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813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Recefved ' p �� - Phone Contact for Pertnit (, 3 8 3�+ s S � <br /> wnets Name 3 0 �o RN�R �i R�t�. Owners Phone Number �) 3 .3 7 7 Z�Z 9 <br /> wner's Address SO 0 Z}�,1. 8�V A • <br /> :e Simple Titleholder Name Titleholder Phone Number �� C� �� <br /> �e Simple Titleholder Address <br /> �b Address S 0 p q�L g �,v D Lot# �� <br /> �b Division Parcel# <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 � Hood Installatlon <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> �� Fire Protection Maintenance-ANNUAL Q Places of Assembly-ANNUAL <br /> ❑�y emi �n er D <br /> Sprinkler ❑ ❑ ❑ Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> �Hood Cleaning __ ❑ ❑ ❑ � � Sprinkler System Installations <br /> ��� Hood' P°" P�essi°� � � �Q � � Standpipes(Sprinkler Sys) <br /> , Fire Alartn Installation �J � Torch Roofinglfar Kettle <br /> � Fire Pumps����--" � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Sp� Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> �ntractor Company �l Mf'�tltflN FlAt SqPrT NC. <br /> gnature Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> _ECTRICIAN 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 License# <br /> �CHANICA <br /> Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> fHER <br /> Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> rections: <br /> Fill out application campletely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contrect 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 documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtainad from Property Tax Notice(http:!/appraiser.pascogov,com) <br />