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a��-7ef�o2o City ofZephyrhillsFir�• Fa,c-s�3.780.up2� i� <br /> PermitApplication . _._. <br /> oate Received -� = Prwne corrtact tor Perrrat <br /> �� r�. <br /> ONmers Name b Owners Phone Number � ��.J ��[ <br /> Owner's Address �Q � �C � i � <br /> Fee Simpie Titlehdder Name Titleiwlder PFa�e Nurnb� �� ��� <br /> Fee SimpleTitleFaMerAddress <br /> Job Address Lot # �� <br /> Sub Diviaion Paroel # <br /> � Bio-Hazard Waste Sbrage -ANNUAL a Fumigadon T�t <br /> Q Comm Exhaust FGtchen F1oodlDuct � Hazardous NfaEerial (Tier II or RQ FaGiity) ANNUAL <br /> � Controiled Bum � Hood installation <br /> � Err�9ency Generator' 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator> 30 kw � LP/Naltmal Gas,ANNUAL Sale <br /> � Flre Protectlon Mai�nce - ANN� �� Q Places of Asserttbly-ANNUAL ��^ <br /> Sprinider � ❑ ❑ ❑ � � Recreational8um v� ` C <br /> C <br /> ��� 0000 , <br /> �� � o . n os��,�� ��5 <br /> Hood s�,e�, o � � Q Q sc�,da�� cs�+n� Srs) �� <br /> � Fre Alartn Installafion � Tor�ch Roa�fmgfTar Ketde <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Are Works <br /> �s'"'"a�te ��ca�n e�1u�`� Valuation of Project <br /> Fuel TaMcs <br /> er. <br /> Cotrtractor „ Cp� <br /> signature Registered Y/ N Fee current Y/ N <br /> Address � lk:ense # <br /> ELECTRIC ��y <br /> S�g� Regisrered Y/ N Fee Curtent Y/ N <br /> �� u� # <br /> �uanre�t co►n�a�r <br /> S�9^� Regis�ed Y/ N r-ae cwrent Y/ N <br /> �� Licsroe # <br /> MECFUWI � <br /> s�gnature Regls�ed Y/ N Fee Cument Y/ N <br /> Address Lic�se # <br /> OTHER Cp�� <br /> s�g"� R� Y! N Fee current Y/ N <br /> ��� Lk�nse # <br /> Directfons: <br /> Fill out appliCafion canpleRely. <br /> Owner 8 Con6�ac�or sign badc of a�pik�ion. notaraed (Or. coP'Y of signed c��trad wflh owner) <br /> If over 52500. a Notice of C�t is re�ired.(�Aecharacal woric rnrer S`N�) <br /> Supply Mrc (2) ssts of drawirgs with appflcable docurne�tbn <br /> AUaw � 0-14 days fior review after aubmitts! date. Pa�el #- obtained from P�perty Tax Nodce (MtpJ/appraiser.pasco9ov.can) <br />