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813-780-002D City ofZephyrhillSFir'�e�- '_. Fax-a�3-78o-op21 <br /> Permit Application <br /> Date Received y - Phone Contact•for Pertnit � <br /> �..,....,..o.�,�,. <br /> Owners Name (,�lG��� �� Owners Phone Number �� C <br /> Owners Address 3�. /,� � � ��– ' <br /> Fee SimpleTitleholder Name • Titleholder Phone Number C� C� C <br /> Fee SimpleTitieholder Address " <br /> Job Address Lot# C <br /> Sub Division Paroel# <br /> � Hio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazar+dous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generetor<30 kw � LPMatural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly ANNUAL <br /> � emi � er r <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum �/��S� <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � O ❑ ❑ � � Sprinkler8ystem Instaltations <br /> Hood Suppression � ❑ � ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm tnstallation � Torch Roofingrfar Kettle <br /> Fire Pumps � Waste Tire 5torage ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL �—� Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> Contrector Company _ � N�- <br /> Signature Registered N Fe Current Y/ <br /> Address License# <br /> ELECTRICIAN ��9es► � f'G ����� Company <br /> Signature Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Currerrt Y/N <br /> Address License# <br /> MECHANICAL Company <br /> 5ignature � 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 /> FII out application completely. <br /> Owner 8 Corrtractor sign back of appiication,notarized(Or,copy of signed contract with owner) <br /> if over$2500,a Notice of Commencement is required.(Mechanical woric over$SODO) <br /> Supply iwo(2)sats of drawings with applicable documentation� <br /> Allow 10-'14 days for review after submittal date. Parcel#-obtained from Property Tax Nofice(httpJ/appraiser.pascogov.com) <br />