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<br />City of Zephyrhills rll'B <br />Permit Application <br /> <br />Date Received _..,J ..,. .l."""'~=:-~"~c:;'.",-=""~,~.,.,."",,,.,,;,,,.;.;;:::,,.,;=,~~,for~_~"...;)".". <br /> <br />=::~'~~:~~!~:;~~ LIP I~-- I <br /> <br />I I TItleh0Ider Phone Number I <br /> <br />Fax-813-78lHJ021 <br /> <br />813-780-0020 <br /> <br />....._..~j.,L,,,,,,._ . J:). <br />~I 7J,;) ~ISf<1.7 <br />II II <br /> <br />:. '~'__ ~":.3.~;::::::'':;'Z "_'::::' <br /> <br />Fire Alann <br /> <br />Hood Cleaning <br />Hood SUppression <br /> <br />Sprinkler SystBm Installations <br />Stalodpipes (Sprinkler Sys) <br />Torch RoaIingITar Kettle <br />Waste TIre Storage ANNUAl <br /> <br />D <br />~ <br /> <br />D Fuel Tanks <br /> <br />:,;.::::T'::::'=;;:'::':~'~:;:~~~~~~"''''''''='''~:''''':':7';'''''''''='=::~:;:;,,~Z"~~""";;s.re~~::;;~'l3?Z=::::t.i.:i!'c.i'C':;',= <br />Contractor I Company <br />Signature Registered Y / N I Fee ClITent I Y / N I <br />Address I License # I <br />ELECTRIClA1 Company <br />Signature , Reglsteted Y I N I Fee Current I Y I N I <br />Address I License # I <br />PLUMBER I Company <br />Signature . ReQisteRId Y / N I Fee Current I Y / N I <br />Address I License # I <br />MECHANICAlI Company <br />Signature , Registered Y / N I Fee Current I Y / N I <br />Address I Ucense # I <br /> <br /> <br />~~=Xf! .P~iCti&- .L~L:;:~:;~~:C <br /> <br />Fire A1ann Installation <br />Fire Pumps <br />FireWorks <br />Flammable Application- ANNUAl <br /> <br />~ Valuation of Project <br /> <br />Fdl 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 CommeIIC8rllIII1t is requinlcI (Mechanical work CNeI" $5000) <br />Supply two (2) sets of drawings with applicable cIocuma..t.rIk.n. <br />Allow 10-14 days for review after submltlal date. Parcel # - obtained from Property Tax Notice (htIp:llappraiser.pascogov.com) <br />