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- Cifij of Zephyrhilis'Fire� Fa�-8�3-7ao-oa2t <br /> s�3-7ao-ao2a <br /> Permit Application <br /> Phone Contact for Permit ��T� <br /> late Received �—�_����� ���'�w�,�?'��'��_�a��,�.�t .......,"_.�, - . . ... . ....... _..___�_ <br />:ws_��<r�,�.:.;:c�;u�=�:: ._. / <br /> . �� pwner's Phone Number � � C1�� °�'/ <br />�vners Name <br />)wners Address " � J 1 ` � � � � ' <br />=ee Simple Titleholder Name Titleholder Phone Number � � � <br />=ee Simple Titleholder Address ,,�,,,��,�;,�;;�;�;���-„�;�as <br /> ,,,_-.� � °=�''�3� ._..�.�, '�� � <br />�s�.�is�:`"������� <br /> Lat# <br /> Job Addr=ss L ) / <br /> ' e ` Parcel# ��/ ' �J � O`! ' UU�L� -U�7V� �U� � <br /> Sub Division ,..,�,,,�,�..�. ��:�e�:�;_.b�!e�,�'a-.n s�z�:.;.,�_.y�:-=:��-s�x <br />'�w-""�":'�.^���_'+.;."�''��—���'�E`w.�m�'.r'�-. , ' '�Fi"�+ s+�.-.' . � - <br /> � Blo-Hazard Waste 5tnrage-ANNUAL � FumigaUon Tent <br /> � Comm Exhaust FGitchen HoodlDuct � Hazardous Material�er li or RQ Faclliiy}ANHUAL <br /> � Controilsd Bum a Hood Installatlon <br /> � Emergency Generator<30 kw � LP/Naturel Gas-Installation <br /> Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale <br /> Fire Protection Main4enance-ANNUAL � Places of Assembly-ANNUAL <br /> r y emi �Tn er �� <br /> 5prinkler � ❑ ❑ O a Recreallonal Bum � 1 3 5 <br /> Fire Alarm ❑ ❑ /� � � Sparklers ( <br /> Hood Cleaning g p O ' ❑ � � Sprinkler System InstallaUons <br /> Hood Suppression � O ❑ ❑ � a Standpipes(5prinkler Sys) <br /> � Fire Afarm Installati�n � Tarch RoofingfCar KetUe <br /> Fire Pumps � Waste Tire 5torage ANNUAL <br /> Fire Works ' <br /> FlammableApplicatlon-ANNUAL � Valuation of Project <br /> Fuel Tanks <br /> a Other: <br /> _,� y� �n-�r�- ������� ��w �,�.� r.���.���.°� <br /> ����� __. � <br /> ConVactor � Comparry �=',• . .�– '3rd��jt>, <br /> Signature ' Registered Y N Fee Cuaent N <br /> Address � �� �, - `� � � f '" f'' License# J t''. i iJ <br /> ELECTRICIAN Company <br /> 5ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company . <br /> Signature Reglstered _�(/�1 Fee Current Y/N <br /> Address Licensa# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Curtent Y/NT— <br /> Address �— License# <br /> OTHER Company <br /> Signature Registered Y/N Fse Current �'/N <br /> Address �— LlCense# <br /> '.�-i0�`2f.'F'�u$']e�{�s`>-•.-•r.!.F.4u<ran�s.z_-LF�-��-"eaS/iaa:iSers�YelWaameair�htYJSShas.-_u�_�.r..._.L�tm�.au.ir'.LV4aL�n�tsus�l+�ir���u�$!tl '-".-.._. _"..'_"_...- ____._"_`_____`__�.�=s��'�S�.G�-�.': <br /> Directions: <br /> Fill aut application oompletely. <br /> Owner&Contractor sign back of applicatior�,notarized(Or,copy of signed contrect with owner) <br /> If over 52500,a Notiae of Commencemant is requi2d(Mechanica!work over 35000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for rfsvisw after submittal date. Parcel#-obtained irom Property Tax NoUce(http:!/appraiser.pascogov.com) <br />