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<br />City of Zephyr hills "Fi"e
<br />Permit Application
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<br />Owner's Phone Number 01813 Il782 I.lzs='ts
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<br />Fax-813-780-0021
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<br />813-780-0020
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<br />Owner's Name
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<br />Owner's Address
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<br />Fee Simple Titleholder Name
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<br />Titleholder Phone Number
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<br />II
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<br />II
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<br />Fee Simple Titleholder Addressj
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<br />Sub Division , I
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<br />Emergency Generator> 30 kw
<br />Fire Protection Maintenance - ANNUAL
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<br />Sprinkler D 0 0 0 L-..J
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<br />Fire Alarm
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<br />'D Fumigation Tent
<br />D Hazardous Material (Tier II or RQ Facility) ANNUAL
<br />D Hood Installation
<br />D LP/Natural Gas-Installation
<br />: ~atural Gas-ANNUAL Sale
<br />, Places of AS~embly-ANNUAL
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<br />D Recreational Bum
<br />D Sparklers
<br />D Sprinkler System Installations
<br />D Standpipes (SprinklerSys)
<br />D Torch RoofingfTarKettle
<br />D Waste Tire Storage ANNUAL
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<br />Bio-Hazard Waste Storage -,ANNUAL
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<br />Comm Exhaust Kitchen HoodlDuct
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<br />Controlled Bum
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<br />Emergency Generator < 30 kw
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<br />Hood Cleaning
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<br />Hood Suppression
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<br />Contractor
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<br />Signature
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<br />Address I
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<br />ELECTRICIANj
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<br />Signature .
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<br />Address I
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<br />PLUMBER
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<br />Signature
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<br />Address I
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<br />MECHANICAL]
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<br />Signature .
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<br />Address I
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<br />OTHER
<br />Signature
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<br />,i"".-'""" Addres~L
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<br />Directions:
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<br />Fire Alarm Installation
<br />Fire Pumps
<br />Fire Works
<br />Fiammable Application- ANNUAL
<br />Fuel Tanks
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<br />.1 Valuation of Project
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<br /> Company I
<br /> Registered Y/N Fee Current Y/N
<br /> I License # I
<br /> I Company I
<br /> Registered Y/N Fee Current Y/N
<br /> I License # I
<br />I Company I
<br />Registered Y/N Fee Current Y/N
<br />I License # I
<br />I Company I
<br />Registered Y/N Fee Current Y/N
<br />I License # I
<br />I Company I
<br /> Registered Y/N Fee Current Y/N
<br />_'_""M_"''''''! License # I 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. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com)
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