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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> )ate Rec�ved � ` Phone Contact for Permit �_�� <br /> e a, . <br /> hvners Name � L ,,hn tL1ti� � Owner's Phone Number �p�� <<�(1 ��"�� � <br /> )wner'sAddress S�{�� � � ia � kW � dZ-� <br /> �ee Simple Titleholder Name J in 5 Titleholder Phone Number �� ��� �,�� <br /> �ee Simple Titleholder Address Cj �� ir a pp� � �2—� <br /> iob Address ���j� � L 3�j�j Lot# � <br /> iub Division Parcel# <br /> � <br /> � 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 <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 /> V y emi �n er <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofingfTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> :ontractor Company <br /> iignature Registered Y/N Fee Current Y/N � <br /> Address License# <br /> :LECTRICIAN Company <br /> iignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> 'LUMBER Company <br /> �ignature Registered Y/nl Fee Current �(/N <br /> Address License# <br /> AECHANICAL Company <br /> iignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> )THER - Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> �_ <br /> )irections. <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 Tau Notice(http://appraiser.pascogov.com) <br />