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<br />813-780-0020 <br /> <br />~~ ~ 10 Fax-813-780-0021 <br /> <br />)! <br />i~~"'''''''_''''''''%_'_'''' ,,~",Llii"": <br /> <br />City of Zephyr hills "Fire <br />Permit Application <br /> <br />I N\LK <br />I rO ~x:: <br /> <br />Fee Simple Titleholder Name C <br />Fee Simple Titleholder Addres!! I <br /> <br />7603 <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />v4 Ero ~ '(" t vt.l 0 I Owner's Phone Number <br /> <br />/ BoS !'iff:-, FL. .s4~b <br /> <br />I Titleholder Phone Number <br /> <br />.liiT <br /> <br />1.1 <br /> <br />I~.?rie Contact f~r pe~~~~llt~g ZJl~Li~J <br />'17 z 7 II z 07112/ "" <br /> <br />II <br /> <br />II <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Bio-Hazard Waste Storage -ANNUAL <br />Comm Exhaust Kitchen Hood/Duct <br />Controlled Bum <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANNUAL <br />, ~~.~~.r <br />Sprinkler 0 0 0 0 ~ <br /> <br />~~ ~ ~ B <br />Do DOc=J <br /> <br />&:t\-LL <br /> <br />2>Lv D. Z6t>H'/Rl-hLL ~ ,fl.,53514 <br /> <br />I Parcel #1 <br /> <br />Lot# <br /> <br />'I <br /> <br />~~of-,-\q <br /> <br />Fire Alann <br /> <br />Hood Cleaning <br /> <br />Hood Suppression <br /> <br />Contractor <br />Signature <br /> <br />Address I <br /> <br />ELECTRICIANI <br /> <br />Signature <br /> <br />Address I <br /> <br />PLUMBER <br />Signature <br />Address I <br />MECHANICALI <br />Signature . <br />Address <br /> <br />OTHER <br />Signature <br /> <br />Address <br /> <br />Directions: <br /> <br />~ <br />D <br />I <br /> <br />Fire Alann Installation <br /> <br />Fire Pumps <br /> <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Other: <br /> <br />D <br />D <br />D <br />D <br />D <br />o <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Fumigation Tent <br />Hazardous Material (Tier II or RQ Facility) ANNUAL <br />Hood Installation <br />LP/Natural Gas-Installation <br />LP/Natural Gas-ANNUAL Sale <br />Places of Assembly-ANNUAL <br /> <br />Recreational Bum <br /> <br />Sparklers <br />Sprinkler System Installations <br />Standpipes (Sprinkler Sys) <br />Torch RooflngfTar Kettle <br />Waste Tire Storage ANNUAL <br /> <br />Valuation of Project <br /> <br />III <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Company <br />Registered <br /> <br />License # <br /> <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 />