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si3-78aoo2o City ofZephyrhillsFre� <br /> Fax-813-780-0021 <br /> Pemiit Appiication � <br /> Date�vec(�- - Ptarie conlaa for Per�„it _ �_._. <br /> o�,ers r�� ��c � � o�,ers�t� .t�?t� 'I O �lQ 1 <br /> o�,ers�►dd.� �3 (�tw.L l v � i - �., <br /> Fee 5imple Titleholder Neme litlehoider Pfione Number C� �� � <br /> Fee Simple Titleholder Address <br /> JOb�� Lot# C� <br /> Sub Division Pamel# <br /> � Bio-Fiazard Waste Staage-ANNUAL � Fumfgation Tent <br /> � Comm Exhaust Kitc�HoodlDuct � Ffazardous Material(7ier II w RQ FaaHty)ANNUAL <br /> � ControHed Bum � Fiood tnstal{atbn <br /> � EmergencY Ganera0or<30 kw � LP/Watiu�al Gas-Ir�llatbn <br /> � EmergencY 6enerator>30 kw � LPMat�al Gas-ANNUAL Sale <br /> � Fne Protection Maitslar�anoe-ANNUAL � Places af Asse�rtibiy-APINUAL -- <br /> � � � <br /> 3Prinkler � O ❑ ❑ � � Recreafionai Bum <br /> �e n�m, � o n o �� 0 s�'s ..C�!'" I ��� � <br /> tiood Gean�g �( ❑ ❑ � � S�Syslan,tr�atiau , , <br /> liood S►�pr�ion ❑ ❑ ❑ � � StandpiPes(SPrirdcler SYs) <br /> QFms Alarm instaNation Q Tor�h Roofwg/Tar KaUle <br /> F�P�PS � Was6e Tite Storage ANNUAL <br /> Fne Worlcs <br /> �"���'"'�u� Valuation of Project <br /> Fuei Tanks <br /> r: <br /> - ,� - <br /> Contrador � k � �m�rn <br /> S'9"�"'� Registered Y/N Fee curent Y/N <br /> Address � <br /> License# <br /> ELECTRIC � <br /> s�9nan,�e Reyi�ed Y/N Fee cwenc Y/N <br /> ��' License# <br /> PLUMBER � <br /> s'gnature Fteg;stered Y/N Fea cutent Y/N <br /> Address License# <br /> MECHANICAL �� <br /> slgnaa,re Reyistered Y/N Fee Cumerrt Y/N <br /> �� l.icerise# <br /> OTHER � <br /> Signature Registared Y/N Fee Cunent Y/N <br /> Address Licerue# <br /> Directions: <br /> Fiil out appiicadon c�r�le�ely, <br /> Ow�er&Corrtrador s7gn bacic of application.notaraed(Or.coPY of si�ed t�rrtract with ovmer) <br /> If orex 52500,a N�ice of Corrvnanoement is r�-(I�,fechar�iCal work over 55000) <br /> ��PP�Y�lt/sats or arawings unG�aEq,;�.a:.:o '.:.:....::u:.it�6or� <br /> nraw 1 a1 a aays ror rt,wie�w aRer subrr�itm�daffi. Par�#-oMained trom Pnoperty Tax N�ce(h1ta��aPlxa+ser.pascosov.com) <br />