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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received- Ph Permit µ � Phone Contact for <br /> Owners Phone Number <br /> Owners, re 3S Z- <br /> Fee Simple Titleholder Name -Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> --- <br /> Job Address Lot# <br /> Sub Division Parcel# <br /> p,.`'-'F.-^:ram'+.,. ^.?^--r_"'�'T_*^:T.-^,,.^*rcr.-'..-.'^�^T^?=-�^+^•.��' �'T';=�"""'-"'.^.^-'^_�Tr' - _ ,..,, _ - -r�-�..w_+-^^:-••<-�_,�-_.--^-:'-e-.-�r-�.*.---t-�^. ,-'^—`^"�T-=:----r. <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 -" -PI sembly ANNUAL <br /> ®y ern ®n er — <br /> Sprinkler .❑ ❑ ❑ Recreational Bum b <br /> Fire Alarm El ❑ ❑ Sparklers❑ ` <br /> Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Torch Rootingfrar Kettle <br /> Fire Pumps Waste Tire Storage ANNUAL <br /> F] Flammable Application-ANNUAL Valuation of Project <br /> 0 Fuel Tanks <br /> 0 Other: <br /> Contractor !- Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address I License# <br /> ELECTRICIAN; Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address E License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address 1i 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) <br />