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<br />Fax-813-780-0021
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<br />813-780-0020
<br />
<br />City of.Zephyrhills Fire
<br />Permit Application
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<br />Phone Contact for Permit
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<br />Date Received
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<br />Owner's Phone Number
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<br />Owner's Name
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<br />I Titleholder Phone Number
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<br />Owner's Address
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<br />Fee Simple Titleholder Name
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<br />Fee Simple Titleholder Address
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<br />Parcel #
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<br />Sub Division
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<br />D Bio-Hazard Waste Storage - ANNUAL
<br />D Comm Exhaust Kitchen Hood/Duct
<br />D Controlled Bum
<br />D Emergency Generator < 30 kw
<br />D Emergency Generator> 30 kw
<br />D Fire Protection Maintenance - ANNUAL
<br />Sprinkler D
<br />Fire Alarm D
<br />Hood Clean/Suppression D
<br />D Fire Alarm Installation
<br />D Fire Pumps
<br />D Fire Works
<br />D Flammable Application- ANNUAL
<br />D Fuel Tanks
<br />D Other:
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<br />ELECTRICIAN
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<br />Address I
<br />PLUMBER
<br />Signature
<br />Address I
<br />MECHANiCAL!
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<br />Address I
<br />OTHER
<br />Signature
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<br />Fumigation Tent
<br />Hazardous Material (Tier II or RQ Facility) ANNUAL
<br />Hood Installation
<br />LP/Natural Gas-Installation
<br />LP/Natural Gas-ANNUAL Sale
<br />Places of Assembly-ANNUAL
<br />
<br />Recreational Bum
<br />
<br />Sparklers
<br />Sprinkler System Installations
<br />Standpipes (Sprinkler Sys)
<br />Torch Roofing
<br />Waste Tire Storage ANNUAL
<br />
<br />Valuation of Project
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<br />Address I
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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 applicable documentation
<br />Allow 10-14 days for review after submittal date.
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<br />License #
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<br />License #
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<br />Li~ense # .L,~.__.,,_~
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