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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> j Date Received � Phone Contact for Permit <br /> Own Na Owner's Phone Number <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address Lot# <br /> Sub Division Parcel# <br /> Blo-Hazard Waste Storage-ANNUAL o Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Q Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> QControlled Bum Hood Installation <br /> Emergency Generator<30 kw LP/Natural Gas-Installatior <br /> Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> ED Fire Protection Maintenance-ANNUAL 'Places of%sembiy-ANNUAL <br /> 9 <br /> rUir—lyl emi Anl FORUM <br /> Sprinkler ❑ ❑ ❑ Recreational Bum <br /> Fire Alarm ❑ ❑ ❑ Sparklers <br /> Hood Cleaning ❑ ❑ ❑ ❑ Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> QFire Alarm Installation Q Torch Roofinglrar Kettle <br /> Q Fire Pumps a Waste Tire Storage ANNUAL <br /> H <br /> Flammable Application-ANNUAL 1 1 Valuation of Project <br /> Fuel Tanks <br /> 0 Other: <br /> Conti or - o, Company <br /> Signature!_- —--- - ~— Registered Y/N Fee Current .Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y I N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered YIN Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered I Y/N Fee Current Y/N <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$2600,a Notice of Commencement is required(Mechanical work over$6000) <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.pascagov.com) <br />