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.e��-�80-002o City of Zephyrt�ilis Fire Fax-813-780.0021 <br /> Permit Application <br /> e Received �2. (� 20 l Phone Contact for Permit 8� q 6 (��{(� <br /> ier's Name ��J�— Owners Phone Number g �3 ��S � <br /> iers Address � � , �1 lTa,�� `J� �C�� 3 3 Stf( <br /> Simple Titleholder Name Titleholder Phone Number � � � <br /> Simple Titleholder Address <br /> Address Lot# � <br /> Division Paroel# <br /> � 8io-Hazard Waste Storage-ANNUAL � Fumigation Terrt <br /> � Comm Exhaust Kitchen Hood/Duct � Hazarclous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installatfon _ ,.. .. - <br /> � Emergency Generator<30 kw a LP/Natural Gas-Installation ' <br /> � Emergency Generator>30 kw � LPMatural Gas-ANNUA le <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembiy- NUAL � <br /> � emi �n er �� � � <br /> 5prinkler � � ❑ ❑ � � Recreational Bu � <br /> � � { <br /> Fire Alarm � � ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System ins atiQns <br /> Hood Suppression � ❑ ❑ �i[ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL <br /> Valuation of Project <br /> � Fue�Tanks <br /> Q Other: <br /> tractor Company i/',L 7�G!' n� <br /> iature Registered Y/N Fee` urrent Y/N <br /> Address � 6 License# <br />:CTRICIAN <br /> Company <br /> iature � Registered Y/N Fee Current Y/N <br /> Address License# <br /> IMBER Company <br /> iature Registered Y/N Fee Current Y/N <br /> Address License# <br />�HANICA Company <br /> iature Registered Y/N Fee Current Y/N <br /> Address License# <br /> iER <br /> Company <br /> iature Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> ctions: <br /> Fill out appiication completely. <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 drawings with appficable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com) <br />