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<br />City oLZephyrhills Fire
<br />Permit ,';p9lication
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<br />813-780-0020
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<br />Owner's N"m&
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<br />Owner's Address
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<br />Job Address
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<br />Sub Division
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<br />~ 1 ,co 1 fax-8'13-780-0021
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<br />I Owner's Phone Number
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<br />J Titleholder Phone Number r
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<br />Lot #
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<br />o rc:mi9ali0!1 Tent
<br />CJ Hazardous Material (Tier II or RQ Facility) ANNUAL
<br />o Hood Installation
<br />o LP!Nalurd Garo.:nsta!!alicn
<br />D LP!Nattlral Gas-ANNUAL Sale
<br />o Places of Assembly-ANNUAL
<br />o ReGreati8n3~ Bem
<br />o Sparklers
<br />o Sprinkler System Installations
<br />o Standpipes (Spr:nkl;:;r S)!s)
<br />o IOfCr. Reofing
<br />l I Waste Tire Storage ANNUAL
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<br />P3rce~ #:
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<br />Bio-Hazard Waste Storage - ANNUAL
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<br />Comm Exhaust K1t:';\len HoodlDuct
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<br />Controlled Bum
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<br />Emergency Generator < 30 ,,:'t),
<br />Emergency Generator;;. 30 IIW
<br />Fire Protection Maintenance - ANNUAL
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<br />Sprinkler
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<br />1:81
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<br />Fire Alarm
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<br />Hood Clean/Suppression
<br />Fire Alarm installation
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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 />Fuel Tanks
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<br />Other:
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<br />Contractor
<br />Signature
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<br />i\ddress
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<br />ELECTRICIAN
<br />SignarJre i
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<br />Address I
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<br /> Company
<br /> Registered
<br /> license -#
<br />I Company
<br />I Registered
<br />! license #
<br />\ company f
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<br />Registered I
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<br />Company !
<br />Regist~reC \
<br />I L!csose '#
<br />I Company
<br />Registered
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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 />Y/N
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<br />YiN
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<br />Fee Current
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<br />PLUMBER
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<br />Signature
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<br />.4ddress I
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<br />MECHANIC,!lJ.\'
<br />Signa lure
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<br />Address I
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<br />OTHER
<br />Signature
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<br />Address ~
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<br />Y/N
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<br />fee Current
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<br />Y ! N I. Fee Current
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<br />Y/N
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<br />ree Current
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<br />1 License # I
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<br />Fill out application completely.
<br />~\\ITler & Contractor. sign back cf application, 'notarized (O~, :::opy of signoo contra:;]: witt: owner)
<br />iT over $2500, a Notice of Commencement is requirEd (Mech2oica! WC)fJ. 'e' $5000)
<br />Supply two (2) sets of dra\"ings with applicable documentation
<br />,.,Hew 10-14 days for review after submittal date.
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