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813aaaoo2o City of Zephyrhills Fir�� F�-s� 3aso-oo2t <br /> . � Permit Application <br /> Date Received .. >,._....� __,�,....-�,��.m..a. . - Phorie ConTaet tor Pertnit ZO 7 Z� �o <br /> o+�rs ►�� " G D �D � o�rs Pn«,� n�� .N.- / j 7� D ..-x <br /> . �� � � <br /> o�►ers �a�� 7(v 31 G f} L�. �L i�'.f� Z����l� ' CS �L �� 5 T> <br /> Fee Simple Tftleholder Name T1Ueholder Phone Number � � C <br /> Fes Simple Trtleholder Address <br /> a. - '� <br /> Job Address � <br /> Lot # <br /> Sub Division perce� # <br /> � Bio-liazard Waste Storage - ANNUAL � Fumigatlon Tent <br /> � Comm Exhaust Kitchen HoodiDuct a Hazardous Material (Trer 11 or RQ Facility) ANNUAL <br /> Controlled Bum � Hood Installation <br /> � Emergency Gerrecator < 3p � � LP/Nahuai Gas-Instaliation <br /> � Emergency Generator > 30 kw � LP/Nahual Gas-ANNUAL Sale ' r' �i � g <br /> � Fire Protection Mairrtenance - ANNUAL Places of Assembly /WNUAL � J � <br /> � � � �� <br /> Sprinkler � p p ❑ � � �ational Bum <br /> Fire Alartn � ❑ ❑ ❑ L� � Sparlders <br /> Hood Geaning � p �❑� � Sprinlder System installations <br /> Hood Suppression � p ❑ ❑� � S��p�p� (5prinkler Sys) <br /> � Fre Alartn Installation � Tor�h Roofing/Tar KeWe <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL ���� Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> �.. <br /> Contractor �� <br /> signature Registered Y/ N Fee CumeM Y/ N —. <br /> Address License # <br /> ELECTRICIAN <br /> �Pa�Y <br /> signature Registered Y/ N Fee Current Y/ N <br /> Addriess �� # <br /> PLUMBER � <br /> S � 9 � h' � Registered Y/ N Fee currerrt Y/ N <br /> Address �� # <br /> MECHANICAL ��� <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address <br /> u� # <br /> OTHER <br /> CO �nY �1211r G� <br /> Signature Registered / N Fee Cument Y/ N <br /> Address t`� (;� 1 C- /= � License # <br /> ���....;� <br /> Directions: �- - <br /> Fill out apptication complebely. <br /> Owner & Contractor sign back of applicatbn, noTarized (Or. coPY of signed contract with owner) <br /> If over 52500, a Notice of Comrt�encemerrt is required (Mechanical work over 55000) <br /> SuPP�Y �(2) sets of drawings with appiicable documeMatron <br /> Allow 10.14 days for review after submiltal date. Pareel #- obtained from Property Tax Notice (httpJ/appraiser.pascogov.com) <br />