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81 &780 -00ze City of Zephyrhills Fire # I [ II ( Lt Fax - 813 -780 -0021 <br /> Permit Application <br /> rte Received -/x- 1 Phone Contact for Permit L 7 1 NM 1 6OS) I <br /> , . 2 <br /> nrner's Name I , Lt 3:1.2 ` 6 6 - d f (/ Orta Owner's Phone Number I 1 1 I <br /> nner's Address I I <br /> me Simple Titleholder Name I I Titleholder Phone Number I 1 I <br /> )e Simple Titleholder Address I I <br /> � 7�_ r °,• .... �.� �.� �� ?tea i :� , °� _ ., ., x. <br /> lb Address I C T 1 4'J 4 i Lot # I <br /> lb Division I Parcel # I I <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 /> 11 Controlled Bum n Hood Installation <br /> n Emergency Generator < 30 kw n LP /Natural Gas - Installation <br /> Ei <br /> Emergency Generator > 30 kw n LP /Natural Gas ANNUAL Sale <br /> Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL <br /> PEN1 ISemiI ( I Other <br /> Sprinkler E ❑ ❑ ` / H� \ ] n Recreational Bum <br /> Fire Alarm 0 ❑ ❑ ❑ 1 I n Sparklers <br /> Hood Cleaning n ❑ ❑ ❑ ( ( n Sprinkler System Installations <br /> Hood Suppression n ❑ ❑ ❑ I 1 n Standpipes (Sprinkler Sys) <br /> 11 Fire Alarm Installation n Torch Roofing/Tar Kettle <br /> n Fire Pumps n Waste Tire Storage ANNUAL <br /> Ej Fire Works <br /> El Flammable Application- ANNUAL ' I Valuation of Project <br /> n Fuel Tanks <br /> Q Other: I I <br /> Detractor 7 Company 3 3i1 (z leci- h �/,� <br /> g nature Registered Y/ N J Fee Current Y/ N <br /> Address I License # <br /> _ECTRICIAN Company <br /> gnature I Registered Y/ N J Fee Current I Y/ N 1 <br /> Address I I License # I I <br /> _UMBER Company I <br /> gnature Registered Y/ N 1 Fee Current I Y/ N I <br /> Address I 1 License # ( I <br /> ECHANICAL Company I <br /> gnature Registered Y/ N I Fee Current I Y/ N I <br /> Address I I License # I I <br /> THER Company I <br /> gnature Registered Y/ N I Fee Current I Y/ N I <br /> Address I I License # I I <br /> rections: <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 />