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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Phone Contact for Permit, <br /> 877 6180 <br /> Date Received <br /> ;Owner's Phone Number <br /> Owner's Name [Rural King 40101 <br /> Owner's Address 1 7422 Gall Blvd,Zephyrhills, Florida 33541 <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> �� C� -� <br /> Fee Simple Titleholder Address <br /> Job Address 7422 Gall Blvd Lot <br /> Sub Division Parcel <br /> Bio-Hazard Waste Storage-ANNUAL Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> Comm Exhaust Kitchen Hood/Duct Hood Installation <br /> Controlled Burn LP/Natural Gas-installation <br /> F� Emergency Generator<30 kw LP/Natural Gas-ANNUA�Sale <br /> FjEmergency Generator>30 kw Places of Assembly-ANNUAL <br /> Fire Protection Maintenance-ANNUAL o Recreational Burn <br /> f 0-t Tryl P—em7i FM 10ther <br /> Sprinkler F-1 0 0 . r I 7X Sparklers Inside Retail Sales of State Approved Sparklers <br /> Fire Alarm b 0 o = 7 Sprinkler System Installations <br /> Hood Cleaning El 0 0 = F-1 Standpipes(Sprinkler Sys) <br /> F <br /> Hood Suppression El 0 0 0 Torch RoofingfTar Kettle <br /> F-1- Fire Alarm Installation Waste Tire Storage ANNUAL <br /> F7Fire Pumps <br /> F� Fire Works <br /> F-1 Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Other: <br /> Contractor Company TNT Fireworks <br /> Signature Registered Y/N Fee Current Y N <br /> Address [6255 SE 78th Street, Ocala, FL 34474 License* <br /> ELECTRICIAN[ Company <br /> Signature Registered Y Fee Current Y/N <br /> Address F_ License# <br /> PLUMBER Company <br /> Signature Registered Y Fee Current Y/tLj <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y Fee Current Y/LJ i <br /> Address License# - I <br /> OTHER Company <br /> Signature Registered Y/N Fee Current 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 /> Site plan at store-placement dictated by Fire Marshals office <br />