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a�s-�so-oo2o City of Zephyrhilts Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Received �'� Phone Contact for Pertnit �3 a �l <� <br /> 4 L������ <br /> wner's Name � �� U ��? s Owners Phone Number � � �� <br /> wner's Address (� � J� �(_ l f� Z Lo�J �( g �� <br /> :e Simple Titleholder Name Titteholder Phone Number C� C� �� <br /> �e Simple Titleholder Address <br /> >b Address Lot# � <br /> �b Division Parcel# <br /> � Bio-Hazard Waste Storege-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlied Bum a Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> Q Emergency Generator>30 kw � LP/Natural Gas/1NNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> ❑� emi �� ❑ <br /> Sprinkler ❑ ❑ ❑ Recreational Bum <br /> Fire Alartn � ❑ ❑ �� � Sparklers <br /> Hood Cleaning � p ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> a Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> mtractor <br /> lCompany � � <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br /> .ECTRICIAN Company <br /> gnature � Registered Y/N Fee Current Y/N <br /> Address License# <br /> _UMBER <br /> Comparry <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 /> 3nature Registered Y/N Fee Cument Y/N <br /> Add►ess License# <br /> rections: <br /> Fill out application completely <br /> Owner&Contractor sign back of appiication,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#-obtained from Property Tau Notice(http://appraiser.pascogov.com) <br />