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<br />Date Received <br /> <br />Owner Name <br /> <br />City of Zephyrhills <br /> <br />Owner Address <br /> <br />6907 Dally Rd Zephyrhills, Fl <br />Fee Simple Title Holder <br /> <br />City of Zephyrhills Fire <br />Permit Application <br /> <br />I <br />I <br /> <br />Contact Phone Nbr <br /> <br />Owner Phone <br /> <br />I J)/ sl17gu I I 00 So? <br /> <br />I Titleholder Phone Nbr <br /> <br />II <br /> <br />II <br /> <br />Fee Simple Titleholder Address <br /> <br />Job Address <br /> <br />16907 Om" Rrl Zophydli"" FI <br /> <br />Subdivision <br /> <br />Lot Nbr. <br /> <br />Parcel ill <br /> <br />Fumigation Tent <br /> <br />D Bio-Hazard Waste Storage - ANNUAL <br />D Comm Exhaust Kitchen Hood - Duct <br /> <br />o <br />D <br />o <br />o <br /> <br />Control1ed Bum <br /> <br />Emergency Generator <30 KW <br /> <br /> <br />Emergency Generator> 30KW <br /> <br /> <br />Fire Protection Maintenance - Annual <br /> <br /> <br />Sprinkler . ~ ;r, .J-' D <br />Fire Alarm):if / r..y 0 <br />~uppressi~0 <br />Fire alarm Installation <br />Fire Pums <br />Fire WOrks <br />Flammable Application - Annual <br />Fuel Tanks <br /> <br />D <br />D <br />D <br />o <br />D <br />o <br /> <br />D <br />o <br />D <br />D <br />D <br />D <br /> <br />Hazardous Material (Tier II or RQ Facility) Annual <br />Hood Installation <br />LP - Natural Gas Installation <br /> <br />LP - Natural Gas Annual Sale <br />Places of Assembly - Annual <br /> <br />B <br />B <br />B <br /> <br />Recreational Bum <br />Sparklers <br />Sprinkler System Installations <br />Standpipes ( Sprinkler System) <br />Torch Roofing <br />Waste Tire Storage Annual <br /> <br />Value of Project <br /> <br />$ I I <br /> <br />Other: I <br /> <br />Contractor Sign <br /> <br />Company <br /> <br />Directions: <br />Fill out application completely. Company <br />Owner & Contractor sign back of application, notorize ( Or signed <br />Copy of contract with owner) Registered <br />If over $2500.00, a Notice of Commencement is required <br />Mechanical work of ( $5000,00 ) requires a Notice of Commencent <br />Supply two (2)sets-of-drawings with applicable documentation <br />Allow 10- 14 days for review after submittal date, <br /> <br />Address <br /> <br />Electrician Sign. <br /> <br />Address <br /> <br />Plumber Sign <br /> <br />Address <br /> <br />Mechanical <br /> <br />Address <br /> <br />l/~~ <br />';1'330 ~ gf <br /> <br />Other Sign <br />Address <br /> <br />Registered <br /> <br />N I Fee Current I <br /> <br />y <br /> <br />License <br />Company <br /> <br />Registered <br /> <br />N I Fee Current I <br /> <br />y <br /> <br />License <br /> <br />Company <br /> <br />Registered <br /> <br />N I Fee Current I <br /> <br />y <br /> <br />License <br /> <br />Company <br /> <br />Registered <br /> <br /> <br />License <br /> <br />50255120042000 <br /> <br />Security Fire Equipment, LLC <br />Y N I Fee Current I <br />