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<br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Fire <br />Permit Application <br /> <br />&chb <br /> <br />Fax-813-78D-0021 <br /> <br />Phone Contact for Pennit <br /> <br />'" '"we J< <br /> <br /> <br />-~~ ~ -:~ <br />o <br />o <br /> <br />o Hood Installation <br /> <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 />D <br />o <br /> <br />D <br />D <br />D <br />D <br />D <br />D;l <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br />Comm Exhaust Kitchen Hood/Duct <br />Controlled Bum <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />~A~ <br /> <br />u .~ ~ ._..~J] <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANNUAL <br />~~~~ <br />Sprinkler D 0 0 0 L-I <br />Do ooc:=J <br />Doooc:=J <br />~o 0 ~c:=J <br /> <br />Fire Alann <br /> <br />Hood Cleaning <br /> <br />Hood Suppression <br /> <br /> <br />Fire Alann Installation <br /> <br />Fire Pumps <br /> <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Contractor <br />Signature <br />Address <br /> <br />r'j#~0~/-%':J1>'PP/ ! <br /> <br />Address <br /> <br />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 />Address <br />Directions: <br /> <br />I <br />I <br />l!'~ ill crm lliK7"~lJ)M!Il~.lllllllliiilB <br /> <br />_, _ ,.~ lot' I ~_ I <br /> <br />Fumigation Tent <br />Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> <br />LP/Natural Gas-Installation <br />LP/Natural Gas-ANNUAL Sale <br /> <br />Torch RoofingfTar Kettle <br />Waste Tire Storage ANNUAL <br /> <br />Valuation of Project <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <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. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />