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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date ReceiGed Phone Contact for Permit � ��� <br /> r------•-- <br /> Owner's Name Tractor Supply Compan #545 Owner's Phone Number 615 s 440 4746 <br /> Owner's Address 5401 Virginia Wa Brentwood,TN 37027 <br /> Fee Simple Titleholder Name Jarod Mullins Titleholder Phone Number 615 440 4746 <br /> Fee Simple Titleholder Address <br /> rs ---- <br /> Job Address 7431 Gall Blvd.Zeph rhills, FL 33541 �ot# � <br /> Sub Division Parcel# <br /> i � 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 X� LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> try emi �n t er <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum �j� <br /> l �, �� <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers � <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: i <br /> Contractor Company I� <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature I Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br />', Signature Registered Y/N Fee Current Y/N <br />�', Address License# <br /> i MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> Directions: <br /> Fill out application completely <br /> Owner&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 Tax Notice(http://appraiser.pascogov.com) I <br /> L <br />