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<br />813-780-0020
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<br />TOR
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<br />OS-/27
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<br />City orZephyrhills Fire
<br />Permit Application
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<br />I Owner's Phone Number
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<br />Owner's Name
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<br />Fee Simple Titleholder Name
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<br />Fee Simple Titleholder Address
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<br />Job Address
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<br />Sub Division
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<br />Fax-813-780-0021
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<br />I Titleholder Phone Number I
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<br />I Lot# I
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<br />6ALL 3L1/LJ
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<br />I Parcel # I
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<br />Bio-Hazard Waste Storage - ANNUAL
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<br />PLUMBER
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<br />Signature
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<br />Address I
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<br />MECHANIC4
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<br />Address I
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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
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<br />Sprinkler
<br />Fire Alarm
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<br />Hood Clean/Suppression
<br />Fire Alarm Installation
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<br />Fire Pumps
<br />Fire Works
<br />Flammable Application- ANNUAL
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<br />Fuel Tanks
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<br />Other:
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<br />OTHER
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<br />Signature
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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 />Recreational Bum
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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 />I Valuation of Project
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<br />Contractor ! d /? ~ ~
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<br />Address ?OMK ~7 79fHPr4- .::J:'L33G/7.
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<br />ELECTRICIAN I
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<br />License #
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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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