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ft szs-�sao�za C";ty af.ZephyrhillsFir�^�°:'=.::" Fa�c 813-784-Q021 <br /> i'ermit Application , <br /> Date Received - Phocie Gorttact�far Permif ��_ <br /> Ov+mmer's Name ,� ~ - `/� Ctt�mets Phane Number .� � C� <br /> Ovmer's Addr�ess �8 ,� ,�'� � ' <br /> t � � �,-� <br /> Fee SimpleTitleholder Name . • � Titleholder Phone Number <br /> Fes.SimplsTitieholder Addrsss ` � <br /> Job�Aildress ` _ iot# �� <br /> 5ub pivision • Rancel# � <br /> � Bio-Hazard Waste 5torage-•ANNUAL � Fumigation Tent <br /> � Gomrn E�chaust'Kitchen HoodlGuct '''� � Hazardous Material{Tier I!or RQ Facility)ANNUAL <br /> � Controlled Bum� � Haod installation. <br /> �. Emergency.Generator<30 kw � LP/IVaturai Gas-installation <br /> Q , Emergency Generator>30 kw � LP/Naturai Gas-ANMUAL Saie <br /> Q Fire Prntection Maintenance-AlVNUAL. � Places of Assembly ANNUAL 4 <br /> �i�, emt n7 er ,��1 <br /> / <br /> SprinWer � ❑ ❑ ❑ � Recreational Bum, � �S. <br /> Ffr$A3arm ' � D L3 ❑ � � �8patit3ers <br /> Hood Cleaning � ❑ ❑ ❑ � � 5prinkleruysterti�iristallations <br /> Hood 5upprsssion � ❑ jJ� _D �� Q 5tandpipes(Sprinicler Sys) <br /> v <br /> � Flre Alartn InstallaGon � Torch Roofingrl'ar KetUe <br /> � Fire Pumps � Waste Tfre Storage ANNUAL <br /> � Fire Works • <br /> � Flarnmahle Applicafion-ANNUAL �� � V8�123fIO[i Of PCOj�Gt <br /> � Fuel Tanks � " <br /> � other:` _ _ - <br /> Contractor Company � a ��c��, � ����---''' �— <br /> Signature ,. Registered �N �ee��N ���� <br /> Address � �',r""�. �Z;• �icense# <br /> ELECTRICIAN � .. _ Company ` �. � <br /> Signature Registered Y/N '` Fee Gurrent . Y/�— <br /> Address • , License# - <br /> PLUMBHR � Gampany � <br /> Signature _ Registered �Y/� Fee Currerrt Y/N _ <br /> Address - • .. License# `� <br /> MEGHANIGAL Gampany <br /> Signature � Registere� Y/N Fee Curtent �/N�� <br /> Address Liaense# <br /> 07}-iEFt Cocripany <br /> Signature Registered Y,/N Fee Current Y/�� u <br /> Address ' License# <br /> Direations: <br /> FII aut appliaation completely. <br /> Owner�Coritractor sign back af apgllcafson,notarized{Or,capy of signed cor�track with owner) <br /> If over�25d0,a Notice oi CommertcemenYis required.(Mechanical wark over$5000) <br /> Supply two(2)sets af drawings with applicable documerttation� <br /> Atlow 14-14 days for raview after subrnitta!dats. Parcei#-obtained from Property Tax Notice(httpJlappraiser.pascogov.com) <br />