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813-780-0020 Ciry of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Receivec _ / .' - � / Phone Contact for Pertnit � �� �_� <br /> wners Name �� D/Z-Z Owners Phone Number C� � C� <br /> wner's Address �L (, /� L � <br /> �e Simple Titleholder Name TiUeholder Phone Number � C� � <br /> �e Simple Titleholder Address <br /> �b Address Lot # �� <br /> �b Division Paroel # <br /> � Bio-Hazard Waste Storage - ANNUAL � FumigaUon Tent <br /> � Comm Exhaust Kitchen Hood/Duct a 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 � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - 4NN�- � Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � ❑ ❑ ❑ ,� j�� � Recreational Bum <br /> Fire Alartn � O ❑ ❑ � � Sparklers <br /> Hood Cleaning � O ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alartn Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps a Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL �— —1 Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> mtractor Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> Address <br /> license # <br /> _ECTRICIAN Company <br /> gnature � Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> .UMBER <br /> Company <br /> �nature Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> _CHANICA <br /> Company <br /> �nature Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> �HER <br /> �nature Company <br /> - Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> ections: <br /> Fill out applicaUon completely <br /> Owner & Contractor 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 drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />