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�• 813-780-0020 City of Zephyrhiiis Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Receiv,.i Phone Contact for Permit uL'LJ 1_J�,I � <br /> wner's Name s Phone Number [�� � <br /> wner's Address <br /> �e Simple TRleholder Name Titleholder Phone Number C� � , <br /> �e Simple Tilleholder Address <br /> ib Address W � Lot# �� � <br /> J <br /> �b Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier II or RQ Facility)ANNUAL - <br /> � Comm Exhaust Kitchen Hood/Duct � Hood Installation <br /> � Controlled Bum � LP/Natural Gas-Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-ANNUAI Sale <br /> � Emergency Generator>30 kw a Places of Assembly-ANNUAL <br /> 1v1 Fire Protection Maintenance-ANNUAL � Recreational Bum <br /> ���� r y emi �n er � <br /> 4 <br /> Sprinkler � ❑ ❑ ❑ � � Sparklers <br /> �,� Fire Alarm ❑ ❑ O S rinkler S stem Installations <br /> � � C� � P Y <br /> �� ood Cleaning � ❑ ❑ ❑ � Standpipes(Sprinkler Sys) <br /> , Hood Su ❑ ❑ ❑ � � Torch Roofingffar Kettle <br /> ppression � <br /> � a Fire Alartn Installation Q Waste Tire Storage ANNUAL <br /> � Fire Pumps <br /> � Fire Works <br /> � Flammable Application-ANNUAL � Valuation of Project <br /> � Fuel Tanks <br /> � � Other. <br /> � <br /> �ntractor � ' '� � Company <br /> gnature Registered Y/N Fee C;urrent Y/N <br /> Address <br /> License# <br /> -� f 0 s� Company <br /> 9 Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> _��a � � o x a� <br /> Company s <br /> Registered Y!N Fee Current Y/N <br /> Address <br /> License# <br /> ECHANICAL Company <br /> gnawre Registered Y/N Fee Current Y/N <br /> Address � <br /> License# <br /> THER <br /> Company <br /> gnaWre Registered Y/N Fee Gurrent Y/N <br /> Address <br /> License# <br /> irections: <br /> Fill oui appliption 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 /> Suppry 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 />