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s�3-�so-oo2o City of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application - <br /> ate Received Phane ontact for Permi � �.b�:j',�J <br /> i - � <br /> wner's Name � C' N S i0� Owners Phcsne Number �] � � <br /> wner's Address �SU� /v D/�r � SC �� ���J C��N.0 / !� �i� <br /> 3e Simple Titleholder Name TiUeholder Phone Number � � � <br /> :e Simple Titleholder Address <br /> �b Address � 333 �uv� Lot# � <br /> �b Division Parcel# ✓/ "�s"a���O��-v�.�UC -���� <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 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 a Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkier Sys) <br /> � Fire Alarm Installation � Torch Roofing�far Kettie <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL �� p p, p p Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> mtractor CompanY � Ef1 ',rEC�t'{/ �' • <br /> gnature /' Registered Y/N Fee Current Y/N <br /> Address License# DOO/O <br /> _ECTRICIAN Company <br /> gnature � Registered Y/N Fee Current Y/N <br /> Address License# <br /> _UMBER Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br /> =CHANICA Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> fHER Company <br /> 3nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> rections: <br /> Fill out application campletely. <br /> Owner 8 Contractor 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 two(2)sets of drawings with appUcable documentation <br /> Ailow 10-14 days for review after submittal date. Par�el#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />