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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received Phone Contact for Pertnit �� � <br /> Owners Name � Owners Phone Number ��� <br /> Owner's Address <br /> Fee Simple Titleholder Name TiUeholder Phone Number �� � <br /> Fee Simple Titleholder Address <br /> .. n. . ,: y ..' . .,., . <br /> Job Address Lot # � <br /> Sub Division Paroel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) AN <br /> a Controlled Bum � Hood Installation � <br /> � Emergency Generator < 30 kw � LP/Natural Gas-installation �� <br /> � Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sal 1�� <br /> / <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUA <br /> �y emi �n er <br /> Sprinkler � ❑ ❑ O � Recreational Bum - <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ �� ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL �--� Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> Contractor Company C'vr17 �i/t ELBt��p.+tr.v7 LLC. <br /> Signature B-y� Registered / N Fee Current / N <br /> Address License # G s'�UGO / <br /> ELECTRICIAN Company <br /> Signature � Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> MECHANICA 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 & Contractor sign back of applicaGon, 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 />