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s�s-7eo-oo2o City of Zephyrhills Fire � - is-�so-oo2� <br /> Permit 1�oplication <br /> Dar, te Received ���� _ W�� Phone Contact for Perm' F$'`I w �/fo�" � �+vZ� <br /> Owner's Name Owner's Phone Number <br /> Owner's Address � S�3 p � a-�Y � �+ i S D�c'�/.�� .3 3 � � � <br /> Fee Simple Titleholder Name Titiehalder Phone Number �� � �� <br /> Fee Simple Titleholder Address <br /> Job Address �,� C� }.+a� P • �Z,oaO'� � �i �(S �C+d�ti.- .s � Lot# �� <br /> Sub Division ParceE# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> a Comm Euhaust Kitchen Hood/Duct � Hezardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controiled Burn � Hood installation !/'A`�(1 <br /> ao � ` �'' `� <br /> Emergency Generator<30 kw LP/Natural Gas-Installation � <br /> � Emergency Generator>30 kw � LPtNatural�as-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Piaces of Assembly-ANNUAL � <br /> tr y emi � t er �,f <br /> Sprinkler � ❑ ❑ ❑ � � RecreafionaS Burn r���e��� //��,,,_ �J,,. <br /> � � �`� � XJr_•�•— <br /> Fire Alarm � � ❑ � � � �parklers <br /> i� <br /> Nood Cleaning � ❑ � ❑ �� � Sprinkler System tnstatlations� � ,� r <br /> ' I, OM.Q...� <br /> � � p ❑ p L� � Standpipes(Sprinkler Sys) �u���'���� <br /> � � <br /> Fire Alarm instailati Torch Roofingrfar Keftle <br /> ire umps � Waste Tire Storage ANNUAL <br /> � Flammabie Appfication-ANNt3AL �+'� 'T,! � Va(uation of Project <br /> � Fuel Tanks � <br /> � Other: Ad 5�7b . �• r�vraw, -� � S'h1� �f1 e P <br /> �-T---�-� <br /> Con#ractor �'-'""Q " �/,, Company s"' ¢.v�S=��±-�+5'S'�-���-�!'iC—� <br /> Signature '��""""`� �" Registered Y/N Fee Current L iJ N <br /> Address Sy� �,3n oc�i a.-. S�i�-^� ��`� n'►� �3b! l.icense# �` O d t� f s <br /> ELEC7RICIAN Company <br /> Signature Registered Y(N Fee Gurrent Y/N <br /> Address License# <br /> PCUMBER Gompany <br /> Signature Registered Y/N Fee Current Y/N <br /> Address �icense# <br /> MECHANICAL Gompany <br /> Signature Registered Y 1 N Fee Current Y/N � <br /> Address License# <br /> QTHEft Company _ � <br /> Signature Registered Y/N Fee Current Y/N <br /> Address �icense# <br /> -----�^---� <br /> Directions: <br /> Fiti out application compiete(y <br /> Owner&ConVactor sign back of appiication,notarized(Or,capy of signed contract with owner} <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Supp{y two{2}sets of drawings with applicabie documentation <br /> Aliow 10-14 days for review after submittai date. Parcei#-obtained fram Property Tax Nofice(http:/tappraiser.pascogov.com} <br />