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&. 3-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received - 1�� Phone Contact for Pertnit �� � <br /> Owners Name „(iy�, Owner's Phone Number �� � <br /> Owner's Address <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � <br /> Fee Simple Titleholder Address <br /> Job Address 4 � Lot # � <br /> Sub Division Paroel # <br /> � Bio-Hazard Waste Storege - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation � � <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale �� <br /> Q Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUA �� I� <br /> �y emi �n er /� / <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum �/ <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑� a Sprinkler System Instaliations <br /> Hood Suppression � ❑ �] ❑ � � Standpipes (Sprinkler Sys) <br /> i� <br /> � Fire Alarm Installation � Toroh Roofingffar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL r Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> Contractor Company �� � F�rt �r <br /> t=� p.......��s LGC <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # G y!$�i <br /> ELECTRICIAN Company <br /> Signature I Registered Y/�) Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor 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 applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />