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' s�3=7so-oozo City of.Zephyrhilis Fire Fax-813-780-0021 <br /> �Permit Application <br /> Phone Contact for Pertnit r� r- <br /> Date Received �*--�M�--�---�• <br /> �xs��a�:� <br /> � �� Owner's Phone Number � � � <br /> Owner's Name <br /> Owner's Address <br /> Fee Simple Titieholder Name TiUeholder Phone Number � � � <br /> Fee SimpleTitteholder Address <br /> Job Address <br /> ' � I 5 A-[. � � �ot# C <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 Facility)ANNUAL <br /> � Controlled Bum a Hood Instalfation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generetor>3D kw � LPlNatural Gas-ANNUAL 5ale `�/ ^7 3 � <br /> 0 Y C� <br /> � Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL - � � <br /> � emi � er � <br /> Sprinkler � � � ❑ Recrea6onal Bum <br /> Fire Alartn � ❑ ❑ � �� ❑ Sparklers <br /> Hood Cleaning � ❑ ❑ � �� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ 0 � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> � Other: <br /> Contractor Company _ <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company _ <br /> Signature <br /> Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Cument 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 Fee Current Y!N <br /> Address License# <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of appiication,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 applicable documerrtation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJlappraiser.pascogov.com) <br />