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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received �— 1 Phone Contact for Permit <br /> Owner's Name; r�( Owner's Phone NumberC� <br /> Owner's Address <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address Lot# C� <br /> Sub Division Parcel# <br /> o 'Bio-Hazard Waste Storage-ANNUAL o Fumigation Tent <br /> o Comm Exhaust Kitchen Hood/Duct Q Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> 0 Controlled Bum Hood installation <br /> Emergency 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 /> 6 tdyl MeWill AO Other (� <br /> Sprinkler ID ❑ ❑ ❑ Recreational Bum �/ r <br /> Fire Alarm El ❑ ❑ ❑ rr Sparklers (/ <br /> L� <br /> Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Torch Roofing/Tar Kettle <br /> oFire Pumps Waste Tire Storage ANNUAL <br /> ® Flammable Application-ANNUAL —� Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> Contractor <br /> Company <br /> Signature Registered Y/N Fee Current .Y/N <br /> Address License# <br /> ELECTRICIANJ Company <br /> Signature Registered Y/N Fee Current <br /> Address License# <br /> PLUMBER <br /> Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL <br /> Company <br /> Signature <br /> Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER <br /> Company <br /> Signature Registered Y/N Fee Current Y/N <br /> r Address License# <br /> Directions: ..,_.._..�� - ,.�.... _ -------�--R---•-^—__.. _- w-- ._..�,.�-. - <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 />