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813-780-0020 City of Zephyrhiils Fire Fax-813-780.0021 <br /> Permit Application <br /> ate Received r � Z-�_ % Phone Contact for Pertnit �� r_� <br /> wners Name /'� �-/� � � Owner's Phone Number �� �� �� <br /> wner's Address L ( L �� <br /> ;e Simple Titleholder Name TiUeholder Phone Number �� ��� <br /> ae Simple Titleholder Address L—. <br /> >b Address ('--� <br /> Lot # � <br /> �b Division <br /> L_, <br /> Parcel # <br /> � Bio-Hazard Waste Storege - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) qNNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Instailation <br /> � Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � X � Fire Protection Maintenance - A� � Places of Assembly-ANNUAL <br /> 7`�' <br /> � emi �n er � <br /> Sprinkler � p p Recreational Bum <br /> Fire Alarm ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � p � � � <br /> ❑ Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ C� � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Ffammable Application- ANNUAL <br /> � Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> �ntractor <br /> �nature Company <br /> Registered Y/ N Fce Current Y/ N <br /> Address <br /> License # �— <br /> ECTRICIAN <br /> �nature I Company <br /> Registered Y/ IV Fee Current Y/ N <br /> Address <br /> License # <br /> UMBER <br /> nature Company <br /> Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> CHANICA <br /> nature Company <br /> Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # �-- � <br /> iER <br /> iature Company <br /> Registered Y/ N Fee Current Y/ N <br /> Address <br /> ctions: License # — <br /> Fill out application completely. <br /> Owner & Contrector sign back of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> Supply two (2) sets of drewings with applicab�e documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />