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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Date Receiv4d Permit Application Phone Contact for Permit <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# I q at, DOW <br /> F7 Bio-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> = Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> 0 Controlled Burn Q Hood Installation <br /> F� Emergency Generator<30 kw F7 LP/Natural Gas-Installation <br /> rVEmergency Generator>30 kw Q LP/Natural Gas-ANNUAL Sale <br /> El Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> fWyj Pe—m-il PM lUther <br /> Sprinkler 0 11 11 Recreational Bum JJJ <br /> Fire Alarm 0 0 11 F—] Sparklers <br /> Hood Cleaning 6 0 11 [ —1 Sprinkler System Installation's <br /> Hood Suppression 0 0 0 Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation o Torch Roofingfrar Kettle <br /> Fire Pumps Waste Tire Storage ANNUAL <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Other: <br /> Contractor Company <br /> Signature <br /> Registered Y/N Fee Current YIN <br /> Address License# <br /> ELECTRICIAN I/ Company <br /> Signature Registered R!YgN�Fee Current Y/N <br /> - <br /> Address EM License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current =/N <br /> Address ..License# <br /> MECHANICAL Company <br /> Signature Registered Y/N (IFeecurrent _M!j <br /> Address License# <br /> OTHER Company <br /> Signature <br /> Registered Y/N Fee Current _7 7_N <br /> Address <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://appralser.pascogov.com) <br />