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a��-7eo-oo2o City of Zephyrhilis'Fir��� Fax-813-'t8o-oo21 <br /> Permit Application <br /> ite Received � � - Phona Contaetfor Pertnit <br />?'.£-._ZF!:�;x'l"-::Z@:El�/�Z:�.�.�.+�.«+.�..� - tC ns"�'ti�3��^6$S�� ..,�......�...,.......,.��....,......-r...-_....ew.� <br /> aners Name �"j Owner's Phone Numher � <br /> nrner's Address (� / j 5 � <br />�e Simple TiUeholder Name Titleholder Phone Number �� � <br />;e Simple Titleholder Address <br /> o'°'""'s'�€�.'-""�t��.� "' ��{�.�i�;k-.:u'':��"�i�'s� <br /> ib Address � 9 �,..J 'e � Lot# C <br />�6 Division Parcel# Q - CXJ%C�(� �j(1 (�Z <br />�,�fl€��.����'a-�`.3.�,�c+iY#i�-.�a�fei . �,�.�+i�'"m�m'"� ��e�33iz�?'r'i��:-i'fes.C':�.�.,'�Stt�.,i};u�:,�...'�^�'?.�� <br /> � Bio-Hazard Waste 5iorege-ANNUAL � FumigaUan Tent <br /> � Comm Exhaust IGtchen Hood/Duct Q Hazardous Material(7ler II or RQ Faciiiiy)ANNUAL <br /> � ConVoiled Bum � Hoad Instatladon <br /> n Emergency Generator<30 kw � LP/Naturef Gas-Installakion <br /> Emergeney Generator>30 kw � LPINatural Gas-ANNUAL 5ale ���} � <br /> Flre Proteo8on Mairttenance-ANNUAL � Places af Assembly-ANNUAL �1 � <br /> �i y em� � er <br /> �C ' l <br /> Sprinkler � ❑ ❑ O � � RecreallonalBum <br /> Fre Alarm � ❑ ❑ � � � Sparkiers <br /> Hood Cleaning ❑ ❑ ❑ � � Sprinkler System Installatlons <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fira Alartn InstallaUvn � Torcfi RoofinglTar KetUe <br /> Fire Pumps � Waste Tlrs Storage ANNUAL <br /> Fire Wotics • <br /> Flammable AppllcaGon-ANNUAL �_�� Valuation af PrOject <br /> Fuef Tanks <br /> Q Other: <br /> p it�5y,�a�.He^i? <br /> iignaturer � . - Comparry " >=� � � �,� y�—`� <br /> Registered _ Y.N Fee Cucrent N—�� <br /> Address ) 1 _ " � License# �ry ►� <br /> cLECTRICIAN <br /> Comparry <br /> 3lgnature Registered Y/N_ Fee Current Y/N <br /> Address <br /> License# <br /> PLUMBER Gompany <br /> 5ignature Reglstered Y/N Fee Current �(/N <br /> Address <br /> License# <br /> MECHANICAL <br /> Company <br /> 5ignature Registered Y/N Fee Current Y/N <br /> Address �*" <br /> License# <br /> OTHER <br /> , Company <br /> 5ignature Ragistered Y/N Fee Cunent �(l N <br /> Address Licensa# <br /> D°a3���w �� � _ <br /> irections: -_�......,:�-"— .,=:z:_�-�..r,y.,,�;;�=�:_�.s. <br /> Fiil out applicatfon completely. <br /> Owner 8 Contractor sign back of applicatlor�,notarized(Or,copy of signed conUact with owner} <br /> If over 52500,a Notice of Commencement!s required(Mechanieal work over 35000) <br /> Supply two(2J sets of drewings with applicable dacumerrtation � <br /> Allow 10-14 days for review after submittal data. Parcel#-abtained frorn Property Tax Notles(http://appraiser.pascogov.com) <br />