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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit --------- _�_� <br /> Owners Name r� \ Owner's Phone Number <br /> Owners Address f'!'C`�/C <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address �,, •�, <br /> Job Address Lot# <br /> Sub Division Parcel# <br /> '----- <br /> Blo-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RO Facility)ANNUAL <br /> Controlled Bum Hood Installation <br /> Emergency Generator<30 kw LP/Natural Gas-Installation <br /> aEmergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> 0 Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL (� <br /> ❑ ❑ ❑ ❑ <br /> ®y 111 ® er t "U <br /> em <br /> Sprinkler Recreational Bum <br /> 0 <br /> Fire Alarm ❑ ❑ ❑ = Sparklers <br /> Hood Cleaning ❑ ❑ ❑ = Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation = Torch Roofingfrar Kettle <br /> Fire Pumps E-1 Waste Tire Storage ANNUAL <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> 0 Other: 2-S <br /> / <br /> Contractor '///n Company C( <br /> Signature �G'' Registered Y/N Fee Current <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature F Registered I Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature F Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature- Registered Y/N Fee Current <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(httpl/appraiser.pascogov.com) <br />