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si�-�aaoozo � City ofZephyfiills'Fire�•"�'=. Fax.�13-j8��021 <br /> Permit Application <br /> Date Received - Phone Contactfor Pertnit � <br /> Owner's Name ��i � Owners Phone Number .� � /�i'�� <br /> .3� /S- _' �-s--� <br /> Owners Address - <br /> Fee SimpieTitleholder Name Titleholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> Job Address Lot# � <br /> Sub Division <br /> Paroel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Faciiity)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw a LP/Natural Gas-Installatfon <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protaction Maintenance-ANNUAL Ptaces of Assembly-ANNUAL �t�7l <br /> ry emi �n er /i LZ,�J `� <br /> 5prinkler � � O ❑ O � � Recreational Bum ,� <br /> Fire Alartn � ❑ ❑ ❑ �� � Sparklers <br /> iiood Cleaning � O O ❑ � � 5prinkler 5ystem Instailations <br /> Hood Suppression � ❑ � ❑ � � Standpipes(5prinkler Sys) <br /> � Fire Alartn Installation , � Toroh Roofingrfar Kettle <br /> Fire Pumps � Waste Tire Storege ANNUAL <br /> Fire Worics , <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> � � Other: <br /> Contrector Company !c .k <br /> 5ignature Registered Y/ Fee urrant Y/N <br /> Address License# <br /> ELECTRICIAN Company _ <br /> Signature Registered Y/N Fes Current Y/N <br /> Address , License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company ___ <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fae Current Y/N <br /> Address License# <br /> Directions: <br /> Fill out application completeiy. <br /> Owner 8 Coritractor sign 6ack of application,notarized(Or,copy of signed contraet with owner) <br /> If over$2500,a Notice of Commencement is required.(Mechanical work over$5000) <br /> Supply iwo(2)sets of drewings with applicable documentation <br /> Allow 10-'14 days for review after submittal date. Parnel#-obtained from Property Tax Notice(http://appreiser.pascogov.00m) <br />