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s;:�Zao-od2o City of.Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received 2' ^/� Phone Contact for Pertnit <br /> �ss <br /> Owner's Name � �' Owner's Phone Number �� �� <br /> 05 �o�_ <br /> Owner's Address G� <br /> Fee Simple Titleholder Name TiUeholder Phone Number �� C <br /> Fee SimpleTitleholderAddress <br /> Job Address 78fS ,�� � <br /> Lot # �� <br /> Sub Division Parzel # <br /> � BiaHazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazarclous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Instailation <br /> a Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generdtor> 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Prntection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkter � � ❑ ❑ � � Recreational Bum <br /> Fire Alarm � � ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Instaltations <br /> Hood Suppression � ❑ p ❑� a Standpipes (Sprinkler Sys) <br /> � Fire Atartn Installation � Toroh RoofinglTar Kettte <br /> � Fire Pumps � Waste Tire 5torage ANNUAL <br /> Fire Works <br /> � Ftammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> r <br /> Contractor Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN Company <br /> Signature � Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Cument Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER <br /> Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Ad ss License # <br /> Directions: <br /> FII out application compfetely <br /> Owner & Contrector 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 applieable documerrtation <br /> Aliow 10-14 days for review after submittsl date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />