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<br />813-780-0020
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<br />City ofZephyrhillsFiroe, Fax-813-780-0021- ",.}hyrh
<br />Permit Application no' "'D:Jji~
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<br />D Fumigation Tent
<br />o Hazardous Material (Tier II or RQ Facility) ANNUAL
<br />o Hood Installation
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<br />c==J R~tionalBum
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<br />D Sparklers
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<br />c==J Sprinkler System Installations
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<br />c==J Standpipes (Sprinkler Sys)
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<br />D Torch RoofingfTar Kettle
<br />D Waste Tire Storage ANNUAL
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<br />Owner's.Name,
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<br />Owner's Address
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<br />Titleholder Pho~ Number I
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<br />II
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<br />Fee Simple Titleholder Name
<br />Fee Simple Titleholder Address
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<br />D Other: I
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<br />Job Address
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<br />Sub Division
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<br />Contractor
<br />Signature
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<br />Address I
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<br />ELECTRICIANI
<br />Signature
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<br />Address I
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<br />PLUMBER
<br />Signature
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<br />Address I
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<br />MECHANICALI
<br />Signature
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<br />Address I
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<br />OTHER
<br />Signature
<br />~~dres~
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<br />Directions:
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<br />D
<br />D
<br />D
<br />D
<br />D
<br />D
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<br />Bia-Hazard Waste Storage - ANNUAL
<br />Comm Exhaust Kitchen HoodlDuct
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<br />Controlled Bum
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<br />Emergency Generator < 30 kw
<br />Emergency Generator> 30 kw
<br />Fire Protection Maintenance - ANNUAL
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<br />Sprinkler 0 0 0 0 L-J
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<br />ODDOc=J
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<br />ODDOc=J
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<br />OODOc=J
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<br />LP/Natural Gas-Installation
<br />LPlNatural Gas-ANNUAL Sale
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<br />Places of Assembly-ANNUAL
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<br />Fire Alarm
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<br />Hood Cleaning
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<br />Hood Suppression
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<br />Fire Pumps
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<br />Fire Works
<br />Flammable Application- ANNUAL
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<br />Valuation of Project
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<br />I ~:;::: I
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<br />I License # I
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<br />I Company I
<br />Registered
<br />I License # I
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<br />I :. '. COmpany , I
<br />. Registered ,
<br />I License # ,"
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<br />I Company I
<br />Registered
<br />I License # I
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<br />I ~;::d I
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<br />Y/N I
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<br />Fee Current I
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<br />Y/N
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<br />Y/N
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<br />Fee CUrrent
<br />
<br />Y/N
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<br />Y/N. Fee Current I. Y/N
<br /> .
<br />Y/N I Fee Current Y/N
<br />Y/N' I'. Fee Current r- 'fIN 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. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com)
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