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a��-�saoo2o City ofZephyrh111sFic�e��-�:�=... �Fax-813-780-0021 <br /> Permit Application _ <br /> Date Received ' Phone Contact•for Permit � <br /> Owner's Name — r Owners Phone Number .� �� � <br /> Owner's Address / ¢�/ ��I/�- <br /> Fee Simple?IUahoider Name Titleholder Phone Number � � � <br /> Fee Simple'T'itleholder Address <br /> Job Address Lot# � <br /> Sub Division Paroel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or IRQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generetor<30 kw � LP/Natu21 Gas-Instaltation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n er � �°�� <br /> Sprinkler � � � ❑ O � � Rscreational Bum / U <br /> � � <br /> Fire Alartn � O ❑ ❑ � � 5parklers � <br /> Hood Cleaning � O O O � � 5prinkler8ystem Installations <br /> Hood 5uppression � ❑ � � � � Standpipes(Sprinkler Sys) <br /> � Fre Alartn Instaltation � Toroh Roofing/Tar Kettle <br /> Fire Pumps � Waste Tire 5torage ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL � Valuation of Project <br /> Fuef Tanks <br /> Q Other: <br /> Corrtrector ,.��� Company /�/�►' <br /> Signature Registered Fee Cu Y/N <br /> Address 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 Curterrt Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Curreni Y/N <br /> Address License# <br /> Di2ctions: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of appifcation,notar¢ed(Or,capy of signed contract with owner) <br /> ff over$2500,a Notice of Commencementls required.(Mechanical wo�ic over$5000) <br /> Supply two(2)sets of drawings wkh applicable documentation <br /> Alfow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />