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' � C'rty ofZephyrhiiisFir�.:~=�=.. FaX-s13-7ao-oozi <br /> 813-780-002D <br /> ?srmit Appiica�tion <br /> - Phone Corrtactfor Permit <br /> pate Rec�ived _ n <br /> W� Ob� EcJ�'Q. „Q S Owners Phone Number �� � ��a � ' � <br /> Owner's Name <br /> ow�ers Aaacess ��) �� 1.anSi n v.Q.n u2 - �, r ►�1 F L 335�''ot <br /> Titleholder Phone Num6er � � � <br /> Fes S3mplelitleholder Name <br /> Fea Simpls?iUehoider Address <br /> �„ppq„ �O n � o�� ' Q/�5 1/l .�� hl 1 �L I LoY# � <br /> �otrAddress <br /> Parcel# <br /> Sub Division <br /> � Bio-Hazard Waste 5tora9e-•ANNUAL a Fumigation Terrt <br /> � Comm Exhaust Ki�hen HoodlDuct • Q y���������r 11 or RQ Faciifty)ANNUAL <br /> � Controiled 8um � Hood Inshailation <br /> � Emergency Generator<30 kw a LPMatural Gas-Insfallation <br /> � Emergency Generator>30 kw o �P�w��Ga�NNUAL Sale � <br /> � Firs Protection Maintenance-ANNUAL • � Pla�s of AssembiY'ANNUAL „ �i I � � <br /> y � er � �j / <br /> 5prinkler n� ��� �e�l Bum � <br /> Fre Alartn � D ❑ ❑ SPet'klers <br /> iiood Cleaning ❑ � ❑ � a 5prinkler�ystem Installations <br /> � C� Q Standp'�pes(SP�inkler SYs) <br /> Hood Suppression � ❑ � ❑ <br /> aFre Alartn Installatlon � Toroh RoofingfTar KatUe <br /> ���PS � Waste Tice Storage ANNUAL <br /> Fre Worlcs <br /> Flammable Appiication-ANNUAL Valuation of Project <br /> FueiTanks <br /> Q Other. <br /> Cor�iractnr �mPe�Y <br /> s�� ���� � Registered Y/N Fee currenc Y/N <br /> Address ` License# <br /> ELECTRICIAN Company <br /> Signawre Registered Y/N Fee C�rrent Y/N <br /> A�� " , License# <br /> PLUMBER �m�m <br /> 5ignawre Registered Y/N• Fee Cimern Y/N <br /> Address ' License# �_ � <br /> MECHANICAL CO�m <br /> S�9��� - Registered Y l N Fee Cument Y/N <br /> Address -License# �— <br /> OTHER �m�� <br /> sigrnature ftegisoered Y/N , Fee G�urarn Y/N <br /> Address Licanse# <br /> Di�ectlons: r <br /> FII out applfcation cemPletey. <br /> Owner 8 Corttractnr si9n baek oF applicabon.no�ra��Or.�PY��9��d with owner) <br /> If over ffiSOQ,a hiotice ot Congnet�cemetrtis required.(M�charucal wotk aver$500U) <br /> S�PP�Y�(2)seffi of drawings wtth applicable docume�ation <br /> Ailow 10-14 days ior reviaw after submtGal date. Par�el#-obta'med from PropeKy Tax Notice(htYPJIePPraiser.pascogov.com) <br />