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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> _ Perrnit Application <br /> Date Received Phone Contact for Pertnit ��� <br /> OwnePs Name � l� P�p� Ow�ers Phone Number �1-- �'a 3� <br /> Owner's Address �� �Q �y"'' S �2�� �� � �- � ��s �' <br /> Fee Simple Titlehoider Name TiUeholder Phone Number ��� <br /> Fee Simple Titleholder Address <br /> Job Address Lot # � <br /> Sub Division Paroel # <br /> � BiaHazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator> 30 kw � LPlNatural Gas-ANNUAL Sale <br /> a Fire Protection Maintenance - ANNUAL � Places of Assembiy-ANNUAL <br /> r y emi �n er <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning ,� ❑ � ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ O� � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh Roofinglfar 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 <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN Company <br /> Signature � Registered Y/ N Fee Current Y/(� <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER Company P / j f,�� v7 Z,.�., <br /> Signature Registered N Fee Current / N <br /> Address <br /> License # ��J <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> Supply Mro (2) sets of drawings with applicable documentation <br /> Allow 10.14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (httpJ/appraiser.pascogov.com) <br />