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813 - 780 -0paJ City of.Zephyrhills Fire Fax - 813 - 780 -0021 <br /> Permit Application <br /> Date Received t ei 1 0 Phone Contact for Permit <br /> Owner's Name Ok S 01,01-1e-k- I Owner's Phone Number <br /> Owner's Address (p "jtJ G i (1 3IJQ' <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee SimpleTitleholder Address I <br /> Job Address [ 1 13 1 r Lot # <br /> Sub Division Parcel # <br /> Bio- Hazard Waste Storage - ANNUAL Fumigation Tent <br /> IT Comm Exhaust Kitchen Hood/Duct I I Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> n Controlled Bum n Hood Installation <br /> I - 1 Emergency Generator < 30 kw r LP /Natural Gas - Installation <br /> I —I Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale <br /> El Fire Protection Maintenance - ANNUAL t n Places of Assembly- ANNUAL <br /> IQtriy( !Semi F mum <br /> Sprinkler ❑ ❑ ❑ — I Recreational Bum <br /> Fire Alarm ❑ ❑ ri n Sparklers <br /> Hood Cleaning El ❑ ❑ ❑ I I n Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ 1 1 n Standpipes (Sprinkler Sys) <br /> n Fire Alarm Installation 1 Torch Roofing/Tar Kettle <br /> 71 Fire Pumps I Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL ` ( Valuation of Project <br /> I — I Fuel Tanks <br /> h Other: I <br /> Contractor j k . Company SONY 2 <",t. Tv <br /> Signature �`�'��� � Registered Y / N Fee Cu Current I '" Y N <br /> Address „). Ob.A o yin P- i , , f , c . License # I <br /> ELECTRICIAN Company <br /> Signature I Registered Y/ N j Fee Current I Y/ N J <br /> Address I I License # <br /> PLUMBER Company <br /> Signature Registered Y/ N I Fee Current 1 Y/ N <br /> Address I I License # <br /> MECHANICAL Company <br /> Signature Registered Y / N J Fee Current I Y / N <br /> Address I 1 License # I <br /> OTHER Company <br /> Signature Registered Y/ N j Fee Current I Y/ N 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: / /appraiser.pascogov.com) <br />