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813 -780 -0020 City of Zephyrhills Fire Fax - 813-780 -0021 <br /> Permit Application <br /> Date Received MU D • Phone Contact for Permit <br /> Owner's Name e_ 3 Owner's Phone Number / / 3 1 / .YD I 7/ <br /> Owner's Address <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address I <br /> Job Address 1 ��3 6,& 1 / 6 � Lot . # <br /> Sub Division Parcel # <br /> Bio- Hazard Waste Storage - ANNUAL r---] Fumigation Tent ��� � <br /> n <br /> n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> n Controlled Bum I I Hood Installation <br /> n Emergency Generator < 30 kw n LP /Natural Gas - Installation <br /> F Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale <br /> n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL <br /> IUtrly) (Semis FTICI Other <br /> Sprinkler 7 ❑ ❑ ❑ n Recreational Bum <br /> Fire Alarm n ❑ ❑ ❑ 1 1 n Sparklers <br /> Hood Cleaning IT ❑ ❑ ❑ I I n Sprinkler System Installations <br /> Hood Suppression 0 ❑ ❑ 7 I I n Standpipes (Sprinkler Sys) <br /> n Fire Alarm Installation I I Torch Roofing/Tar Kettle <br /> n Fire Pumps n Waste Tire Storage ANNUAL <br /> I I Fire Works <br /> n Flammable Application- ANNUAL ` ( Valuation of Project <br /> n Fuel Tanks <br /> Ti Other: I , <br /> . _.. ., ,. , . ,a ... ,; _ e.Lq. - ,,, : ( , ZE. 1, <br /> Contractor an <br /> P Z� Company it 4i / <br /> Si aA -A/�/ F / .• • Registered / N Fee C Trent I / N <br /> Address I �// I License # I <br /> ELECTRICIAN Company <br /> Signature Registered Y / N I Fee Current 1 Y / N I <br /> Address ( I License # I <br /> PLUMBER Company I <br /> Signature Registered Y / N I Fee Current I Y / N I 1 <br /> Address I I License # I <br /> MECHANICAL Company I <br /> Signature Registered Y / N I Fee Current I Y / N I <br /> Address 1 <br /> I License # <br /> OTHER Company <br /> Signature Registered Y / N I Fee Current I Y / N I <br /> Address I I I <br /> n air License <br /> # <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 (http: / /appraiser.pascogov.com) <br />