Laserfiche WebLink
s��-�ao-oo2o c:ny at cepnymuis rire <br /> Fex$13-780-0021 <br /> ' . - Pertnit Applicatfon <br /> °ete Rece"'ea �—�� Phons co�tta Psrm�c I 3 �� 7'� <br /> Owners Name `�'t� Ownsrs Phons Number �� �(�� <br /> Owners Address � [.�� <br /> Fee Simple Titleholder Name TitlsFioldsr Phons Numbsr C� �� <br /> Fee Simple Titleholder Address <br /> ,�b aad� �v 1 F=F ►� ' oQs:� . J ` �,C.- `���-' �oc # � <br /> s�b a�si«, � # <br /> o B�ro�,,.���-,�N��. � o p�T� • <br /> � �m �� ��sn HoodlD�t � Hszatdan M�tsrfaf (Tisr II or RQ Facility) ANNUAL <br /> ��� a <br /> � �� <br /> n EmergencY Gensrator < 30 kw LP/Nahxal C3ts-Installatlon <br /> �9e^�Y � � � � g LP/N�itxal G�s,ANNUAL Sals <br /> � Fire Pretection Mafnbsnance - ANNUAL � Plaoss of Asssmbly-ANNUAL <br /> Sprinkisr � � � � RecroaHornl B�un <br /> RecroaHo iu <br /> F1re Alartn O ❑ ❑� g 1 � <br /> Hood Cleaninp ❑ ❑ D SpriMdsr Sya�sm I 1�' ���� <br /> �, S� ❑ o 0 0� ��,� � <br /> a� cs�+� sv�� <br /> [] Fre aam, �nata0adon [� Torca, Rootinprru Ksme -- <br /> Fire Pumps � Waabe Tiro 3torape ANNUAL <br /> Rro Works <br /> Flammable AppUcauon- ANNUAL � V81u8�ion of ProjeCt <br /> Fuel Tanks <br /> Q Other. <br /> Contractar <br /> Signature �,'���E- ` .(� �►�Y 1� C Yl ✓tG _ <br /> Rspisterod N Fee Cunsnt <br /> Address �ro E:�f'O�!r° FL. Llosnss # <br /> ELECTRICIAN � <br /> S�g�«� �� f Y/ N I ��� Y/ N <br /> Address Lio�rus # <br /> PLUMBER �� <br /> Signat"�e Repistsrsd Y/ N Fee Currsnt Y/ N <br /> Address LIc�Me � <br /> MECHANI � <br /> Signature Rsp�se�rsd Y/ N Fss Cunsnt Y/ N <br /> Addross Licsrae �k <br /> OTHER � <br /> signature Rsptstsrsd Y/ N Fes Cumsrrt Y/ N <br /> Address Lk�ms � <br /> Diradions: � . . , •� -, „ <br /> Fill out appUcation compistely. <br /> Ownsr & Contraator sipn b�ck of �PP�icatlon� nofarized (Or. copY of si0nsd oontraet wifh ov�rt�sr) <br /> If over 52500, a NoUoe of Comrnsnosrtbnt Is rsquked (Nleclmnical w�ork ovsr t5000) <br /> S�PP�Y �(2) ssts oF drawinas witl� spp6c�bls doa+�on <br /> Aliow 10-14 days fa roviaw afEsr submilfaf dabe. Paroel #- obfeh�sd from Prop�Ry Tax Noifes (M�J/appraiaer.p�ogov.com) <br />