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s��-�ao-oo2o City of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Received Phone Contact for Pertnit C� � �� <br /> J C� �� C� <br /> wners Name Owners Phone Number <br /> wner's Address ✓ � 1�j <br /> 3e Simple Titieholder Name — Titleholder Phone Number C� C� � <br /> :e Simple Titleholder Address <br /> �b Address - V Lot# � <br /> �b Division Paroel# <br /> � Bio-Hazard Waste Storege-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Instaliation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation �r i <br /> � Emergency Generetor>30 kw � LP/Natural Gas-ANNUAL Sale j/` � <br /> � Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL ���{'C� <br /> �y emi �n er ( <br /> Sprinkler � ❑ O O � � Recreational Bum <br /> � f ��/� <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers � / <br /> Hood Cleaning ❑ O ❑ � � Sprinkler System installations � <br /> Hood Suppression � ❑ $� ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation l � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> QFlammable Application-ANNUAL � Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> ��tractor Company • <br /> gnature �� Registered Y/N Fee Current Y/N <br /> Address License# <br /> _ECTRICIAN <br /> Company <br /> gnature � Registered Y/N Fee Current Y/N <br /> Address License# <br /> _UMBER <br /> Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> =CHANICAL <br /> Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> fHER <br /> Company <br /> 3nature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> rections: <br /> Fill out application completely. <br /> Owner&Contractar sig�back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Natice of Commencement is required(Mechanical work over$5000) <br /> Supply Mro(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tau Notice(http://appraiser.pascogov.com) <br />