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813-780-0020 Ciry of Zephyrhiils Fire Fax-813-780-0021 <br /> , - Permit Application <br /> � Received ( Phone Contact for Pertnit a c3 `� �0 6�t 69' <br /> �er's Name �+ �onr�/ S Ovmers Phone Number ��?j ?? 9 �{ � <br /> �er's Address 3 a l�✓ �'�f c �o �`- Q� 2� (� S 3�a �� O <br /> Simple Titleholder Name Titleholder Phone Number ��� <br /> Simple Titleholder Address <br /> Address �� Lot # � <br /> Division Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation — - <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw Q LP/Natural Gas-ANNUAL Sale ��, <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �� �� �' <br /> � emi �n er <br /> Sprinkler �❑ � ❑ a Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ p ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑� � � � SWndpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar 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 F•�L �' !a �-/� /r!� <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address � p ao �ff L.s�t �f O` �/ 3 6 License # <br /> :CTRICIAN Company <br /> iature ( Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> IMBER Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> :HANICAL Company <br /> iature Registered Y/ N Fee Cument Y/ N <br /> Address License # <br /> iER <br /> Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ctions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with ovmerj <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 (httpJ/appraiser.pascogov.com) <br />