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813 - 780 -0020 City of.Zephyrhills Fire Fax -813- 780 -0021
<br /> Permit Application
<br /> Date Received Phone Contact for Permit
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<br /> Owner's Name Owners Phone Number
<br /> Owners Address
<br /> Fee Simple Titleholder Name Titleholder Phone Number
<br /> Fee Simple Titleholder Address I
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<br /> Job Address Lot #
<br /> Sub Division Parcel #
<br /> n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent
<br /> I I Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
<br /> n Controlled Bum n Hood Installation
<br /> — I Emergency Generator < 30 kw I I LP /Natural Gas - Installation
<br /> I Emergency Generator > 30 kw I LP /Natural Gas - ANNUAL Sale
<br /> F Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL
<br /> �Q'Semi Y� 'Semi 'Other l
<br /> Sprinkler r ❑ ❑ ❑ Recreational Bum
<br /> Fire Alarm ❑ ❑ ❑ n Sparklers
<br /> Hood Cleaning n ❑ ❑ ❑ I 1 ' I Sprinkler System Installations
<br /> Hood Suppression 1==1 ❑ ❑ ❑ 1 1 n Standpipes (Sprinkler Sys)
<br /> n Fire Alarm Installation I I Torch Roofing/Tar Kettle
<br /> Fire Pumps n Waste Tire Storage ANNUAL
<br /> n Fire Works
<br /> 71 Flammable Application- ANNUAL I ' Valuation of Project
<br /> n Fuel Tanks
<br /> n Other: 1
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<br /> Contractor Company
<br /> Signature Registered Y / N I Fee Current I Y / N
<br /> Address I License # I
<br /> ELECTRICIAN Company
<br /> Signature 1 Registered Y / N I Fee Current 1 Y/ N
<br /> Address I License # I I
<br /> PLUMBER Company I
<br /> Signature Registered Y / N I Fee Current I Y / N I
<br /> Address I I License # ( I
<br /> MECHANICAL Company I
<br /> Signature Registered Y/ N 1 Fee Current Y / N I
<br /> Address I I License # I
<br /> OTHER Company
<br /> Signature Registered Y/ N 1 Fee Current I Y/ N I
<br /> Address # I
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<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)
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