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813-780-0020 City of Zephyrhills Fire' Fax-813-780-0021 <br /> Permit Application <br /> Date Received (�� Phone Contact for Permit 7 <br /> Owner's Name J~ (:� 'T [ Owner's Phone Number OS � <br /> Owner's Address o1 <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address Lot# ---�� <br /> Sub Division Parcel# <br /> Bio-Hazard Waste Storage-ANNUAL F-1 Fumigation Tent <br /> QComm Exhaust Kitchen HooMuct F 7-1 Hazardous Material(Tier 11 or RQ Facility)AN U <br /> rI Controlled Burn E] Hood Installation <br /> QEmergency Generator<30 kw F7 LPMaturat Gas-Instaliatior <br /> Emergency Generator>30 kw LP/Natural Gas ANNUAL Sale 3 � <br /> r7 Fire Protection Maintenance-ANNUAL Q Places of Assembly-ANNUAL / <br /> �l[ tr emi rA—nn Other <br /> Sprinkler ❑ ❑ ❑ r Recreational Bum ' �+ <br /> V p <br /> Fire Alarm � ❑ ❑ ❑ El Sparklers � 9 <br /> Hood Cleaning ❑ ❑ I-] System Installations <br /> Hood Suppression ED ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation Torch RoofingfTar Kettle <br /> QFire Pumps Waste Tire Storage ANNUAL <br /> 8 Flammable Application-ANNUAL �� Valuation of Project <br /> Fuel Tanks <br /> Other: <br /> Contractor Company (� <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# S <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y!N . <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current 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 /> 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(htip://appraiser.pascogov.com) <br />