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813-780-0020 City of Zephyrhills Fire Fax-813-780-D021 �
<br /> Permit Application
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<br /> Date Received Phone�Contact for Permit �Y���
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<br /> �ner's Name L. � � �t� � Owner s Phone Number � � �
<br /> --�-OwnersAddress ��,�4�3 /" °`�� �/ G,� �
<br /> Fee Simple Titleholder Name j Titleholder Phone Number � � �
<br /> Fee Simple Titleholder Address
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<br /> Job Address � Lot# �
<br /> Sub Division i Parcel#
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<br /> � Bio-Hazard Waste Storage-ANNUAL I� � Fumigation Tent
<br /> I
<br /> � Comm Exhaust Kitchen Hood/Duct ; � Hazardous Material(Tier II or RQ Facility)ANNUAL
<br /> � Controlled Bum � � Hood Installation
<br /> � Emergency Generator<30 kw i � LP/Natural Gas-installation
<br /> � Emergency Generator>30 kw , � LP/Natural Gas-ANNUAL Sale
<br /> � Fire Protection Maintenance-ANNUAL � � Places of Assembly-ANNUAL
<br /> try emi �n t er `��
<br /> Sprinkler � ❑ ❑ ❑ B � Recreational Bum
<br />� Fire Alarm � ❑ ❑ ❑ � � Sparklers ����
<br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
<br /> Hood Suppression � ❑ O ❑ � � Standpipes(Sprinkler Sys)
<br /> � Fire Alarm Installation � � Torch Roofing/Tar Kettle
<br /> � Fire Pumps � Waste Tire Storage ANNUAL
<br /> � Fire Works
<br /> � FlammableApplication-ANNUAL ! Valuation of Project
<br /> i
<br /> � Fuel Tanks � I
<br />' Q Ot r: i
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<br /> �tractor � � /� �� � Company �
<br /> i nature "�� � Registered Y/N Fee Current Y/N
<br /> Address License#
<br /> ELECTRICIAN I Company
<br /> Signature j Registered Y/N Fee Current Y/N
<br /> Address I 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 i License#
<br /> OTHER � Company
<br /> Signature i Registered Y/N Fee Current Y/N
<br /> Address License#
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<br /> �Directions:
<br /> Fill out application completely
<br /> Owner 8 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)
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