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<br />813-780-0020 <br /> <br />. <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />City orZephyrhills Fire <br />Permit Application <br /> <br />3 - S; -.;)cCb"" <br /> <br />ICOA1~~..J, (""6(",- <br />I <br /> <br />,rleb k ~t~ <br /> <br />4i 1~S( <br />1. <br /> <br />Fax-813-780-0021 <br /> <br />Phone Contact for Pennit <br /> <br /> <br />Owner's Phone Number <br /> <br />If <br /> <br />Fee Simple Titleholder Name <br />Fee Simple Titleholder Address <br /> <br />I Titleholder Phone Number I <br /> <br />II <br /> <br />/I <br /> <br />Job Address <br /> <br />I Lot# <br /> <br />Sub Division <br /> <br />--0 <br />o <br />o <br />o <br />o <br />o <br /> <br />o <br />D <br />D <br />D <br />D <br />D <br /> <br />I <br />I <br /> <br />l::UD-Mazard \!vaste 5torage - ANNttAl <br /> <br />Comm Exhaust Kitchen HoodlDuct <br /> <br />ControllEid Bum <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance _~ <br />Sprinkler 0 <br />Fire Alarm I2t <br />Hood Clean/Suppression D <br />Fire Alarm Installation <br />Fire Pumps <br /> <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br /> <br />Other: <br /> <br />Contractor Company I <br />Signature Registered <br />Address I ~t.~ J?j;: 3~j License # I <br />ELECTRICIAN Company I <br />Signature I Registered <br />Address I I License # I <br />PLUMBER / I Company I <br />Signature Registered <br />Address I I License # I <br />MECHANIC4 I Company I <br />Signature . Registered <br />Address I I License # I <br />OTHER I Company i <br />Signature Registered <br />Address , , License # <br />Directions: <br /> <br />EJ <br />D <br />o <br />o <br />o <br />D <br />D <br />o <br />o <br />o <br />o <br />o <br /> <br />Parcel # I <br />_ t"''" "'N",:, eKUM eK~e.K " <br /> <br />FUllljY~liulI T "'lit <br /> <br />I tv.. l'lU 11\..t:) <br /> <br />Hazardous Material (Tier II or RQ Facility) ANNUAL <br />Hood Installation <br />LP/Natural Gas-Installation <br />LPlNatural 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 />. r Valuation of Project <br /> <br />~j m-fl} /.v 67. ne I( <br />Y I N r Fee Current Y I N <br /> <br />::: <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Y / N I Fee Current L Y I N I <br /> <br />J <br /> <br />Y I N I Fee Current I Y I N I <br />I <br /> <br />Y I N I Fee Current Y I N I <br />l <br /> <br />Fill out application completely. <br />OWher~ .COntFciCfOFsigtf6aCk-(jf applicati6h,-OOtaiiZoo{Ot,coPY-Ofsignea contTaetwttn 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. <br />