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<br />813-780-0020
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<br />DateRecelved
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<br />Owner's Name
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<br />Owner's Address
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<br />City of Zephyrhills Fue-
<br />Pennit Appfication
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<br />Job Address
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<br />Address I
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<br />DiRlctions:
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<br />Fax~13-780-0021
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<br />Owner's Phone Number
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<br />TIIIlIhoIder Phone Number I
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<br />Bio-Hazard Waste Statage - ANNUAL
<br />Comm Exhaust Kitd81 HaodIDuct
<br />C0ntr0lIed 8l.m
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<br />Emelge!1CY GelIBl'11tDr < 30 Itw
<br />ErMIgency Gel..-a1Dl > 30 Itw
<br />FIre ProIec:ticx, ....._lCe - ANNUAL
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<br />SprInIder
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<br />Hood 0e8ring
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<br />Hood~,
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<br />Fire AI8rm b IStIIIIaIIoo I
<br />Fire Pumps
<br />Fire Works
<br />RarmI8ble Appkalloh- ANNUAL
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<br />FUmIgation Tent
<br />HazaIdous Mal8riaI (TIer II or RQ FacIlity) ANNUAL
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<br />Hood IIlSta11a1l.A.
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<br />LPINatLnI Gas-Jn.oo\ n Ha..
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<br />LPIN8IunII G8s-ANNUAL SlIfe
<br />Places of AssernbIy-ANNUA
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<br />Rec......18I Bum
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<br />SparIders
<br />SprinIder System Installations
<br />Standplpe& (Sprinkler Sys)
<br />Ton:h RoaIIngITar KeIIIe
<br />Waste TIra S1IlnIge ANNUAL
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<br />, Valuation of Project
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<br />LIcense# I
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<br />License . I
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<br />Fill out ~J cOlnplalBly.
<br />Owner & ConncIor 8Ign back of 8Pf)Iicatio... noI8rIz8d (Or. c:apy of signed conlr8ct with owner)
<br />If - S25OO. . NalIce of Col..)...IOIIII....llls I1IqUkwd (Mecha.... wortc __ $5000)
<br />Supply two (2) .. of dnMIngs with ~orAcabler doc:umel.....,
<br />Allow 10-14 days for' review after submIItaI date. Parcel . - obCaIned ftom Property Tax NalIce (hIIp://appraIser.pascagov.com)
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