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<br />~7,V~ <br /> <br /> <br /> <br />"1t'W;"'W"""'"'''''"'''''''''~''\'''''i'',\J@M~illWi1\t1\tii~%W@Ii&Yii*lWYti"%jmnrcM01t&lIW1%!1\t~'B1tiiWI@MWg01t1M"~i~~~~ii~::'~~i~:V~~!Mi"j""'''''.'''i; <br /> <br /> <br />I f~~~st~g~. <br />I <br />I <br />I C't.?~-;"t G-a.ll 8t -I'd. <br />I <br /> <br />,. &13-7..0-0020 <br /> <br />Date Received <br /> <br />;);~~t:i~'::?{0tinW~W-t~w:~WWW'iW; <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />City of Zephyrhills Fire <br />Permit Application <br /> <br />5 '-l,k.Jl2J <br /> <br />Fee Simple Titleholder Name <br />Fee Simple Titleholder Address <br /> <br />Job Address <br /> <br />I Owne~s Phone Number <br /> <br />Fax-813-780-0021 <br /> <br />J,J <br />~ I <br />II <br /> <br />""",lJ.."M'" <br /> <br />II <br />II <br /> <br />I Titleholder Phone Number I <br /> <br />Parcel # <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br />Comm Exhaust Kitchen Hood/Duct <br />Controlled Bum <br /> <br />D <br />B <br />B <br />D <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANNUAL <br />~~~~ <br />Sprinkler D 0 0 0 L-I <br /> <br />Fire Alarm D 0 0 0 C=:J <br /> <br />Hood Cleaning D 0 0 0 C=:J <br /> <br />Hood Suppression D 0 0 0 C=:J <br /> <br />Fire Alarm Installation <br /> <br />Fire Pumps <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Other: <br /> <br />S+.e... to' <br />I <br /> <br />I Lot# I <br />I b l-~ l-Ce- '2-\ - 0 l'> {() - () 2-'tOD- ()Ot 0 <br /> <br />Sub Division <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />o Fumigation Tent <br />D Hazardous Material (Tier \I or RQ Facility) ANNUAL <br />D Hood Installation <br />D LP/Natural Gas-Installation <br />D LP/Natural Gas-ANNUAL Sale <br />~Places of Assembly-ANNUAL <br /> <br />o Recreational Bum <br />o Sparklers <br />o Sprinkler System Installations <br />o Standpipes (Sprinkler Sys) <br />D Torch RoofingfTar Kettle <br />o Waste Tire Storage ANNUAL <br /> <br />Valuation of Project <br /> <br />Contractor <br />Signature <br />Address <br /> <br /> <br />d@i@iJm..w;mt+mMWwa~v;~ <br /> <br />Signature <br /> <br />Address I <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Address I <br /> <br />MECHANICALI <br /> <br />Signature . <br /> <br />Address I <br /> <br />OTHER <br /> <br />Signature <br /> <br />Ad ress <br /> <br />Directions: <br /> <br />Company <br />Registered <br /> <br />~~ 5license # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <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 />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y / N I <br /> <br />Y/N <br /> <br />Fee Current <br /> <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) <br />