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813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Received � O �Z--� Phone Contact for Pertnit � �_� C� <br /> wner's Name Owners Phone Number C� C� C� <br /> wner's Address <br /> 3e Simpie Titleholder Name Titleholder Phone Number C� C� C� <br /> 3e Simple Titleholder Address <br /> >b Address ...>1 �j # � p l 1 1 l(V �C}-�� �'�_ _ Lot# �� <br /> �b Division Paroel# <br /> � BiaHazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Faciliry)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Eme►gency Generator<30 kw � LP/Natural Gas-Installation f f <br /> � Emergency Generatar>30 kw � LP/Natural Gas-ANNUAL Sale ' <br /> aFire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �/, <br /> rTy emi �n er � Ga �+' <br /> . � ✓ <br /> Sprinkler � � Recreational Bum <br /> ❑ O ❑ �� I � <br /> � Fire Alarm � ❑ ❑ ��� � Sparklers �� <br /> Hood Cleaning ❑ ❑ ❑ � � Sprinkler System Installations � ��� <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL r � Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br />�ntractor <br /> Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Aidress License# <br /> ;-�CIAN Company <br /> gnature I Registered Y/N Fee Current Y/N <br /> Address License# <br />_UMBER <br /> Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br />:CHANICA <br /> Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br />'HER <br /> Company �L!/y���_ . <br />�nature Registered Y/N Fee Current Y/N <br /> Address ��300 ac� g�� ��-��d� 32 License# <br />�ctions: <br /> Fill out application completely <br /> Owner 8 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 drewings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />