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o io-inv-uuzu Ciry of Zephyrhills Fire Fax-813-780-0021 ,
<br /> Permit Application �
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<br /> :e Simple Titleholder Name Tilleholder Phone Number � �
<br /> :e Simple Titleholder Address -
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<br /> >b Address J � S 7�C' � �/� Lot#e �
<br /> �b Division Paroel# .
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<br /> torage-ANNUAL Fumigation Tent
<br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
<br /> � Controlled Bum � Hood Installation
<br />' a � Emergency Generator<30 kw � LP/Natural Gas-Installation
<br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
<br /> � Flre Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
<br /> [dfr y em �n er. n
<br /> Sprinkler � ❑ ❑ ❑ � � RecPeational 8'um f I � v��
<br /> Fre Alartn � ❑ O ❑ � � Sparklers �
<br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
<br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
<br /> � Fire Alarm Installation � Torch Roofinglfar Kettle
<br /> � Fire Pumps � � Waste Tire Storage ANNUAL
<br /> � Flammable Application-ANNUAL �� UU Valuation of Project
<br /> � Fuel Tanks
<br /> Q Other: .
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<br /> Of1V2CtOf
<br /> Company
<br /> ignature Registered Y/N Fee Current Y/N
<br /> Address License#
<br /> LECTRICIAN Company �
<br /> ignature Registered Y/N Fee Current � Y/N
<br /> Address License#
<br /> LUMBER
<br /> Company �
<br /> ignature Registered Y/N Fee Current Y/N
<br /> Address License#
<br /> ECHANICAL Company
<br /> ignature Registered Y/N Fee Current Y/N
<br /> Address License#
<br /> THER •
<br /> CompanY c Gt`c�� � �i2av�'t �,,, +v "
<br /> ignature Registered /N Fee Current Y/N
<br /> Address � , v �� ��
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<br /> irections: ,._ . ..,,.. ...:.,��> „ . , .. _... . .:;_.. ...r .___. _�.,..__.._r,.1.M.:�.��n,;}r.,:��-;..:.;;:.;..
<br /> Fill out appiication completely. '
<br />� Owner&Contractor
<br /> sign back of application,notarized(Or,copy of signed contract with owner)
<br /> I� ff over$2500,a Notice of Commencement is required(Mechanical work over$5000)
<br /> Supply hvo(2)sets of drawings with applicable documentation
<br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com)
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