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ai3-78aoozo City ofZephyrhilisFir.�e��•��_. <br /> . Permit Application Fax-813-�g�pQ�j` <br /> Date Received . - <br /> ' Phone Contact•for Permit ('�--� <br /> L---_— <br /> Owner's Name �..�- �yJ ,� Owner's Phone Number ,� <br /> Owner's Address ��3 ' � � � � <br /> ��� <br /> Fee SimpleTitleholder Name �� � � <br /> TiUeholder Phone Number <br /> Fee Simple Titieholder Address <br /> Job Address •� <br /> Lot# <br /> Sub Division <br /> Parcei# <br /> � . Bio-Fiazarcl Waste Storage-ANNUAL � Fumigation Tent <br /> Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum Hood Installatlon <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>3D kw � LP/Natural Gas-ANNUAL Sale �� <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � � ( <br /> * .❑�Tr y] em� �n er � � <br /> Sprinkler ❑ ❑ p Recrsational Bum <br /> Fire Alarm � ❑ ❑ ❑ �� � 5parklers <br /> Hood Cleaning � p ❑ ❑ � � Sprinkler8ystem Instailations � ZJ � <br /> Hood Suppressibn � ❑ � p � � 5tandpipes(5prinkier Sys) <br /> � Fire Alartn Installation � Torch Roofing/Tar Kettle <br /> Fire Pumps � Waste Tirs 5torage ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL <br /> Valuation of Project <br /> Fuei Tanks <br /> ' Q Other: <br /> contractor <br /> 5ignature A Company ,y 9 ,�L Q��� <br /> Registered � r i iv � Fee�Grrent Y/N�°' <br /> Address <br /> L.icense# <br /> ELECTRICIAN "� - <br /> Signature Company <br /> Registered I Y�N I Fee Current Y/N <br /> Address <br /> License# <br /> PLUMBER ' <br /> Signature Company <br /> Registered Y/N Fee Currerrt Y/N <br /> Address <br /> License# <br /> MECHANICAL <br /> Signature Company <br /> Reglstered Y/N Fee Curtant Y/N <br /> Address <br /> License# � <br /> OTHER <br /> Signature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> Directions: License# <br /> Fill out application completely. <br /> Owner&Cor�-actor sign hack of application,notarized(Or,copy of signed contract with owner) <br /> ff over$2500,a Notice of Commencement ts required.(Mechanical work over$60D0) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 1 D-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice h J/a <br /> ( ttP' ppraiser.pascogov.00m) <br />