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<br />813-780-0020 City of.Zephyrhills Fire . vf_ 001 (; Fax-813-780-0021
<br />Permit Application I..f'
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<br />Owner's Name Owner's Phone Number I q,.,.3> 117 ~ ~ Illlol (0
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<br />Owner's Address
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<br />Fee Simple Titleholder Name
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<br />I Titleholder Phone Number I
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<br />Fee Simple Titleholder Address
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<br />I Lot#
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<br />Job Address
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<br />Sub Division
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<br />Parcel #
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<br />Bio-Hazard Waste Storage - ANNUAL
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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 D
<br />Fire Alarm ~
<br />Hood Clean/Suppression D
<br />Fire Alarm Installation
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<br />D
<br />D Fire Pumps
<br />D Fire Works
<br />o Flammable Application- ANNUAL
<br />D Fuel Tanks
<br />D Other:
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<br />Add~, :'~ '11\ C) N.eQ,..lh..Q..\Z- PI -0 Odt Ohl
<br />ELECTRICIAN =tf
<br />Signature
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<br />Fumigation Tent
<br />Hazardous Material (Tier II or RQ Facility) ANNUAL
<br />Hood Installation
<br />LP/Natural Gas-Installation
<br />LP/Natural Gas-ANNUAL Sale
<br />Places of Assembly-ANNUAL
<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 />Valuation of Project
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<br />PLUMBER
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<br />Signature
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<br />Address I
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<br />MECHANICALI
<br />Signature
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<br />Address I
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<br />OTHER
<br />Signature
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<br />Directions:
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<br />Company
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<br />License #
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<br />Company
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<br />License #
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<br />Company
<br />Registered
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<br />License #
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<br />Y/N
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<br />Y/N
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<br />Fee Current
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<br />Company
<br />Registered
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<br />License #
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<br />Y/N
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<br />Y/N
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<br />Fee Current
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<br />Company
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<br />I License # I
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<br />Fee Current
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<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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