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813-780-0020 City of Zephyrhills Fire Fax-818-780-0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit <br /> Owner's Name f`'. e- Owners Phone Number <br /> Owners Address c! t"t c <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address / <br /> Job Address 3-a 3 �'J !PJ Lot# <br /> Sub Division .cls.: �' Ps <br /> rcei <br /> o Bw-Hazard Waste Storage-ANNUAL o` Fumigation Tent <br /> Comm Exhaust Kitchen Hood%Duct Hazardous Material(Tier II or RO Facility)ANNUAL <br /> Controlled Bum Hood rInstallation <br /> 0 Emergency Generator<30 kw LP/Natural Gas-Installatior <br /> Emergency Generator>34 kw RiNaiural Gas-ANNUAL tale <br /> Fire Protection Maintenance;. Places of Assembly-ANNUAL <br /> dtrlue-r-ifil® O er <br /> Sprinkler F-I ❑ ❑ ❑ Q Recreational Bum I v <br /> Fire Alarm ❑ ❑. ❑ Sparklers <br /> Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> flre•Alann installation Q Torch RbotinglTar KetOe <br /> ❑ Fire Pumps Waste Tre'Storage ANNUAL <br /> RFlammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> 0 Other: <br /> Contractor j Company <br /> Signature �� Registered Y/N Fee Current sY/N <br /> Address License# <br /> ELECTRICIANF Company <br /> Signature Registered Y/Iij Fee current Y'/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered I Y/N Fee Current <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y I N <br /> Address License# <br /> OTHER Company <br /> Signature Registered I Y/N Fee Current Y/N <br /> Address License# <br /> cam_ <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$50001) <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 />