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<br />~ 813-780-0020
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<br />City of.Zephyrhills Fire
<br />Permit Application
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<br />I Titleholder Phone Number I
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<br />Fee Simple Titleholder Address I
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<br />Job Address I 5 ~ .5 ?
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<br />Owner's Name
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<br />Owner's Address
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<br />Fee Simple Titleholder Name
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<br />Sub Division
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<br />Fax-813-78D-0021
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<br />I Lot#
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<br />I Parcel # I
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<br />Bio-Hazard Waste Storage - ANNUAL
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<br />Comm Exhaust Kitchen Hood/Duct
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<br />Controlled Bum
<br />Emergency Generator < 30 kw
<br />Emergency Generator> 30 kw
<br />Fire Protection Maintenance - ANNUAL
<br />Sprinkler 0
<br />Fire Alarm 0
<br />Hood Clean/Suppression 0
<br />Fire Alarm Installation
<br />Fire Pumps
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<br />Fire Works
<br />Flammable Appiication- ANNUAL
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<br />Fuel Tanks
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<br />Fumigation Tent
<br />Hazardous Material (Tier II or RQ Facility) ANNUAL
<br />Hood Installation
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<br />Company
<br />Registered
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<br />License #
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<br />Company
<br />Registered
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<br />License #
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<br />Company
<br />Registered
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<br />License #
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<br />License #
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<br />LP/Natural Gas-Installation
<br />LP/Natural Gas-ANNUAL Sale
<br />Places of Assembly-ANNUAL
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<br />Sparklers
<br />Sprinkler System Installations
<br />Standpipes (Sprinkler Sys)
<br />Torch Roofing
<br />Waste Tire Storage ANNUAL
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<br />Valuation of Project
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<br />Other:
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<br />Recreational Bum
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<br />Contractor
<br />Signature
<br />Address I
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<br />OTHER
<br />Signature
<br />Address
<br />Directions:
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<br />Company
<br />Registered
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<br />License #
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<br />Company CI (' ~.s 't Q C2-
<br />Registered IY I N I Fee Current
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<br />ELECTRICIAN
<br />Signature I
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<br />Address I
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<br />PLUMBER
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<br />Signature
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<br />Address I
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<br />MECHANICA~
<br />Signature
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<br />Address
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<br />Fee Current
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<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Y/N
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<br />Fee Current
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Fee Current
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Fee Current
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<br />Y/N
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<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 appiicable documentation
<br />Allow 1D-14 days for review after submittal date.
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