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813-780-0020 City of Zephyrhilis Fire �=�`�7(�' Fax-813-780-0021 <br /> Permit Application <br /> �ate ReceiVed . �` - [.;� �2 Phone Contact for Pertnit �� C� � <br /> iwner's Name � +YCC � Owners Phone Number � � � <br /> Mmers Address 3��1�J S � S�-1 � Z �` Y�I 1 �� 3 � S��2-- <br /> ee Simple Titleholder Name Titleholder Phone Number C� � [� <br /> ee Simple Titleholder Address <br /> ob Address Lot# � <br /> ub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation ��, <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation �i/ } <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sate �'���?��/ <br /> � Fire ProtecUon Maintenance-ANNUAL � � Places of Assembly-ANNUAL <br /> �y emi �n er � <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum - <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ D � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn installation � Torch Roofing/Tar 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 />�":ontra�c or -- Company <br />�;���e Registered Y/N Fee Current Y/N <br /> Address 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 /> 1ECHANICA Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> )THER Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> �irections: <br /> Fill out application completely. <br /> Owner 8 Contractor 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 drawings with applicable documentation <br /> Allow 10-14 days for review after submittai date. Parcel#-obtained from PropeRy Tax Notice(http://appraiser.pascogov.com) <br />