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813 -780 -0020 City of.Zephyrhills Fire Fax -813 -780 -0021 <br /> Permit Application <br /> Date Received <br /> ` 1 Phone Contact for Permit <br /> Owner's Name CAW -\ T PU l.■ Owner's Phone Number 1 5 ) 3 78 3 1 6 <br /> Owner's Address 3 8 09 C R 51 G C J' 2ePhOilb FL _33542._ <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Address I <br /> Job Address Lot # <br /> Sub Division Parcel # <br /> n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent <br /> Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> Controlled Bum n Hood Installation <br /> I - 1 Emergency Generator < 30 kw El LP /Natural Gas - Installation <br /> Emergency Generator> 30 kw LP /Natural Gas - ANNUAL Sale ) 2 <br /> n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL <br /> ry ISemil FRI Other <br /> Sprinkler n ❑ ❑ ❑ n Recreational Bum <br /> Fire Alarm n ❑ ❑ ❑ I ( n Sparklers <br /> Hood Cleaning n ❑ ❑ ❑ I n Sprinkler System Installations <br /> Hood Suppression 0 ❑ ❑ ❑ I 1 u Standpipes (Sprinkler Sys) <br /> n Fire Alarm Installation n Torch Roofing/Tar Kettle <br /> Fire Pumps I Waste Tire Storage ANNUAL <br /> n Fire Works <br /> n Flammable Application- ANNUAL I ( Valuation of Project <br /> n Fuel Tanks <br /> n Other: I <br /> Contractor �� �� Company <br /> Signature (_6 c. t ti. i Registered Y / N j Fee Current I Y/ N J <br /> Address I I License # <br /> ELECTRICIAN Company <br /> Signature I 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 I <br /> Address I I . License # I <br /> MECHANICAL Company <br /> Signature Registered Y / N I Fee Current I Y / N I <br /> Address I I License # I <br /> OTHER Company <br /> Signature Registered Y/ N I Fee Current I Y/ N I <br /> Address License # <br /> Directions: <br /> • <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 />