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<br />City of Zephyrhills Fir-e
<br />Permit Application
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<br />I II II
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<br />813-780-0020
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<br />Fax-813-780-0021
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<br />'7
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<br />Owner's Name
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<br />Owner's Phone Number
<br />
<br />Owner's Address
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<br />I Titleholder Phone Number I
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<br />II
<br />
<br />II
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<br />Fee Simple Titleholder Name
<br />Fee Simple Titleholder Address
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<br />I Lot#
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<br />":::Af0\?..
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<br />Job Address
<br />
<br />Sub Division
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<br />Parcel #
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<br />D
<br />D
<br />D
<br />D
<br />ij]
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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 />D LP/Natural Gas-ANNUAL Sale
<br />D Places of Assembly-ANNUAL
<br />
<br />D Recreational Bum
<br />D Sparklers
<br />D Sprinkler System Installations
<br />D Standpipes (Sprinkler Sys)
<br />D Torch RoofinglTar Kettle
<br />D Waste Tire Storage ANNUAL
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<br />Bic-Hazard Waste Storage - ANNUAL
<br />Comm Exhaust Kitchen Hood/Duct
<br />Controlled Bum
<br />Emergency Generator < 30 kw
<br />Emergency Generator> 30 kw
<br />Fire Protection Maintenance - ANNUAL
<br />~~~~
<br />Sprinkler ~ 0 0 0 L-J
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<br />Fire Alarm 0 0 0 C=:J
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<br />Hood Cleaning 0 0 0 c=J
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<br />Hood Suppression D 0 0 0 c=J
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<br />Fire Alarm Installation
<br />Fire Pumps
<br />Fire Works
<br />Flammable Application- ANNUAL
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<br />Fuel Tanks
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<br />D
<br />~
<br />D
<br />D
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<br />Valuation of Project
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<br />Other:
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<br />Company ~Q\t~ ('\$'" "3~~
<br />Registered N Fe Current 1 N I
<br />License # I I
<br />Company I
<br />Registered Y/N Fee Current Y/N I
<br />License # I I
<br />Company I
<br />Registered Y/N Fee Current Y/N
<br />License # I
<br />Company I
<br />Registered Y/N Fee Current Y/N
<br />License # I
<br />Company I
<br />Registered Y/N Fee Current Y/N
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<br />Contractor
<br />Signature
<br />Address
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<br />ELECTRICIAN
<br />Signature
<br />Address I
<br />PLUMBER
<br />Signature
<br />Address I
<br />MECHANICALI
<br />Signature .
<br />Address I
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<br />OTHER
<br />Signature
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<br />Directions:
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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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