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813-780-0020 City of Zephyrhills Fire Fax-813-7e0-0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit <br /> Owners Name /�5 r i—s� v C. sA +'LI L.S Owner's Phone Number. <br /> —h <br /> Owners Address 3 �3Dv S <br /> Fee Simple Titleholder Name .Titleholder Phone Number �.. <br /> Fee Slmple Titleholder Address <br /> Job Address Lot# <br /> Sub Division Parcel# <br /> Blo•Haz!0.WAdte Storage-ANNUAL Fumigation Tent. <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> Controlled Bum R Hood Installation <br /> Emergency Generator<30 kw LPINaturei Gas-Iristallatior <br /> Emergency Generetor>30 kw LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL R " <br /> MR®lother / <br /> Sprinkler ❑ ❑ ❑ � Rob reationat Sum <br /> Fire Alarm El ❑ ❑. ❑ E] Sparklers <br /> Hood Cleaning ❑ O ❑ Sprinkler System Installations I <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Torch Roofingrrar Kettle <br /> Fire Pumps a Waste Tire Storage.ANNUAL <br /> eFlammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Other: <br /> Contractor - /� Company <br /> Signature f Registered Y/4 Fee Current <br /> Address 7 License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/:N ' Fee Current I Y/;N- <br /> Address License# <br /> PLUMBER Company —� <br /> Signature Registered Y/N Fee Current I Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered 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 /> It 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 />