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813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application �.p <br /> ate Received � Phone Contact for Pertnit �� � � <br /> wner's Name Owner's Phone Number � C� <br /> wner's Address � <br /> ae Simple Titlehoider Name Titleholder Phone Number � � <br /> �e Simple Titleholder Address <br /> �b Address ' 0 ot# � <br /> Z � <br /> �b Division Parcel# � <br /> � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Comm Exhaust Kitchen HoodlDuct � Hood Instailation <br /> � Controlied Bum � LPMatural Gas-Installation <br /> � Emergency Generator<30 kw � LPMatural Gas-ANNUAI Sale <br /> � Emergency Generator>30 kw � Places of Assembly-ANNUAL <br /> � Fire Protection Maintenance-ANNUAL � Recreational Bum <br /> �y emi �n er <br /> �� prinkler � ❑ ❑ ❑ � � Sparklers <br /> Fire Alartn ❑ ❑ � Sprinkier System Installations <br /> �� �Hood Cleaning ❑ ❑ � Standpipes(Sprinkler Sys) <br /> � ' � Torch Roofing(far Kettle <br /> � Fire Aiarm Installation � Waste Tire Storage ANNUAL <br /> � Fire Pumps <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> �nt�actor Company <br /> gnature �t '� � Registered Y/N Fee Current Y/N <br /> Address License# <br /> g � �� � ��� Rompany <br /> n u egistered Y/N Fee Current Y/N <br /> Address License# <br /> _UMBER �� Company <br /> ��,t Registered Y/N Fee Current Y/N <br /> ress License# <br /> ECHANICAL Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br /> THER <br /> Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address �'t <br /> License# � <br /> �rections: <br /> Fill out application 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 /> 5uppry two(2)sets of drawings with applicable documentatio� <br /> Allow 10-14 days for review after submittai date. Parcel#-obtained from Properly Tax Notice(http://appraiser.pascogov.com) <br />