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8�3-78a0b� Gty ofZephyrhillsFir�a Fax-8�s-78o-ao2� �� <br /> Permit Application - _-- <br /> � ��a — — t� l - �t,«;e c«,r�cttor � - �1 �1 <br /> i r i I �l � ui <br /> Ownars Name � � � Owr�s Phone Nurnber � � � � [� � <br /> Owners Address l0 Z7 � � � ~� � <br /> Fee Simple litletaider Name Titleholder Ptane Nwnber �� �� <br /> Fee Simple litleholder Address <br /> Job Address Lot # �� <br /> Sub Division Pa�el # <br /> � Bio-Hazerd WasDe Starage - ANNUAL � Fumigation Terrt <br /> Q Comm Exhaust Kl6chen Hood/puct � hlazardous Material (Tier II or RQ Facility) ANNUAL <br /> o ���8�, o ���, <br /> Q e��r ��o< < so �, Q u�n�.ai ��a�raua, <br /> ��►��, ce�aw� > ao �w ��n�aa� c�as�►NNUa� s� <br /> � Fire Pro�cfion Maintenance - ANNUAL ��� a�y,o�Naua� - <br /> � �.� � ''// <br /> 5prinider � ❑ ❑ ❑ � Recreatlonal Bum � � �� <br /> Fire Atam, � ❑ ❑ o � � sparkiers <br /> Hood Cleanirg ❑ � ❑ � SprinMer Sys6em Installations <br /> Hood St�pr�sion ❑ ❑ p� � Stardpipes (Sprinkler Sys} <br /> Q Fre Alartn h�stailation � Toroh Roofing/Tar Kettle <br /> Fire Pumps � Wasfe Tme Storage ANNUAL <br /> F'me Works <br /> Flamm�e �ucanon a�ua� , Valuation of Project <br /> Fuel Tanks <br /> r. <br /> Contractor ti �Y <br /> Signahxe Registered Y/ N Fee Current Y 1 N <br /> Address Lk:ense # <br /> ELECTRIC ���y <br /> s�s� �acerea Y/ N Fee c�enc Y/ N <br /> ��� License # <br /> PLUMBER ��� <br /> �`9� Regrste�ed Y/ N Fee Cu�ent Y/ N <br /> Address License # <br /> MECHANICAL �� <br /> �19��e RegisGered Y/ N Fee Current Y/ N <br /> �� License # <br /> OTHER �� <br /> Signature tte��stered Y/ N Fee current Y/ N <br /> �� Lice�e # <br /> Directlons: <br /> Fill art appifcation completely. <br /> Owner 8 Contractor siyn badc of aPl�licatlon. notarized (Or, coPY oF signed corrh'act with ownar) <br /> ff ov�ar 52500. a IJotfce of Cornrnencemar�t ts requfred.(�Aechanical work over 35000) <br /> Supp1Y two (2) sels of d�avdnps wlth spplicaWe documerrtatfon <br /> ANow 10-14 days for reviaw after subrtdttal date. Pert:el #- obt�ained irom Property Tax NoUce (hqp://appra�er.pascopov.com) <br />