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�1s-7saoozo City of.Zephyrhills Fire Fax-8 1 3-7 8 0.0 0 21 <br /> �Permit Application <br /> Date Received Phone Contact for Pertnit �,�����`� <br /> �, ��:�, <br /> Owner's Name � 2 Owners Phone Number � C� � �f <br /> Owner's Address � / 3 G �! <br /> Fee Simple Titleholder Name Titleholder Phone Number � �� <br /> Fee SimpleTitteholderAddress <br /> �. <br /> Job Address 7 � Lot # C <br /> Sub Division Paroel # <br /> k � Bio-Hazard Waste Storage - ANNUAL � Fumigation?ent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled 8um � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw � LPlNatural Gas-ANNUAL Sale /� / <br /> �� ��� <br /> � Fire Protection Maintenance - ANNUAL � Ptaces of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � ❑ O ❑ � Recreationai Bum <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning ❑ ❑ O� � Sprinkler System Installations <br /> Hood Suppression ❑ � ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alartn Installation � Toroh Roofingliar Kettle <br /> � Fire Pumps � Waste Tire 5torage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> Contractor Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN Company <br /> Signature I Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> 5ignature Registered L Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER p��l� ��q,� �ij Q �, D� Company � �� d <br /> Signature Registered Y N Fee Current Y/ N <br /> Address ��%S" / (Je License# <br /> Directions: <br /> Fill out appiication compietely. <br /> Ovmer & Contrector sign back of application, notarized (Or, copy of signed contrect with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> Suppiy 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:/lappraiser.pascogov.com) <br />