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s�3-�so-oo2o City of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received 3/21/2014 Phone Contact for Permit 813 949 8702 <br /> owners tvame SF Zeph r Commpns LP Owner's Phone Number � � � <br /> Owner'sAddress 1-2851 John Street- MARKHAM ON L3R 5R7 Canada <br /> Fee Simple Titleholder Name Titleholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> Job Address �� � �L� CZr��L Q�.L' Lot# '� <br /> Sub Division Parcel# �5- 2�7' �( " C'1?[1 ° C'("'C�'��`C� ��Ci <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 Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � <br /> t y emi �n t er � � � <br /> Sprinkler � ❑ ❑ ❑ � � Recreationai Burn <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers � <br /> Hood Cleaning � ❑ ❑ ❑ � X❑ Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL $1,937.00 Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> ConVactor Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER ,, Fire S inkler company Miken Fire Protection, Inc. <br /> Si nature ° <br /> 9 L� l�.-' l=�= Registered Y/N Fee Current Y/N <br /> Addres 1019 Wildrose drive- Lutz, FL. �icense# 2211180 12011 <br /> Directions , _ <br /> Fill out application completely. <br /> Owner&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 riva(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />