-813-�ao-oo21 <br /> Permit Application <br /> )ate Received - Phone Contact for Pertnit �� ����� <br /> na�.s�sR..R,�`_"° .. _. . <br /> ;�s���•° ..�..,_..,,.�.. • � <br /> �wners Name C Owner'S Phone Nttmber <br /> Tnmers Address � � � 3 <br /> =ee Simple TiUeholder Name TiUeholder Phone Number �� <br /> =ee SimpleTiUeholder Address <br /> ��?!��� <br /> � " � Jab Address � -Q.� Lot # <br /> Sub Division -C � Paroet # Q� ' �(O ' ' U� �d ' �U �� � �/" <br /> �ffi,�•.:caa.F{:Y<:t3t�.�II'� <br /> � Bio-Hazard Waste 5torage - ANNUAL � Fumigatlon Tent <br /> � Comm Exhaust Kitchen HoodlDuct a Hazardous Material (Tier II or ftQ Facllify} ANNUAL <br /> � ConVolled 8um � Hood InstallaUon <br /> � Emergenay Generatar < 3p kw � LP/Naturef Gas-InstallaBon <br /> Emergeney Generator> 30 kw � LP/Natural Gas-ANNUAL Sale i � I <br /> Fire Protection Maintenance -ANNUAL o Places of Assembly-ANNUAL � {� <br /> �y emi �n r � r /� V <br /> 5prinkler � ❑ O ❑ � � �rea8onal Bum G�` � � <br /> Rre Alartn ❑ ❑ `x � � 5parklers � � <br /> Hood Cieaning � O O ❑� � Sprinkler System InstallaUons �,� <br /> Hood Suppression � � Q O� � Standpipes (5prinkler Sys) <br /> Q Fire Aiarm Instaltation � Toroh.RoofinglTar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Woiics ' <br /> FlammableApplicaUon-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> � �th8f: <br /> 'ConVactor Comparry ='� .+� �� ! � �. <br /> Signature ' Registerad Y N Fee Current I� <br /> Address 1 i Licetl9e # iJ b► t`5 <br /> ELECTRICiAN Company <br /> Signature Registered Y/ N Fea Curtent Y/ N� <br /> Address Ucense # <br /> PLUMBER Company <br /> Signature Registered r Y/ N Fee Curtent Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address Licensa # <br /> a����.__�__—�,,.-°_-_-�.��._. . _ __.._z <br /> _. . _... . _... _ <br /> Directions: <br /> FII aut applicallon completely. <br /> Owner 8 Contractor sign back of appiicatior�, notarized (Or, aopy of signad contract with owner} <br /> If over $250D, a Notice of Commencement fs required (Mectianical work over 35000) . <br /> Supply two (2) sets of drawings with applicable documerrtation <br /> Allow 10-14 days for revinw after suhmittal date. Parcel #- abtai�ed from Property Tax Notice (http:Uappraiser.pascogov.00m) <br />