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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> � - �;, Permit Application <br /> Date Received Phone Contact for Permit _�T� � <br /> �'=�-•--.,�_.�_.-..�r..._.---- - ---__-._ _-�_e_._� _-- .. ...��s.-° _._..._..,.�_....^_��___.._�,e.___ ._�..�_---- _._..�._.e�_�__._._ ...�. <br /> �` <br /> Owner's Name / ,� � Owners Phone Number � � � <br /> Owner's Address ���� 'Q � � <br /> Fee Simple Titleholder Name Titleholder Phone Number � � � <br /> Fee Simple Titleholder Address � <br /> Job Address N"--v - — - - - — -- �Lot# '�."� <br /> Sub Division Parcel# <br /> ._...-a,..,_._........__�.._._�._.w.__._...,..�,-x.�._.�e,....:,,�...w._;,�.._..-A...�.d,..���..,,.._.�..,,_ .9_.�,..�w...__.__.A�u,e_._._...__.v_._.�_..__,�.....- - ._ ..,.--_»...��e_.�..._.�..___...�_� <br /> a 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 � C/�,,,,C�?% <br /> F� / <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 ❑ ❑ ❑ I Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuei Tanks <br /> Q Other: � <br /> ��.��.....__...�._.�. ._��-.�_�__-._.._.._,.�._ �_ _ .��...�..L_..�e.�.�.:.:_.__:...,�e_�_�.�.,,_ - -�..mW.=._...�___�..�....�.�--..�._�,._...�.,..�.��_�.=_:..a <br /> Contractor � Company <br /> Signature �' Registered Y/N Fee Current Y/N <br /> Addre � 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 I Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address � License# <br /> OTHER I Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address � License# <br /> c_ . �_ :.�-:._.__._�_..._...�__..,.__,.__...-__�...,.-._ __�>M_.._..__a__M_.�_,...._�_...__.:._v..�_�.w_.,__v...._�_._:._____ --_.�,...-r.��...�w�_---__.._._.....__�.__.��°� __�_�. . <br /> Directions: Po I <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 two(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 /> I <br />