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. 813-780-0020 City ofZephyrhills Fire: -. .•. Fax- 813-780 -0021 <br /> Permit Application <br /> Date Received A:Wm GontactforPermit �r <br /> Phone r <br /> .. ... <br /> Owner's Name ,/�/'N / .–r7 A Owner's Phone Number '� , y �w <br /> Owner's Address <br /> Fee Simple - Titleholder Name Titleholder Phone Number <br /> Fee Simple Address • <br /> Job Address � O 6,9// 1 e./ Lot #' <br /> Sub Division Parcel # <br /> I Bio-Hazard Waste Storage - .ANNUAL n Fumigation Tent <br /> I I Comm Exhaust Kitchen-Hood/Duct • F Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> I — I Controlled Burn n Hood Installation <br /> • El Emergency Generator < 30 kw I LP /Natural Gas - Installation <br /> I — I Emergency Generator> 30 -kw II LP /Natural Gas - ANNUAL Sale <br /> FT Fire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL <br /> map ]Semi I FiTl' tither <br /> Sprinkler I ❑ ❑ ❑ . n Recreational Burn <br /> Fire Alarm El ❑ ❑ ❑ I I h Sparklers <br /> Hood Cleaning ❑ ❑ ❑ i I I I Sprinkler System installations <br /> • Hood Suppression ❑ ❑ • I Ii Standpipes (Sprinkler Sys) • ' <br /> T Fire Alarm Installation h Torch Roofing/Tar Kettle <br /> 0 <br /> Fire Pumps n Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL 1 Valuation of Project <br /> • <br /> Fuel Tanks <br /> n Other: I :r _ <br /> Contractor Company <br /> • Signature I • Registered Y / N I Fee Current Y / N <br /> Address I License # <br /> ELECTRICIAN Company <br /> Signature Registered Y / N I Fee Current I Y / N I <br /> Address I I • , License I I <br /> PLUMBER Company <br /> Signature , Registered Y / N I Fee Current I Y / N <br /> Address I I License # I <br /> MECHANICAL Company L <br /> Signature Registered Y / N I Fee Current 1 Y / N I <br /> Address I I License # I l • <br /> ' <br /> OTHER 0 4 otce17/ - .' a Company <br /> Registered til© ►� Fee Current Y / N <br /> Signature . c / _ <br /> Address / / a ���)�� License # tf"lgrawariyiprom�f ,, <br /> Directions: <br /> Fill out application completely. • <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> tf over $2500, a Notice of Commencement is required.(Mechanical work over $5000) <br /> ,t Supply two (2) sets of drawings wtth applicable documentation . <br /> Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (httpJlappraiser.pascogov.com) <br /> • <br />