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<br />Owner's Name
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<br />City of.Zephyrhills Fire
<br />Permit Application
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<br />Owner's Phone Number
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<br />Fee Simple Titleholder Name
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<br />Sub Division
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<br />Fax-813-780-0021
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<br />Bio-Hazard Waste Storage - ANNUAL
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<br />Contractor
<br />Signature
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<br />Address I
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<br />ELECTRICIAN
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<br />Address I
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<br />PLUMBER
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<br />Signature
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<br />Address I
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<br />MECHANICALI
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<br />Comm Exhaust Kitchen Hood/Duct
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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
<br />Sprinkler D.
<br />Fire Alarm ~
<br />Hood Clean/Suppression 0
<br />Fire Alarm Installation
<br />Fire Pumps
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<br />Fire Works
<br />Flammable Application- ANNUAL
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<br />Fuel Tanks
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<br />Parcel #
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<br />Fumigation Tent
<br />Hazardous Material (Tier II or RQ Facility) ANNUAL
<br />Hood Installation
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<br />LP/Natural Gas-Installation
<br />LP/Natural Gas-ANNUAL Sale
<br />Places of Assembly-ANNUAL
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<br />Company
<br />Registered
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<br />License #
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<br />Company
<br />Registered
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<br />License #
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<br />Company
<br />Registered
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<br />License #
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<br />Company
<br />Registered
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<br />License #
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<br />Company
<br />Registered
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<br />-111/PPV
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<br />Sparklers
<br />Sprinkler System Installations
<br />Standpipes (Sprinkler Sys)
<br />Torch Roofing
<br />Waste Tire Storage ANNUAL
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<br />Valuation of Project
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<br />Other:
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<br />Recreational Bum
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<br />Y I N Fee Current Y I N I
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<br />Signature
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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 Nobce 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 />Y/N
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<br />Fee Current
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<br />Y/N
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<br />Fee Current
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<br />Fee Current
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<br />Y/N
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<br />Y/N
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