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813-780-0020 City of Zephyrhilis Fire Fax-813-780.0021 <br /> Permit Application <br /> ate Received �. — z Z-)Z �� �� � <br /> Phone Contact for Pertnit <br /> wner's Name �E����1��1 Z C s (�/,¢/2 y( Owners Phone Number C� C� �� <br /> �J <br /> wner's Address �/3 3 C7 ,Z P�'f ti I/ 1 ��°Fh'`y�yZ LJ f-( <br />:e Simple Titleholder Name TiUeholder Phone Number C� C� � <br /> 3e Simple Titieholder Address <br />�b Address Lot# �� <br />�b Division Paroel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Instailation <br /> � Emergency Generator>30 kw � LPJNatural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL <br /> �[�y emi �n er � <br /> Sprinkler ❑ ❑ Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System installations <br /> Hood Suppression � p ❑ O � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL <br /> � Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br />�ntractor <br /> Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> ECTRICIAN <br /> Company <br />�nature � Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> UMBER <br /> Company <br /> Inature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br />.CHANICA <br /> nature Company <br /> Registered Y/N Fee Cument Y/N <br /> Address <br /> License# <br /> HER <br /> nature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> actions: <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 /> Supply two(2)sets of drawings with appiicable documentation <br /> Ailow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax NoUce(http://appraiser.pascogov.com) <br />