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<br />City of.Zephyrhills Fire
<br />Permit Application
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<br />Fee Simple Titleholder Name
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<br />813-780-0020
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<br />Owner's Name
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<br />Owner's Address
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<br />Fax-813-780-0021
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<br />I Titleholder Phone Number I
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<br />II
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<br />II
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<br />Fee Simple Titleholder Address
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<br />Job Address
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<br />I Lot#
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<br />Sub Division
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<br />Parcel #
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<br />Bio-Hazard Waste Storage - ANNUAL
<br />Comm Exhaust Kitchen Hood/Duct
<br />Controlled Bum
<br />Emergency Generator < 30 kw
<br />Emergency Generator> 30 kw
<br />Fire Protection Maintenance - ANNUAL
<br />Sprinkler D
<br />Fire Alann [ZJ
<br />Hood Clean/Suppression tJ
<br />Fire Alann Installation
<br />Fire Pumps
<br />
<br />o Fumigation Tent
<br />D Hazardous Material (Tier II or RQ Facility) ANNUAL
<br />o Hood Installation
<br />o LP/Natural Gas-Installation
<br />o LP/Natural Gas-ANNUAL Sale
<br />D Places of Assembly-ANNUAL
<br />D Recreational Bum
<br />o Sparklers
<br />o Sprinkler System Installations
<br />o Standpipes (Sprinkler Sys)
<br />o Torch Roofing
<br />o Waste Tire Storage ANNUAL
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<br />Fire Works
<br />Flammable Application- ANNUAL
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<br />Fuel Tanks
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<br />Valuation of Project
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<br />Other:
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<br />Contractor
<br />Signature
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<br />Address : ?>"f\ \~
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<br />ELECTRICIAN
<br />Signature
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<br />Address I
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<br />PLUMBER
<br />Signature
<br />
<br />Address I
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<br />MECHANICAL)
<br />Signature .
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<br />Address I
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<br />OTHER
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<br />i License # I E:~ . ("~::OICN{D I
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<br />Company I
<br />Registered Y I N Fee Current Y I N
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<br />I License # I
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<br />I I Y IN
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<br />I License # I
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<br />I ~~;:t:~~d I Y I N
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<br />I License #1
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<br />I ~:;::~~d I Y I N
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<br />Company
<br />Registered
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<br />Fee Current
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<br />Y/N
<br />
<br />Fee Current
<br />
<br />Y/N
<br />
<br />Signature
<br />Address I
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<br />Directions:
<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.
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<br />Fee Current
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<br />Y/N
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