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813- 780-0020 City of.Zephyrhills Fax- 813 -780 -0021 Permit Application • Date Received Phone Contact for Permit I _ v Owner's Name Owners Phone Number Owners Address Fee Simple Name Titleholder Phone Number Fee Simple Titleholder Address I Job Address Lot # Sub Division Parcel # n Bio- Hazard Waste Storage - ANNUAL I I Fumigation Tent Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL n Controlled Bum I I Hood Installation I Emergency Generator < 30 kw I-1 LP /Natural Gas - Installation I Emergency Generator> 30 kw I LP /Natural Gas - ANNUAL Sale I Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL IUtrlyI !bemiI Fri 1 Utner Sprinkler n ❑ ❑ ❑ I I Recreational Bum Fire Alarm El ❑ ❑ ❑ I I Sparklers Hood Cleaning n ❑ ❑ ❑ Sprinkler System Installations Hood Suppression El ❑ ❑ ❑ I ( I I Standpipes (Sprinkler Sys) I Fire Alarm Installation 1 I Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL 1 I Valuation of Project Fuel Tanks n Other: f Contractor Company Signature , Registered Y / N Fee Current Y / N Address I I License # ELECTRICIAN Company Signature Registered Y / N I Fee Current 1 Y / N Address 1 License # I PLUMBER Company Signature Registered _ Y/ N I Fee Current I Y / N Address 1 I License # I MECHANICAL Company Signature Registered Y / N Fee Current Y / N Address I License # OTHER Company Signature Registered Y / N I Fee Current 1 Y / N I Address - License # Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required .(Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)