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<br />813-780-0020 <br /> <br />-City of Zephyr hills Fir,e. it 1 <(?if Fax-813-780-9021'.- <br />Permit Application j:-'?rrT.; <br /> <br />, _~~~~~~==_L_~",~ll._~ <br /> <br />!~;,!':'~~~~~ml_~L"",_",,,,=,,*,,,,,_~#l__._.- '1~ <br />Ii. ;o,e ,/1:(.<)00 b 0;' .::(PJ"ItV/;I/J ~c ~.c1 <br />. .3!?.533 <:0 7%rJ uJ,oO'[) r4lG:-'?J <br />I <br />I <br /> <br />I &..5'3"3 c;,.~/OrJC;looD rL-, <br />I <br /> <br />~ Owner's Name <br /> <br />::; Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />II II <br />II II <br />I Lot# <br /> <br />Owner's Phone Number <br /> <br />Fee Simple Titleholder Address <br /> <br />I Titleholder Phone Number I <br /> <br />~Ob Address <br />Sub Division <br /> <br />Parcel # <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />D <br />D <br />B <br />D <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br />Comm Exhaust Kitchen Hood/Duct <br />Controlled Bum <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANNUAL <br />~~~~ <br />Sprinkler D 0 0 0 L-I <br /> <br />Fire Alarm D 0 0 0 r=J <br /> <br />Hood Cleaning D 0 0 0 L:=J <br /> <br />Hood Suppression D 0 0 0 c=I <br /> <br />Fire Alarm Installation <br /> <br />Fire Pumps <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Other: <br /> <br />D Fumigation Tent <br />D Hazardous Material (Tier II or RQ Facility) ANNUAL <br />D Hood Installation <br />D LP/Natural Gas-Installation <br />I vK/Natural Gas-ANNUAL Sale <br />Places of Assembly-ANNUAL - <br /> <br />D Recreational Bum <br />D Sparklers <br />D Sprinkler System Installations <br />D Standpipes (Sprinkler Sys) <br />D Torch RoofingfTar Kettle <br />D Waste Tire Storage ANNUAL <br /> <br />Valuation of Project <br /> <br /> <br />Contractor <br />Signature <br /> <br />Address <br />/ <br />ELECTRICIANI <br />Signature <br /> <br />Address I <br /> <br />PLUMBER <br />Signature <br /> <br />Address I <br /> <br />MECHANICALI <br />Signature . <br /> <br />Address I <br /> <br />OTHER <br />Signature <br /> <br />Address <br /> <br />Directions: <br /> <br />Company <br />Registered <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Y/N <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <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 (http://appraiser.pascogov.com) <br />