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813-780-0020 City of Zephyrhilfs Fire Fax-813-780-0021 <br /> Permit Application <br />�ate Received � �2-Z��2� Phone Contact for Pertnit �—� C� � <br /> iwner's Name e S J��S S-f�+Rhoar G�`C Owners Phone Number $�3 782 ��/�/2 <br /> Nvners Address Sbs$ ��� ��v�� <br /> ee Simple Titleholder Name Titleholder Phone Number �� �� C� <br /> ee Simple Titleholder Address <br /> ob Address Lat# �� <br /> ub Division Paroel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen HoodlDuct � 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 /> � Fire Protection Maintenance-ANNUAL � Places oi Assembly-ANNUAL <br /> �r y emi �n er ❑ f �/ � � <br /> Sprinkler � � � � <br /> Recreational Bum � i �p ` <br /> Fire Alarm � � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � � ❑ ❑ ❑ C� � Sprinkler System Installations <br /> Hood Suppression � ❑ � ❑ � a Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL r Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> :ontractor ,��1 Company <br /> ,ignature Registered Y/N Fee Current Y!N <br /> Address �(20 l�ana,e �,;�< /ytr��if .�5� License# <br /> LECTRICIAN Company <br /> ,ignature � Registered Y/N Fee Current Y/N <br /> Address License# <br /> �LUMBER Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> 9ECHANICAL Company <br /> ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> )THER Company <br /> �ignature Registered Y/N Fae Current Y/N <br /> Address License# <br /> �irections: <br /> Fill out appiicaGon completely <br /> Owner&Contrector sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Supply two(2)sets of drewings with applicable documentation <br /> Altow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />