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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application 7 <br /> Date Received Phone Contact for Permit J 1- a Z <br /> Owner's Name //i p�/ e� i li Pyre e5 L P = Owner's Phone Number <br /> Owner's Address O S,DrAW(:6 dG S—1E 9 0V O r1,ANU0 W L 3 Z S 0) <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address ^ �[ <br /> Job Address �/9GL QJ�/� �"/-f ��5 G -3 -3T Z Lot# <br /> Sub Division Parcel 26-2 Oolo—d 9y0o - oo/o <br /> __(QBTAINEDiEROJvI_P_ROP..ERTY TAX.NOTLGE) ----= <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 /> F7Emergency Generator<30 kw LP/Natural Gas-Installatior <br /> Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> Qtrl Semi Anl Other <br /> Sprinkler El ❑ ❑ ❑ B Recreational Burn ( � <br /> Fire Alarm 1-1 ❑ ❑ ❑ Sparklers I 111 <br /> Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Torch Roofingrrar Kettle <br /> Fire Pumps Waste Tire Storage ANNUAL <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Other: Ce 66 Ll o iv m d - o -w'- ,- IArm kA At c.G <br /> Contractor Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN 11te Company r ne y Nell; <br /> Signature ) Registered I Y/ Fee Current /N <br /> Address 7,0 //g a✓ 3p/ jay 3 3 License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> 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 /> _..__ <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 />