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813-780-0020 City of Zephyrhilfs Fire <br /> Permit Application Fax-813-780-0021 <br /> ate Received � /—L�_�3 <br /> � Phone Contact for Pertnit G/� 99(0 6 6 <br /> wners Name (�c,/�n ��� � <br /> Owners Phone Number '7 79 I s-�/ <br /> wners Address 3�t�r �'�tn� �/y�� „�r �`� �'� 33S—�Z <br /> �e Simple Titleholder Name �� � � <br /> Titleholder Phone Number <br /> �e Simple Titleholder Address <br /> �b Address yy�� � <br /> Lot# <br /> �b Division <br /> � , _ Paroel# <br /> � Bio-Hazard Waste Storege-ANNUAL � � � � <br /> � Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Material <br /> � � (Tier 11 or RQ Facility)ANNUAL <br /> Controlled Bum Hood Installation <br /> � Emergency Generetor<30 kw � <br /> � LP/Natural Gas-Installation <br /> Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale �� � � <br /> � Fire Protection Maintenance-ANNUAL � � <br /> Places of Assembly-ANNUAL <br /> ❑� emi � er ❑ <br /> Sprinkler ❑ ❑ ❑ Recreational Bum <br /> Fire Alarm � ❑ ❑ O <br /> Hood Cleaning � � � � Sparklers <br /> � � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ �t C� � Standpipes(Sprinkier Sys) <br /> a Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL <br /> � Fuel Tanks Valuation of Project <br /> QOther. <br /> intractor � . . <br />�nature Company �-rc �.,� ky(� ��� <br /> Registered Y/N Fee Current Y/N <br /> Address .a, Qox �,Q,,,d � F 3 <br /> License# ----I <br /> ECTRICIAN <br /> inature Company <br /> Address Registered Y/N Fee Current Y/N <br /> JMBER <br /> License# � <br /> nature Company <br /> Address <br /> Registered Y/N Fee Current Y/N <br /> License# � <br />�HANICA <br /> iature Company <br /> Address <br /> Registered Y/N Fee Current Y/N <br /> IER <br /> License# � <br /> ature Company <br /> Address <br /> Registered Y/N Fee Curnent Y/N <br />:tions: <br /> License# � <br /> Fill out application completely. <br /> Owner 8�Contractor sign back of application,notarized(Or,copy of signed contrect 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 submittal date. <br /> Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) <br />