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1 <br /> 813-780 -0020 City of Zephyrhills Fire <br /> Fax - 813 -780 -0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit lira NA rsim t5 <br /> Owner's Name fill A A • . Owner's Phone Number I I 1 1 <br /> Owner's Address I <br /> Fee Simple Titleholder Name I I Titleholder Phone Number I I I I <br /> Fee Simple Titleholder Address I <br /> ;,r'.a';.:Tkra`§6$ Yu-:`: r^ dF' a�?'#' v..€' ra „,�n.,.;;r."'.i:`;i<...:.«: f„ .r.x, .. a.. •.s �.,.:;4:;< <- ,.ar;.a3afi :.+.r:ara*« c9'.%r .a.;a:�, «a .. �t::.r:; s3�`L;aafs.�+�.',a r;, ".. <br /> Job Address 17b?- / 54// Ag/oz) Lot # <br /> Sub Division I I Parcel # 1 <br /> Bio-Hazard Waste Storage - ANNUAL = Hazardous Material (Tier II or RQ Facility) ANNUAL . <br /> E Comm Exhaust Kitchen Hood /Duct El Hood Installation <br /> El Controlled Bum n LP /Natural Gas - Installation <br /> El Emergency Generator < 30 kw n LP /Natural Gas - ANNUAL Sale <br /> El Emergency Generator> 30 kw El Places of Assembly-ANNUAL <br /> n Fire Protection Maintenance - ANNUAL [J Recreational Burn <br /> 7 v EMU GTili Mail <br /> Sprinkler L j ❑ ❑ ❑ Ej Sparklers <br /> Fire Alarm [J ❑ ❑ ❑ f I E Sprinkler System Installations <br /> Hood Cleaning [] ❑ ❑ ❑ I I LI Standpipes (Sprinkler Sys) <br /> Hood Suppression IN ❑ /1�. ❑ I 1 El Torch Roofing/Tar Kettle <br /> El Fire Alarm Installation !� = Waste Tire Storage ANNUAL <br /> R Fire Pumps <br /> Fire Works <br /> R Flammable Application- ANNUAL A. Valuation of Project <br /> Fuel Tanks <br /> Q Othhe . I <br /> a ,.3...3:efi?. ,?Ya2rv,.,K r <.lti.<"i3*,:"�'�SP3�Pi„ •... 3' ?% JS�: aan ; °.:;,= _ Y'.i "�.'::+.."'.dSA7t.. <br /> Contractor Company [4/ ei /YJ 4 C/4 / * <br /> Signature Registered RIME Fee Current Y / N <br /> Address 021Min tir ll=�f1j License # I <br /> ELECTRICIAN Company I <br /> Signature Registered Y/ N . 1 Fee Current I Y/ N <br /> Address I I License # <br /> PLUMBER Company <br /> Signature Registered Y/ N 1 Fee Current I Y/ N I <br /> Address I <br /> I License # <br /> I <br /> I <br /> MECHANICAL Company I <br /> Signature Registered Y/ N 1 Fee Current I Y/ N I <br /> Address I I License # I I <br /> OTHER Company I <br /> Signature Registered Y / N J Fee Current I Y/ N j <br /> Address License # I <br /> Directions: <br /> ^a -r., +.:. ...., .�.::. •:..,�..aa; ;: -. .:.- ., ::, ...� �. ,::... ..;" ems..,, ,.,, .., � .... ,r::.:.�, r . , <:X ra<.; . � wku ....s -: .,; ;: uaa .o. .. t <br /> s: <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 />