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813-780-0020 City of Zephyfiills Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate Received Phone Contact for Permit �� � � <br /> Mmer's I�!ame ' i/1 Owners Phone Number � � � <br /> lwners Address <br /> ee Simple Tideholder Name Titleholder Phone Number � � � <br /> ee Simple Titleholder Address <br /> ob Address � d�� ^�� 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 /> aEmergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> a Fire Protection Maintenance-ANNUAL � Piaces of Assembly-ANNUAL <br /> � em� �n er <br /> Sprinkler � � ❑ ❑ � RecreaUonal Bum <br /> Fire Alartn � ❑ O ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> aFire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> � Other: <br /> :ontractor — Company <br /> ,ignature � Registered Y/N Fee Curcent Y/N <br /> Addr license# <br /> :LECTRICIAN Company <br /> ,ignature � Registered Y/N Fee Current Y(N <br /> Address License# <br /> 'LUMBER Company <br /> �ignature Registered Y 1 N Fee Current Y/N <br /> Address License# <br /> �ECHANICAL Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> 1THER Company <br /> ;ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> �irections: <br /> Fill out application completely <br /> Owner&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 drewings with appiicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />