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813-780-0020 City df Zephyrhills Fire Fax 813-784-0023
<br /> fPermit Application
<br /> Date Received 2 1 Phone Cortact for Permit yl�
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<br /> Owners Address �`�3� �t11.-�.� g 4-.�� � , �Ur'Z.
<br /> Fee Sim le Titleholder Name t c� �'�'� ��2 `��...
<br /> A M'�-�c,Sg c,l l . �iJ" 2. Titleholder Phone Numbe'r
<br /> Fee Simpie Titteholder Address � Le'�}(,,,�„ � ��� � ° �
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<br /> � Blo-Hazard Waste Storage-ANNUAL � Fumigation Tent
<br /> � Comm 6chaust tCitcfien Nood/Duct Q �Haiardou"s Material{Tier 0 or RQ Facilify}AtdNUA�
<br /> � Controlled 8um � � o Hood Installation
<br /> r Q Emergency Generator<30 kw � CF/Natural�as-Instal►atian �� i
<br /> � Emergenay Generator>_30 kw. LP/Natural Gas'-ANNUAL Sale � l ��� �
<br /> Q Fire Protection Main#enanae.-ANNUAL places af Assembly ANNUAL
<br /> , ry emi 1�"fn er..- ,
<br /> Sprinkler �'`1 O ❑ i3}y� �F2ecreational Burn
<br /> ��
<br /> Fire Alarm 'a ❑ ❑ CJ�4�� Sparklers �
<br /> liood Clsaning � ❑ O t� �� � Sprinkler Sysfem insfai}ations
<br /> Hood Suppression a ❑ ❑ C] � ' � Standpipes(Spririkler Sys)
<br /> QFire Aiarm tnstallation a Torch RoofingJTar Kettle J
<br /> � Fire Pumps o INaste Tire Storage ANNUAL
<br /> � Fire Works .
<br /> Flammable Application-ANNUAL �� Valuation of Pro ec#
<br /> � ���1 �
<br /> � fuel Tanks .
<br /> QOther: , . , , . . . ,
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<br /> Contractar �� ' , ` , ° Company �:.. -
<br /> � , ..,.
<br /> Slgnature � . Registered 'Y i`N Fee�Gu'rrerit Y/N
<br /> Address 4 � � � � ' ` ' ' � L'icense# - �� '
<br /> ELECTF?ICtAN , Company �
<br /> Signature Registered ' :'"'Y l N Fee Current Y/'N
<br /> Address ` ` � Liceirse# � �
<br /> PLUMBER • � Company � � � ' •
<br /> Signature Reg�ste�ed �Y 1 A4. Fee Current - Y 1 N
<br /> Address "' Lice�se# �.,.,.
<br /> MECHANICAI Company �
<br /> Signature Registered Y/N Fee Current Y/N �
<br /> Address ' ' License# -
<br /> OTHER Company �. `
<br /> Signature Registered Y!N Fee Cunent Y 1 N
<br /> Address License#
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<br /> Directions:
<br /> FII out application completely. •
<br /> Qwnsr 8�Contractor sign back af application,�atarized{Qr,copy of signed contract with owner}
<br /> If pver$2500,a Notice of Cammencement is required(Mechanical wark over$5000)
<br /> Supply two(2)sets of drawings wiih agpliceble documentation
<br /> A11ow 10-34 days for review aftee submittal date. Parcel#-obfained#ram Praperty Tax Natice(httpJlappraiser.pascogov,cam}
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