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813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021 <br /> - .- - Permit Apptication <br /> Date Received Phone Contact for Permit �� �� � <br /> �__��__r_r_i <br /> Owner's Name � � Owner's Phone Number � � <br /> Owner's Address l � " � <br /> Fee Simple Titleholder Name Titleholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> Job Address `..Q 3 � G\V I' �' S � Lot# � <br /> Sub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier II or RQ Faality)AMNUAL <br /> � Comm Exhaust Kitchen Hood/Duct � Hood Installation <br /> � Controiled Bum � LP/Natural Gas-Instaliation <br /> � Emergency Generator<30 kw � LP/Naturel Gas-ANNUAL Sale <br /> aEmergency Generator>30 kw � Places of Assembly-ANNUAL <br /> � Fire Protection Maintenance-ANNUAL � Recreational Burn /J �� <br /> y emi � er ��� /1 <br /> l <br /> Sprinkler ❑ ❑ � � Sparkiers <br /> Fire Alarm � ❑ C ❑ � � Sprinkler System Installations <br /> Hood Cleaning � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> Hood Suppression � ❑ ❑ ❑ � � Torch Roofing/Tar Kettie <br /> � Fire Alarm Installation Q Waste Tire Storage ANNUAL <br /> � Fire Pumps <br /> � Fire Works <br /> � Flammable Application-ANNUAL �- � Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> Contrador Company �x r ,,� -. <br /> Signature Registered /N Fee Current /N <br /> Address f(? � <br /> '�j License# Z � � <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> 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 Fee Current Y/N <br /> Address License# <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contrador 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 rivo(2)sets of drawings with applipble documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:l/appraiser.pascogov.com) <br />