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' 81 �780-0�20 City of Zephyrhitls Fir� Fax-813-78Q-OD21 <br /> Permft Application �`--� a' "�{� <br /> Date Received . ' <br /> � _ Phane Contact for Pertnit a- <br /> r , , �.. <br /> Owners Name Owners Phone Number . t�_� �� a� <br /> Ov+me�sAddress � VF �� r � l <br /> �ee Simple Titleholder Name �?iNeholder Phone Number C� C� � <br /> Fee Simple Titlehoider Address <br /> L..�— <br /> _� <br /> Job Address �'!�� (,� �a � � <br /> Sub Dnrision par�el # <br /> :, <br /> � Bio-Hazard Waste Storage -ANNUAL a Fumigation Terd <br /> Q Comm Exhaust 1Gtchen Hood/Duct � Hazardous Material (Tier it or RQ Faci[ityj ANNUAL � <br /> a Cor�trolled Bum � Hood InshaUation <br /> � Emergency Generator < 30 kw � LP/Natural Ga�h�stallation <br /> � Emerger�cy Generator > 30 kw � LP/Nahual Gas-ANNUAL Sale <br /> � Fre Protedion Mairrtenance - ANNUAL � Plaaes �f Assembly,ANNUAL <br /> � � em� � r <br /> 5prinider � ❑ ❑ ❑ � � Rec►eational Bum � �3� <br /> Fre Atarm � D ❑ ❑ �� � 5pariclers � � <br /> Hood Cleaning � p p ❑� � S rinklerS <br /> p ystem InstaltaUons <br /> Hood Suppression � ❑ D p L J Standpipes (Sprinkler Sys) <br /> Fire Alarm InsisNation � Tor�h Roafing/Tar Kettle <br /> F "e p ��s � Waste Tire 5torage ANNUAL <br /> Fre Works <br /> � Flammat�le AppflCatjon- ANNUAL Valuation of Project <br /> Fuel Tanks <br /> -- � Other. - a, a A i r C ul�� n„ A�l' ,, r <br /> i ���N / <br /> COrrtrdctof Co �� Y <br /> s'yr,�t�,re ' Ftesisne�d Y/ N Fee currem Y/ N <br /> Add�ess � L3cense # <br /> �'�� � ���+y Ru sell Electrical �onst <br /> Siynature Registered Y/ N Foe Cunent Y/ N — <br /> Address <br /> 1 , Lh:ense # <br /> PLUMBER �� <br /> s�g�ture Registered I Y/ N I Fee cw,errt Y/ N <br /> Address <br /> ' License # <br /> MfiCHAN1CAL ��� <br /> 5ignature = Registered Y/ N Fee Ciment Y/ N � <br /> Address `—' <br /> License # <br /> OTHEft <br /> Company • <br /> Signature Registered Y/ N Fee Cimerrt Y/ N � <br /> Address License # <br /> ': DirecUons: ' ' - - <br /> Pilt out appllcafion cort�letely. <br /> O�mer 8 CoMiactor si�n back of appiicatio�, notarmed (Or, copy of signed corrtract witfi owner) <br /> tf over $2500, a Notice of Commer�erneni is required,(Meehanica� work ove� y$pp0) <br /> �' SuPP�Y �(Z) SCts of drawings with appGcable documentation <br /> '' Allow 10-'14 days'fnr ieview after submltfal date. Parnel #- obtained ftflm Properry Tax Notice (httpJla <br /> ppraiser_pascogov.com) <br /> yUBMITTED PLAN(S) HAVE BEEN REVIEW� <br /> �Y ZEPHYRHI S F RE MARSHAL'S OFFICE <br /> Date: �U� � <br /> �`aview�r: <br />