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�a�s-7so-oa2o City of Zephyrhills Fire Fax-s�3-7�0-0023 <br /> \ Permit Application <br /> ,,, • ��_� Phone Contacf for Permit C_� ��_�� <br /> �-=:.- -_ �.�_--�._° ------�---...-.--=--�._._--=_...4._�,__w�__-__.._...____..r----_._ ___�_ �__.. .._---_.._.�________ _.��.__ ..._�._.....�_.___..�_. <br /> ,,:.�:_ _!v._ --�-�--- .�. � �� �� <br /> ..ne�s Name � ��C�^�j Oumer's Phone Numher <br /> Owner's Address <br /> Fee Simple Titleholder Name Titleholder Phone Number � � � <br /> Fee Simple Titlehotder Address <br /> - - -- -- - - - - - --- - - --- — - -_......;�.Y...e - r^c..,�.-�.J""',."^y <br /> ...,_�_. ..._,. ._._. .,._ ."_i.r - __e_ .w:.. _ ' <br /> Jab Address - - - - - � — �Lat# �� <br /> Sub Division Parcel# <br /> c:-�_�.V.�..<aw__..__._ �_....::�._�._._,.��,-�:��._....._��.�_°:�w_.._._..�_--W._-..:...�_�..._��,_»�a�_____�.._��_.--_.__..�___.�.�_. __�... .___...�_;�..____� <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> o Com�Exhaust Kitchen NoodlDuct Q Nazardous Maferial(Tier II or RQ Facility}ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw o �PlNa#ural Gas-Instal]aGon <br /> � Emergency Generatar>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protectian Maintenancs-ANNUAI �Places af Assembly ANHUAE. ,,� <br /> t y emi �ln` t er �- � <br /> Spri�kier � O ❑ ❑ � � Recreational Bum l��� <br /> Fire Alartn � ❑ ❑ ❑ � � 8parklers <br />� Hood Gleaning � � ❑ ❑ C� � Sprinkler System Ens#allations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fre Alarm Installation � Torch RoofingtTar Kettls <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Flammab(e App3ication-ANNUAl. � � Va(uation of Project <br /> � Fuel Tanks <br /> Q Cl#her: � <br /> ._.__ _.._._ --_.__y_ _._�_._ ._..�.��.._�.._...._�.,_..,�..__..._N .�_._. .��_________...�-__ti..._._ _.�,___...�.�__ - _____�_..�___a <br /> Contractor � � � Company <br /> Signature � Registered Y/N Fee Current Y/N <br /> ' Address �icense# <br /> ELECTRIGIAN Company <br /> � Signature Registered Y 1 N Fee CurrenE Y 1 N <br /> Address License# <br /> . <br /> P�Utv1BEF2 Company <br /> 5ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signafure Registered Y 1(�! Fee CuRenf Y/N <br /> Address Lice�se# <br /> OTHER Gompany <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> .,....-.._>_.._.�..,,_- <br /> ;_��_.__,.�__ . -- - - y <br /> .�,�_��a..._..__�.�. :__._...,...,v_..„,�. �._..�.__...�.., _....__..�:..__.....�.M-___._._»._.._,,�._v_..,.��.,.�__,��..:__ ___�-__--- <br /> Directions: pt3 �_�.-____ ....__._._ ,...... _ a_._._.�-r...___«_...�_._ <br /> Fill aut application completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> if over$25Q0,a Notice of Commencement is required{f4lecha�ical work over$540Q) <br /> Supply two(2}sets of drawings with appiicable documentation <br /> Allaw 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />