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813-780.0020 , City of Zephyrhills Fire Fax-813.70M021 <br /> U Permit Application <br /> Date Received Phone Contact for Permit <br /> Owner's Name �e� '�� d,..j�D�/4 o f ���'�� Owner's Phone Number. J j- <br /> Owners Address � � �� ZF PIY Y R hf .3 <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address Lot# <br /> Sub Division Parcel.# <br /> Bio-Haztrrrl llJlaste$forage c ANNUAL Fumtgefion Tent. <br /> Comm Exhaust Kitchen ilood/Duct Hazardous Material(Tier ii or RO Facility)ANNUAL <br /> Controlled Bum R Hood Installation <br /> 0 Emergericy Generator<30 kw LP/Natural Gas-installatior <br /> Emergency Generator>30 kw UAL Site <br /> Fire Protection Maintenance-'ANNUAL ®� Places of Assembly-ANNUAL <br /> em er <br /> $pritikler ❑ ❑ ❑ Recreational Burn <br /> Fire Alarm El ❑ ❑, ❑ Sparklers XJ <br /> Hood Cleaning ❑ CI ❑ Sprinidei System Installations <br /> Hood Suppression ❑ ❑ ❑ R Standpipes(Sprinkler Sys) <br /> Q Fire Alarm Installation Torch Roofing£rar Kettle /` <br /> 0 Fire Pumps a Waste Tire Storage.ANNUAL (/ <br /> Flammable Application-ANNUAL r Valuation of Project <br /> Fuel Tanks <br /> Other: _ <br /> Contra r ,,,," •• Company <br /> Signetured f D G5 Registered Y"/N, Fee Cu�riant~� <br /> Address License# <br /> ELECTRICIAN Company �� <br /> Signature Registered I Y hN :: Fee Current _I -Yl* <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered U Y/N I Fee Current <br /> Address License# <br /> MECHANICAL Company r -� <br /> Signature Registered !__-Y/N• Fee Current Y/N. <br /> Address License# <br /> OTHER Company <br /> Signature Registered I YIN Fee Current Y 1 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$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.paseagov.com) <br />