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a�s-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021 . Permit Application Date Received Phone Contact for Pertnit �� Owner's Name h� � S Owners Phone Number �� Owner's Address �'J �'y �' Fee Simple Titleholder Name Tideholder Phone Number �� Fee Simple Titleholder Address Job Address Lot # �� Sub Division Paroel # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Mate�al (Tier II or RQ Facility) ANNUAL � Controlled Bum � Hood Instailation � Emergency Generator < 30 kw � LP/Natural Gas-Installation � Emergency Generator > 30 kw LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL / �J �y emi �n er � / / �� / ! Sprinkler � ❑ ❑ ❑ � Recreational Bum Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Instaliations Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alartn Installation � Torch Roofingffar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL � Valuation of Project � Fuei Tanks Q Other: Contractor Company Signature Registered Y/ N Fee Current Y/ N Address License # ELECTRICIAN Company Signature I Registered Y/ N Fee Current Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fee Current Y/ N Address License # MECHANICA Company Signature Registered Y/ N Fee Current Y/ N Address License # OTHER Company Signature Registered Y/ N Fee Current Y/ N Address License # Directions: Fill out application completely. Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)