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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> gate Recated Phone Contact for Permit <br /> ra, — <br /> Ownoes Name I u Ll/Or- h Chu= Owner's Phone Number <br /> Owner's Address <br /> Fee Simple Titleholder Name .TitieholderPhone Number .. .� <br /> Fee Simple Titleholder Address - <br /> Job Address 02� ' S1-I't?e-fi' Lot# <br /> Sub Division Parcel# <br /> WN <br /> Bio-hazard Wade Storage,-ANNUAL Fumtgabon Tent. <br /> RComm Exhoust KitchenHood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> Controlled Bum R Hood Installation <br /> Emergenc Geoeretor<30 kw LPfttural Gas-Iristallatior y <br /> Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> IWO We_M3® er rte, <br /> Sprinkler ❑ ❑ ❑ Recreational Bumf <br /> FlreAlarrr El ❑ ❑• ❑ E] Sparklers <br /> Hood Cleaning El ❑ b ❑ � Sprinkler'System installations <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) V <br /> Q l � <br /> Fire Alarm Installation Torch Roofing/Tar Kettle <br /> 'Fire Pumps a t/Wdste Tire Storage.ANNUAL <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Other: <br /> l <br /> Contractor Ccmpahy <br /> Signature Registered YIN N. Fee Current Y IN <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/--N _: Fee Current I <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered 'Y/N Fee Current` <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered I Y/N' Fee Current <br /> Address License# <br /> OTHER Company <br /> Signature Registered I Y/N Fee Current X-/N <br /> Address License# <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign beck 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.paseagov.00m) <br />