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813 -780-0020 City of Zephyrhills Fire <br /> Permit Application Fax - 813 780 -0021 <br /> ate Received I <br /> Phone Contact for Permit <br /> caner s Name I I <br /> /� �� G Ow ner ' s P hone Number I 1 1 1 1 I <br /> wner's Address I (.L 0y l > <br /> Q (l, S ' , , <br /> se Simple Titleholder Name I I I <br /> I Titleholder Phone Number 1 1 1 I <br /> 3e Simple Titleholder Address <br /> )13 Address " 4 <br /> Jb Division 1 Lot # II <br /> Parcel # <br /> 1 <br /> Bio- Hazard Waste Storage - ANNUAL I <br /> I Fumigation Tent <br /> r - n Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> I 1 Controlled Bum <br /> a Hood Installation <br /> Emergency Generator < 30 kw a <br /> LP /Natural Gas - Installation <br /> Emergency Generator> 30 kw <br /> g LP /Natural Gas - ANNUAL Sale <br /> Fire Protection Maintenance - ANNUAL <br /> El Y emi jr Othe I Places of Assembly- ANNUAL <br /> Sprinkler ❑ ❑ ❑ El Recreational Bum <br /> Fire Alarm ❑ ❑ ❑ I I 0 Sparklers <br /> Hood Cleaning . n? ❑ I I <br /> Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ I I ❑ <br /> Standpipes (Sprinkler Sys) <br /> Fire Alarm Installation <br /> Torch Roofing/Tar Kettle <br /> ri <br /> I Fire Pumps <br /> Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL <br /> R I I <br /> Fuel Tanks Valuation of Project <br /> Q Other: <br /> , ntractor j <br /> (nature , ..7/% Company Ot.+l.1: jat �_... ;.. <br /> Addres Registered MIMI Fee . rrent Y / N <br /> ECTRICIAN License # <br /> nature I Company <br /> Registered Y / N Fee Current Y / N <br /> Address I <br /> JMBER <br /> License # �— <br /> nature Company <br /> Address <br /> Registered Y / N Fee Current Y / N <br /> :HANICAL <br /> License # <br /> iature Company <br /> Address Registered Y / N Fee Current Y / N <br /> IER <br /> License # <br /> ature Company <br /> Registered Y / N Fee Current Y / N <br /> Address <br /> ;tons 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 />