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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> + Phone Contact for Permit <br /> Date Received- <br /> Owner s Name / Owner's Phone Number <br /> Owner's Address <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address <br /> Sub Division Parcel# <br /> Bio-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier it or RQ Facility)ANNUAL <br /> oControlled Bum a Hood Installation <br /> Emergency Generator<30 kw Q LP/Natural G - <br /> Emergency Generator>30 kw LP/ a I Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> �y emi � er t <br /> Sprinkler El <br /> ❑ ❑ ❑ Recreational Bum <br /> Fire Alarm ❑ ❑ ❑ Sparklers <br /> Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations ��f <br /> Hood Suppression � ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Q Torch Roofing/Tar Kettle <br /> Waste Tire Storage ANNUAL <br /> Fire Pumps <br /> Flammable Application-ANNUAL Valuation of Project <br /> oFuel Tanks <br /> 0 other: <br /> Contractor_l Company <br /> Signature`• Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current I Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered I Y/N Fee Current Y/N <br /> Address License# <br /> OTHER. Company <br /> Signature I Registered I Y/N Fee Current Y/N <br /> Address License# y FY �JM <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(hftpJ/appraiser.pascogov.com) <br />