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;.�a-�aa-aa2o City of Zephyrhills�Fire• F�-&13aao-oo21 <br /> Permit Application ' <br /> 7ate Received • Phone Contactfor Permit ��.��:"r�-_� <br /> :��:.s��c-�ey.,�:.i��. ,_a. . . , ��ear�,�+ . .� . . _. _.._ _ <br /> 7wners Name ��)''1 Owner's Phone Number �� �(� <br /> �wners Address ( (� C' � � _ <br /> =ee Simple Titleholder Name itleholder Pfione Number �� � <br /> =es Simple Titleholder Address <br /> �.i � �"°"",""sux�,., i � 13:r7i�?:�?'.',."�.� '.�i,"�:ai <br /> Jab Address -�� Lat # � <br /> Sub Division Parcel # <br /> is"'�'di.6?L�'� _ . `..'sS�Y�i:�:'&'ea,F=��t ;r:>�:..4�',.a=�=- <br /> � Sio-Hazard Waste 5torage - ANNUAL Q FumigaUon Tent <br /> � Comm Exhaust IGtchen Hood/Duct � Hazardous Material (Tier 11 or RQ Faciliiy) ANNUAL <br /> � ConVoiled Bum � Hoad inslallatlon <br /> � Emergency Generalar < 30 kw � LPlNaturaf Gas-Installa8on � <br /> Emergency Generator> 3D kw � LP/Natural Gas-ANNUAL Sale ^� <br /> Fire Protection Mai�tenance -ANNUAL a Places of Assembly-ANNUAL I � ' <br /> �y emi nT er � � <br /> SpRnkler � ❑ a O � � ReereaHonal �um <br /> Rre Alarm � ❑ p �] C� � Sparklers <br /> Hood Cleaning ❑ p C� � Sprinkler System installatlons <br /> Hood Suppression �❑ p O C� a Sta�dpipes (5prinkler 5ys) <br /> Q Fire Alarm Instaliatlon � Toroh Rooflng(Car Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works • <br /> Flammabla Appilcatlan-ANNUAL ���1 Valuation of Project <br /> Fue{ Tanks <br /> � Other: <br /> ��� _ <br /> ��_�� <br /> conVaotvr - <br /> Comparry � ', . , ' �w 'itiLw+�, '��, <br /> Signature ' Registerecl Y N Fee Current Y N <br /> Address � `" 1 c � - � '� � � ' ' � ° Licerue # <br /> �s Ji; �i.3 <br /> ELECTRtCIAN Company <br /> 5lgnature Registered Y/ N Fee Current �Y / N <br /> Address License # <br /> PLUMBER Company <br /> Signature Reglstered l' / N Fae Current Y/ N <br /> Addrass <br /> License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address ticense # <br /> OTHER Company <br /> Signature Ftegistared Y/ N Fee Current Y/ N <br /> Address L icense # <br /> �� = -__ y .w-_..,. «..� .�_�.-�.��=.,��.,_.,�. <br /> Directions — � �,�.�:�,�..�..,»�...,:smn�^R�u�t, Y.�_ ,, ..�_.�..�..�_>�_� , _.�_.ti�.�:t�r�_—,:�,z�a <br /> Fitl aut application completely. <br /> Owner 8, Contractor sign back of applicatior�, notarized (Or, �opy of signed conUact with owner} <br /> If over $25D0, a Noti�e of Commencement is required (Mectianical work over 35000) <br /> Supply two (2) sets of drewings with applicable dacumentation <br /> Allow 10-14 days for review after su6mitta{ date. Parcel #- obtained from Property Tax NoUce (http:llappraiser.pasoogov.com) <br />