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slsaao-oo2o City of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate iteceived� Phone Contact for Permit � U �� <br /> Mmer's Name � L L Owners Phona Number � C� �� <br /> Mmers Address � � f /(I �� S <br /> ee Simple Titleholder Name Titleholder Phone Number C� � �� <br /> ee Simple Titleholder Address <br /> ob Address � �9 c. ! l � �/` � {� 3 �`(Z 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 �_�,-�!/ <br /> � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> ❑�y em� � er <br /> Sprinkler ❑ ❑ ❑ Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ � � Spa�lclers <br /> Hood Cleaning � ❑ ❑ � � � Sprinkler System Installations <br /> Hood Suppression � � ❑ ❑ � � Standpipes(Spri�kier Sys) <br /> � Fire Alarm installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> aFire Works <br /> � Flammable Application-ANNUAL �--� Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> , i <br /> :ontractor Company <br /> �ignature � Registered Y/N Fee Current Y/N <br /> Address License# <br /> :LECTRICIAN Company <br /> �ignature � Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> 'LUMBER Company <br /> ;ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> �ECHANICA Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License� <br /> ITHER 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 applicabla documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />