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813- 780-00 <br /> City of.Zephyrhills "Fire. q ''q � (J 7 Fax - 813- 780 -0021 <br /> Permit Application <br /> Date Received <br /> - Phone Contact for Permit O? ISs36 y 1 <br /> Owner's Phone Number <br /> 1 <br /> Owners Name I 5 IA�Pe <br /> Owner's Address <br /> I Titleholder Phone Number <br /> Fee Simple Titleholder Name 1 ` <br /> Fee Simple Titleholder Address �r .: - : - .. . � �� � <br /> Job Address I e" \\ - C\ ZO Ortry \I i 1' T n - I I I Lot# <br /> I Parcel # <br /> Sub Division <br /> maisesquemarmausgessugensmo <br /> ED Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent <br /> n Comm Exhaust Kitchen Hood /Duct FT Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> I I Controlled Bum n Hood Installation <br /> I -1 Emergency Generator < 30 kw n LP /Natural Gas - Installation <br /> Emergency Generator. 30 kw <br /> r--] LP /Natural Gas - ANNUAL Sale <br /> la Fire Protection Maintenance - ANNUAL 1 1 Places of Assembly- ANNUAL <br /> It,ttny) Isemil Gja Il <br /> � Sprinkler ❑ ❑ ❑ Recreational Bum <br /> Fire Alarm ❑ ❑ fli I , I I I Sparklers <br /> Hood Cleaning I ❑ ❑ ❑ I I Sprinkler System Installations <br /> I I <br /> Hood Suppression [] ❑ ❑ ❑ I 1 Standpipes (Sprinkler Sys) <br /> r Fire Alarm Installation I] Torch Roofing/Tar Kettle <br /> I — I Fire Pumps n Waste Tire Storage ANNUAL <br /> I Fire Works <br /> I Flammable Application- ANNUAL 1 Valuation of Project <br /> I Fuel Tanks <br /> fl Other: 1 <br /> Contractor � �/ Company �a r� .r,G �r � Cornmun,CGd n S �� L. <br /> �� � <br /> Signature ��� A& /�•� _ Registered N Fee Current Y / N <br /> ' <br /> Address I License# � . F Carb - 7kS - I <br /> ELECTRICIAN I Company I <br /> Signature I Registered Y / N I Fee Current I Y / N I <br /> Address I I License # I I <br /> PLUMBER Company I <br /> Signature Registered Y / N 1 Fee Current I Y / N <br /> Address 1 I License # ( I <br /> MECHANICAL I Company <br /> Signature . Registered Y/ N I Fee Current I Y/ N I <br /> Address I I License # I I <br /> OTHER Company <br /> Signature Registered , Y / N I Fee Current I Y / N I <br /> Address License # <br /> Directions: <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 (httpJ /appraiser.pascogov.com) <br />