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813-780-002p City of Zeph rhiils Fi�e Fax-813-780-0021 <br /> Permit Ap lication . <br /> ...,—.. _„— .,—,-., � �....,.� <br /> , � �'. <br /> Date R�ceived Phone Contact fpr Permit <br /> ,,.�r.�,���*sa�s�eer�=�.�...�.__,.,,:«..:�,,.�...�� �>_.�,., <br /> Uwner's Name T f�C�it�i 1,�}. � C7�nmer's Phone Number �1 �(�b �� <br /> Oumets Address i�� Q Ur ►r �. ��j 5 <br /> Fee Simpie Titlehalder Name Titleholder Phone Number I`_� � � <br /> Fee Simple Titleholder Address <br /> , �:�--_ . �� _- . <br /> Job Address �7��� V�I�,1 G � ?�t{� Lot# C� <br /> Sub Divisian Parcel# <br /> . _ °�*�.. .:<.z� �:�. -,. _, ��� - <br /> o Bio-tiazard Waste Storage-APFNUAL o Fumigation Te�t <br /> � Comm Exhaust Kitchen Hood/Duct Q Hazardous Materiai(Tier ii or RGl Facility)ANNlJAL <br /> � Cantroiled Bum o Hoad Installatlon <br /> � Emergency Generator<30 kw � l.P/Naturai Gas-installatian <br /> � Emergency Generator>30 kw Q lPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNIJAL � Places af Assembiy-ANNUAL i_� <br /> �y emi er �Y� <br /> Sprinklar O ❑ � � Recreatianai Bum `� <br /> Fire Alarm ❑ O ❑ � � Sparklers � <br /> Haod Cleaning � ❑ ❑ CI � � Sprinkier System Instaiiations <br /> Hoad Suppressian � ❑ 0 ❑ �� � Standpipes(Sprinkler Sys) <br /> QFire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Ti�e Starage ANNUAL <br /> � Fire Works <br /> � Fiammabie AppiicaUon-ANNUAL r-��1 Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> w,..� _ ... a��A „�.{.���:� _ �-=.�.�r� ��;;���,��_��r��w = ,� �;..,. .. �:.�:.�::��;��;��.����� ��_��.� �. �r _ <br /> Co�tractor Company V (, ►2 l /�iG <br /> Signature � Registered 1 N Fee Current 1 N <br /> Address 4 p O p.f w '2- License# (i �'SU� � <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> Pl.UMBER Company <br /> Signature Registered Y/N Fee Current Y I N <br /> Rddress License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee CuRent Y(N <br /> Address License# <br /> OTFiER Gompany <br /> Signature Registered Y/N Fee Current Y/N <br /> Address license# <br /> s< __�:. w- , .; ,. -, .> ;,- -,-,., .<.._.�. �..,,,,.. . , s . ... .. . .. . . .. . - - . <br /> Directions: <br /> Fiil out appYication compietefy <br /> Uwner 8 Contractor sign back of appiication,notarized(Or,cppy af signe contract with owner} <br /> H aver$25p0,a Notice oi Gommencement is required(Mechanical work ver$5000) <br /> Supply iwa{2}sets of drawings with appGCable documentatian <br /> Allow 10-14 days for review after submittal date. Paroel -obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />