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813 - 780 -0024 City of Zephyrhills Firo t 1 3� Fax - 813 - 780 -0021 <br /> ,_ Permit Application u - - -: <br /> Date Receives - Phone Contact for Permit I -1 1--------1 <br /> Owner's Name <br /> Q e e T t S (Own Phone Number IM : 0 1 't3\ <br /> Owners Address 1 - e : x -A ( t 9 7 ¼ 1 _ Fee Simple Titleholder Name I 1 Titleholder Phone Number 1 1 1 I <br /> Fee Simple Address I <br /> 1 1 <br /> Job Address Lot# <br /> Sub Division 1 1 Par # 1 <br /> vim <br /> Bw- Hazard Waste Storage - ANNUAL Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Materiel (Tier II or RQ Facility) ANNUAL <br /> ED Controlled Bum n Hood Installation <br /> Emergency Generator < 30 kw = LPMatural Gas -Ins taltation <br /> ED Emergency Generator > 30 kw n LP/Natural Gas - ANNUAL Sale <br /> Fire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL <br /> Sprinkler D ❑ ❑ ❑ Recreational Bum <br /> Fire Alarm . CI ❑ O O ( 0 Sparklers <br /> Hood Cleaning N * ❑ 0 I I Sprkider System Matrons <br /> Hood Suppression 0 0 ❑ J , n Standpipes (Sprinkler Sys) <br /> 0 Are Alarm hrstaltation = Torch Roofing/Tar Kettle <br /> pi Are Pumps Waste The Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL I ' Valuation of Project <br /> Fuel Tanks Company 1 <br /> Contractor ‘ f � — $ 0. I w Y / N Fee Current Y / N <br /> Signature <br /> r- -. �► . i. Address , ' j :. License # <br /> ELECTRICIAN . Company I <br /> Signature Registered Y/ N I Fee Current I Y/ N I <br /> Address I I License # I <br /> PLUMBER I Company I <br /> Sgt Registered I Y/ N I Fee Current I Y/ N I <br /> Address I 1 Lime# I <br /> MECHANICAL Company I <br /> Signature Registered Y/ N 1 Fee Current I Y/ N I <br /> Amass I I License # 1 <br /> OTHER <br /> Company <br /> Sgt Registered Y/ N 1 Fee Current I YIN I <br /> Address License # <br /> Di <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> N over 52500, a Notice of Commencement is required (Machardcal work over 55000) <br /> Supply two (2) sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tex Notice (httpJ/appraiser.pascogov.com) <br />