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813780-0020 City of Zephyrhills'Fire. 4k/6/61 Fax- 813780 -0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit <br /> Owner's Name STMPT,F,XG1 TNNELL Owners Phone Number _ 813 626 5482 <br /> Owners Address 4701 Oak Fair Blvd TAMPA FL 33610 <br /> Fee Simple Titleholder Name - Titleholder Phone Number <br /> Fee Simple Titleholder Address 1 <br /> Job Address 535 S• Le,e,..\- . 2.- 22hyrhi■■ 5 i t_ Sb5Li2_ Lot# <br /> Sub Division Parcel # <br /> i u" r ., F 47:: ..,:t,--.. v : ..: =t _.. -ate?.. - °= ea .. , s s. - . - a <br /> I ' I Bio- Hazard Waste Storage - ANNUAL I Fumigation Tent <br /> Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier If or RQ Facility) ANNUAL <br /> I . Controlled Bum I Hood Installation <br /> I Emergency Generator < 30 kw I LP /Natural Gas - Installation <br /> I . Emergency Generator > 30 kw I LP /Natural Gas - ANNUAL Sale <br /> . I • Fire Protection Maintenance - ANNUAL . • I Places of Assembly - ANNUAL <br /> r :tirAl Semi( rim <br /> . Sprinkler Ell ❑ ❑ ■► . I I Recreational Bum <br /> , Fire Alarm I I ❑ ❑ ❑- I I I I Sparklers <br /> Hood Cleaning 0 ❑ ❑ 1 1 1 I Sprinkler System Installations <br /> : Hood Suppression I I ❑ _ O , .0 l J . : 1 I Standpipes (Sprinkler Sys) <br /> Fire Alarm Installation Torch Roofing/Tar Kettle <br /> (• I Fire Pumps I • I Waste lire Storage ANNUAL <br /> . 1 Fire Works <br /> Flammable Application- ANNUAL f Valuation of Project <br /> I ' . . Fuel Tanks <br /> • . I Other: I T ,_ v lvw <br /> Contractor Company -. (1 K,10-..--,_. Lt <br /> Signature . . Registered Y / N Fee Current I. Y / N , <br /> Address I I _ ... License # L . . <br /> ELECTRICIAN , . - Company <br /> Signature Registered Y / N I Fee Current I Y/ N ;: 1, : <br /> Address I I License # I <br /> PLUMBER Company . <br /> Signature Registered Y/ N ' I Fee Current I Y / N I: <br /> Address I 1 License # . , I <br /> MECHANICAL Company <br /> Signature Registered Y/ N I Fee Current I Y/ N _I <br /> . Address I I License # I <br /> OTHER • Company . . <br /> Signature Registered Y / N I Fee Current I Y/11 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 (http: /fappraiser.pascogov.com) <br />