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s�s-�so-oo2o Ciry of Zephyrhills Fire Fax-813-780-0021 . Permit Application Date Received r Phone Contact for Permit � C� �� Owner's Name J�,vt C.c t,� Owners Phone Number C� �� �� 1 ` Owner's Address � v Fee Simple Titleholder Name Titleholder Phone Number �� Fee Simple Titleholder Address Job Address �� Lot # Sub Division Parcel # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Bum � Hood Installation � 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 r y emi �n er ( � � Sprinkler � ❑ ❑ ❑ � � Recreational Bum � I 1 Fire Alartn � ❑ ❑ ❑ �� Sparklers Hood Cleaning � ❑ ❑ ❑ C� � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ C� a Standpipes (Sprinkler Sys) � Fire Alartn Installation � Torch Roofinglfar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL a Valuation of P�oject Fuel Tanks 0 Oth : Contractor Company Signature Registered Y/ N Fee CuRent Y/ N Address License # ELECTRICIAN Company Signature Registered Y/ N Fee Current Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fee Current Y/ N Address License # MECHANICAL 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 8� 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)