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<br />813-780-0020 <br /> <br />Sub Division <br /> <br />D <br />D <br />D <br />D <br />~ <br /> <br />~ <br /> <br />D <br /> <br />Contractor <br />Signature <br /> <br />Address <br /> <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 I . <br /> <br />Directions: <br /> <br />it 1625 <br /> <br />Fax-813-78D-0021 <br /> <br />City of Zephyrhills :Firec'x':,:, <br />Pennit Application <br /> <br />~~~~~,,~prLm' <br /> <br /> <br />o Fumigation Tent <br />o Hazardous Material (Tier II or RQ Facility) ANNUAL <br />o Hood Installation <br />o <br />o <br /> <br />o Places of Assembly-ANNUAL <br /> <br />D Recreational Bum <br />D Sparklers <br />D Sprinkler System Installations <br />D Standpipes (Sprinkler Sys) <br />o Torch RoofingfTar Kettle <br />o Waste Tire Storage ANNUAL <br /> <br />, <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br />Comm Exhaust Kitchen HoodlDuct <br />Controlled Bum <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANNUAL <br />~~~~ <br />OoooL-J <br />o 0 0 0 c:::::J <br />fi 0 0 0 c:::::J <br />Hood Suppression 0 o.x c:::::J <br />Fire Alarm Installatio <br /> <br />Sprinkler <br /> <br />Fire Alarm <br /> <br />Hoo~ Cleaning <br /> <br />Fire Pumps <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Other: <br /> <br />I <br /> <br />! <br /> <br />I <br />bk i <br />I <br /> <br />U"" LJ <br />.r;r~~ <br /> <br />pate Received ] -j,- '!! ~ ~Q Pho~e Contact for Permit J <br /> <br /> <br />=::~~ 1~~e^11$~~~~;;;~ <br /> <br />Fee Slm". _" Na_ I I TIIIohoIdw Pho~...z I <br />FeeSI__'Ad~ <br /> <br />Job Address I ~ GALL- <br />I <br /> <br />I <br /> <br />LPlNatural Gas-Installation <br />LPlNatural Gas-ANNUAL Sale <br /> <br />Valuation of Project <br /> <br />^.' , <br /> <br />-~ <br /> <br /> <br /> <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />I <br />Y IN I <br />I <br />I <br />I <br />I <br />I <br /> <br />i <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y IN' Fee Current <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Y IN' Fee Current <br /> <br /><<~. ._-- <br /> <br />. ','. .~.~ <br /> <br />RII 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 />