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e��-�ao-oo2o City of Zephyrtiills Fire FaX-a��-�so-oo2� <br /> ` Pertnit Application <br /> :ReCeived fj'Z z-'ZC�1 Z Phone Contact for Pertnit b�3 9y( �L/I L�i � <br /> �_--.rr..�_� <br /> ier's Name �v:, - G-�,��,r, Owner's Phone Number f�'/3 7�8 l��g 6 <br /> iers Address -3-//�j crci// C3l✓c� Zc � � � ,� 3 3.S-(�/ <br /> Simple Titleholder Name Titleholder Phone Number �_� � �-1 <br /> Simple Titleholder Address <br /> Address Cr� Lot# C] <br /> Division Paroel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Euhaust Kitchen Hood/Duct � Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> aFire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> [� emi � er � <br /> 5prinkler � ❑ ❑ ❑ � � Recreational Bum r 3/ ! <br /> ❑ � � '� 1 <br /> Fire Alartn O ❑ ❑ Sparklers <br /> Hood Cleaning � ❑ O ❑ �� � Sprinkler System Installations <br /> Hood Suppression � � ❑ p � a Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> a Flammable Application-ANNUAL �� , Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> tractor <br /> Com an <br /> iature P Y �'/'� �-y' �� /h� <br /> Registered Y/N Fee Current Y/N <br /> Address � D, ap g ��d d (�(� 3S! 3y- License# <br />:CTRICIAN <br /> I Company <br /> iature Reglstered Y/N Fee Current Y/N <br /> Address <br /> License# <br />�MBER <br /> iature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br />:HANICAL <br /> ature Company <br /> Registered Y/N Fee Curreni Y/N <br /> Address � � <br /> License# <br /> ER <br /> ature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# � <br />;tions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of application,notarized(Or,copy of signed contract wlth owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical woric 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 />