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813-780-0020 City of Zephyrhills Fire FaX-813-780-0021 <br /> Date Receiv&d Permit Application Phone Contact for Permit E <br /> Owners Name Owners Phone Number <br /> Owner's Address al- <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address Lot# <br /> Sub Division Parcel# <br /> F-1 Bio-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> F-1 Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> F-1 Controlled Bum Hood Installation <br /> F-1 Emergency Generator<30 kw LP/Natural Gas4ristallatior <br /> 0 Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> F-1 Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> K E 0 M e—mil rA-n-I I Other--- I <br /> Sprinkler F� 0 0 ri F-1 Recreational Bum <br /> Fire Alarm El 0 0 El F I Sparklers <br /> Hood Cleaning F-1 0 11 0 F-1 Sprinkler System Installations JZ,- <br /> Hood Suppression ❑ 0 0 7 Standpipes(Sprinkler Sys) <br /> F-1 Fire Alarm Installation 71 Torch Roofing/Tar Kettle <br /> 0 Fire Pumps Waste Tire Storage ANNUAL <br /> RFlammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> Contractor Company <br /> Signature Registered Y/N Fee current L_Y/N J <br /> Address License# <br /> ELECTRICIANI Company <br /> Signature Registered Y/N Fee Current Y IN <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current —Y <br /> Address License# r <br /> MECHANICALI Company <br /> Signature Registered Y/N Fee current �/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current L_Y J N_J <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(hftp://appraiser.pascogov.com) <br />