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a��-7so-oo2o City of Zephyrhills Fire Fax-893-780-0621
<br /> Permit Application
<br /> Date Received �`
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<br /> Qwrae�s Name - Owners Phone Number �� [� ��
<br /> Qwners Address �� ,
<br /> Fee Simple Titleholder Name Titleholder Phone Number � �� �
<br /> Fee Simple Tif(ehaEder Address
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<br /> Job Address Lot# C�
<br /> Sub Division Parcel#
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<br /> Bio-Hazard Waste Storage-ANNUAL Fumigation Tent
<br /> � Comm Exhaust Kitchen FloodlDuct Q Hazardous Nlaferia!{Tier It or RQ Facility)AFtNt1Al.
<br /> � Controlled Bum Hood Installation
<br /> ' � Emergency Generator<34 kw � �P1Naturai Gas-Installa6an
<br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
<br /> � .Fre Protection Maintenance-ANNUAL o Places of Assembly-ANNUAk
<br /> ❑�yi emi �ln er ❑
<br /> Sprinkler ❑ l� � Recreatianai Bum
<br /> Fire Alarm � ❑ ❑ ❑ � � gparkiers
<br /> Ftood Gleaning � O ❑ ❑ � � Sprinkler Sysfem Instaliafions
<br /> Hood Suppression � C] ❑ ❑ � � gxandpipes(Sprinkler Sys)
<br /> � Fire Alarm Insiallation � Toroh RoofinglTar Kettie
<br /> � Fire Pumps � Waste Tire Storage ANNUAL
<br /> � Flammable Application-ANNUAI ''' Valuation of Project
<br /> � Fuel Tanks �
<br /> Q QtheC.
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<br /> Conkractor ' �` '�"�`"" ""`°"
<br /> �` ComPanY "� vc u.._...._...a. ��
<br /> Signafure ' Registered Y/N Fee Current Y N
<br /> Address l.icense# �„ -�
<br /> EI.ECTRICIAN Campany
<br /> Signature - Rsgistered Y 1(ti1 �ee Current l'I N
<br /> Address License# -.
<br /> PZt1MBER Company - °
<br /> Signature Registered Y/N Fee Gurrent Y/N
<br /> Address License#
<br /> MECHANICAL Campany
<br /> Signature Registered Y I N Fee Current Y/N
<br /> Address Lioense#
<br /> OTHER Company
<br /> Signature Registered Y/N Fee Current Y/N
<br /> Address
<br /> ��_::-,aa,-�,� Lic e#
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<br /> FiII out applicatian completely.
<br /> Owner 8�Contractor sign back of application,notarized(Or,copy of signed contract with owner)
<br /> tf over$2500,a Notice of Commencemenf is required(Mechanieai warEc over$5004)
<br /> Supply iwo(2)sets af drawings wifh appiicable documentafion
<br /> Ailow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.comJ
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