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813- 780-0020 City of. Zephyrhills Fire <br /> Permit Application Fax-813-780.0021 <br /> 0021 <br /> Date Received <br /> Phone Contact for Permit <br /> Owner's Name M Gf <br /> ,�/ Owner's Phone Number <br /> Owner s Address 7/ 2 .Z 6A L L L / <br /> Fee Simple Titleholder Name = Fee Simple Address <br /> Titleholder Phone Number <br /> Job Address <br /> Lot # <br /> Sub Division <br /> Parcel # <br /> ri Bio-Hazard Waste Storage - ANNUAL � <br /> Fumigation Tent <br /> n Comm Exhaust Kitchen Hood/Duct <br /> Hazardous Material (Tier II or RQ Facili ANNUAL <br /> Controlled Bum a tY) <br /> n Emergency Generator < 30 Hood Installation <br /> ri Emergency Generetor> 30 kw =^ LP /Natural Gas - Installation <br /> E l Fire Protection Maintenance - ANNUAL i�J LP/Natural aces of ssembl Gas-ANNUAL <br /> -ANN Sale <br /> c�tny Semi Places of Assembly-ANNUAL <br /> �i I cal Other <br /> Sprinkler Q 0 0 g S' 1 <br /> Recreational Burn <br /> Fire Alarm ® 0 0 T IJ Li El Hood Cleaning 0 0 0 u ❑ <br /> ❑ � Sprinkler System Installations <br /> Hood Suppression 0 0 0 <br /> Standpipes (Sprinkler Sys) <br /> n <br /> Fire Alarm Installation <br /> Fire Pumps Torch Roofing/Tar Kettle <br /> n Fire Works = Waste Tire Storage ANNUAL <br /> n Flammable Application- ANNUAL <br /> Fuel Tanks Valuation of Project <br /> Q Other: <br /> Contractor <br /> s _. <br /> Signature �� �� ! v Company NW <br /> l� �� <br /> Address / Registered Waal <br /> Fee Current Wiall <br /> ELECTRICIAN License # <br /> Signature Company <br /> Address Registered Y / N Fee Current EMI <br /> PLUMBER License #. <br /> Signature Company <br /> Address Registered Y / N Fee Current MEM <br /> MECHANICAL License # <br /> Signature Company <br /> Address Registered Y / N Fee Current WM <br /> OTHER License # <br /> Signature Company <br /> Address Registered Y / N Fee Current <br /> Y/N <br /> Directions: <br /> " License # <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 ttP� PP h //a raiser.pascogov.com) <br /> ( <br />