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813780-0020 City ofZephyrhills'Fir�- Fax-s��-�so-ooz� <br /> , -- Permit Application _ _. <br /> Date Received - Phorte C�c onta ff r Pertnit <br /> Ovmers Name Ce, �' r Owraers Phone Nr�mber � � <br /> Owner's Address � �st�/� �fl/�L� �C .� �j/ �fs .��',$'� <br /> Fee, Simpie Titleholder Name Titlefibider Phone Numbar ���� <br /> Fee Simple Titleholder Address � <br /> Job Address Lot # <br /> Sub Division • Par�cel # <br /> a BiaHazarcl y Waste Storage - ANNUAL a Furrdgatlon Tent. <br /> � Comm Exhaust KitcMen tiood/puct � HazaMous Matedaal (Tfer II or FiQ Facliity) ANNUAE <br /> � Controiled Bum � Hood InstallaUon <br /> a Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generetor > 30 kw ,� LP/Naturel Gas-AMNUAL Sale <br /> � Ffre ProtecUon Maintenance - ANNtlAL � Plac�es of Assembly-ANNUAL <br /> �y emi ��n er <br /> - Spflnkler � ❑ ❑ O � � RecreaUonai Bum <br /> Fire Alartn � O ❑ �"� � Sparlclers <br /> Hood Cleaning � D ❑, ❑ � Sprinkler8ystem installations <br /> Hood Suppression � ❑ � ❑ � Standpipes (Sprinkler Sys) <br /> Fire Aiarm Installation � Toroh Rooflng/Tar Kettle <br /> Flre Pumps . � W�ste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable AppHcation- ANNUAL � Valuation of Project <br /> �^����� <br /> Fuel 7anks <br /> Q Other: <br /> Contractor Company �irc <br /> Sfgnature Registered Y N Fee C' nt Y/ N <br /> Address � ' License # <br /> ELECTRICIAN � - Company <br /> Signature ' Registered Y/ N Fee Current Y/ N <br /> Address • License # <br /> PLUMBER Company <br /> Signature Registered Y/ N �ea Current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address Llcense # <br /> OTHER Company <br /> Signature Registered Y/ N Fee Curreht Y/ N <br /> Address � License # <br /> Directions: <br /> FlII out applicaUon completely. <br /> Owner 8 Contractor sign back of applicatfon, notarized (Or, copy of signed conVact with owner) <br /> If over $2500, a Nodce of Commencement is required.(Mechanical wotk 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 (httpJ/appreiser.pascogov.com) <br />