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<br />,813-780-0020
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<br />Date Received
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<br />Owner's Name
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<br />Owner's Address
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<br />City of -Zephyr hills Fire
<br />Permit Application
<br />
<br />Phone Contact for Pennit
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<br />
<br />Fee Simple Titleholder Name
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<br />Fax-813-780-0021
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<br />Owner's Phone Number
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<br />1~/1
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<br />I Titleholder Phone Number
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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 />
<br />Job Address
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<br />Sub Division
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<br />:ILl//)#
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<br />] Lot#
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<br />Bio-Hazard Waste Storage - ANNUAL
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<br />Contractor
<br />Signature
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<br />Address .I
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<br />ELECTRICIAN
<br />Signature I
<br />
<br />Address I
<br />
<br />PLUMBER
<br />
<br />Signature
<br />
<br />Address I
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<br />MECHANICA,~
<br />Signature I
<br />
<br />Address I
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<br />OTHER
<br />
<br />Signature
<br />
<br />Fire Works
<br />Flammable Application- ANNUAL *. C
<br />
<br />Fuel Tanks -~ I
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<br />Comm Exhaust Kitchen Hood/Duct
<br />
<br />Controlled Bum
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<br />Emergency Generator < 30 kw
<br />Emergency Generator> 30 kw
<br />Fire Protection Maintenance - ANNUAL
<br />
<br />Sprinkler
<br />Fire Alann
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<br />Hood Clean/Suppression
<br />Fire Alann Installation
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<br />Fire Pumps
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<br />Other:
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<br />Parcel #
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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 />
<br />........<~.....--'_.
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<br />Recreational Bum
<br />
<br />
<br />Sparklers
<br />Sprinkler System Installation
<br />Standpipes (Sprinkler Sys)
<br />Torch Roofing
<br />
<br />Waste Tire Storage ANNUAL
<br />
<br />Valuation of Project
<br />
<br />Company I
<br />Registered
<br />License # I
<br />Company I
<br />Registered
<br />License # I
<br />Company I
<br />Registered
<br />License # I
<br />Company I
<br />Registered
<br />License # I
<br />Company I
<br />Registered
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<br />Y I N Fee Current Y I N
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<br />Y I N I Fee Current Y I N I
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<br />Y I N I
<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 />Address I
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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.
<br />
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