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8�3�saoo2o City of.Zephyrhilis'Fire• FaX-a1��so-oo2i <br /> , Permit Application <br /> Date Received 1 c�a - Phone ContacYfor Pertnit <br /> �: <br /> Owners Name Owners Phone Number ��j gpZ. ,� <br /> Owner's Address 3 J � <br /> Fee Simple Titteholder Name Titleholder Phone Number �� � � <br /> Fee Simple Titleholder Address <br /> JabAddress �3�3 0.�'r h ►1� S r � 33�� Lot# � <br /> Sub Division Paroel# <br /> � Bio-Hazard Waste Storage-�ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier il or RQ Facilfty)ANNUAL <br /> � Controlled Bum � Hood instalta8on <br /> � Emergency Generator<30 kw � LPMatura!Gas-Installation O�1 <br /> � Emergency Generator>30 kw � LP/Naturel Gas-ANNUAL Sale I� <br /> � Fire Protection Mairrtenance-ANNUAL � Places ofAssembly-ANNlJAL � <br /> �y emi �n er � <br /> 5prinkler � ❑ ❑ � � � Recreational Bum <br /> Fire Alarm ❑ ❑ � � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � � O ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammabie Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Othe � <br /> ConVactor Company <br /> Signature Registered Y/N Fee c nc Y N 3�yd <br /> Add�ess License# <br /> ELECTRICIAN Company <br /> Signature ' Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> ._.__._.__.______ � . wer�w.�.reeueo� <br /> Directions: <br /> FII out application completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed conVact with ovmer) <br /> If over$2500,a Notice of Commencemerrt is requirad.(Mechanical woric over$5000) <br /> Supply two(2)sets of drewings with appiicable documentation <br /> Alfow 1�-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser_pascogov.com) <br />