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a,.�-,u+,-�v�v Ctty af Zephyrhills Fire � Fax-8137840021 <br /> ' Psrmit Application ! <br /> Date Rsceived �� �----� D 6 <br /> , ti � � � Phone Corrtact fior Permit � t-1'� � j <br /> Owners Name O�nne�s Fhone f�lttrtrber � �� <br /> C rs Address . �j �W � � ��� L ��� <br /> Fee SimpSe �it}eho{der �dame TlYI2��QT P{1pS5E �k�S1�2T �� 1 I <br /> Fee Simpie TrtlaholderAcldress <br /> J <br /> JobAddress ���/ � jV , j�'�i( I�l>,/]� '�}}`�(j-�-{�!J � Gj� 3.�-�'1z Lot# �� <br /> Sub Division p � <br /> � B+o-Ha2ard Waste Starage - AIdNUfiL �#��azardotss Materiai {Tiet !t or RQ Facflity) AA3NUAL <br /> � Comm bchausl 1C�ichen F}oadlDud �}iood lnstaiialion <br /> � C � ° �� � � LP/Natural Gas-Instaliation <br /> � Enzergencq Generator <3p Ic�y � LPMatural Gas-ANNUAL Sale <br /> � Emergency Generaio.r > 30 kw � places of Assembly-A�IIVUAL <br /> � Fire Protection I�fairrtenance -qN}�iUAL � Recreational Bum � <br /> � �' � r � i <br /> Sprinkier � ❑ ❑ ❑ � � Sparklers � � <br /> Fir� Alarm � ❑ C] L7 �� � sprinkler System Installations <br /> Hood Cleaning ❑ ❑ ❑� � Standpipes jSpnnkler Sys) <br /> Ha�dSuppressian ❑ /,�1 ) p � Tarch Roofing/Tar Kettfe <br /> � Firc� .41arm instaTtation (" � VVaste Tire Storage ANNUAL <br /> � Fire Pumps <br /> � Fire VUorks <br /> � FiammabtQ A�plica#ion-Af�tNiJ�1L ����� valuation of Project <br /> � � �uel Tanks <br /> � Other <br /> , <br /> { <br /> Contractor <br /> Sigrrature ' Comparry �t7�j�t�"(�.1�� IN . � <br /> Registeied ' N J Fee Current N <br /> Address I,�M�I 31ST �ni��LT tJ , T f��l�d'SJ�-L Pl, �3 �.� Licertse � <br /> ELECTf21CIAN <br /> Com}rany ' <br /> Sigmature Reg'vsfiered Y I N Fee Current Y/ N <br /> Address <br /> Licer,se # <br /> PLUMBER � ��� <br /> Signature Regis�red �' / N Fee Currerrt `( / N <br /> Addrer,s <br /> License # <br /> MECNANICAL <br /> Signature <br /> Cam�rry <br /> Regist�red Y 1 N Fee current Y/ N <br /> Address <br /> L�ense # <br /> OTHER J� ��� <br /> Signature j <br /> Registered Y I 1�1 Fee Current Y/ j�1 <br /> Addre.:s <br /> L.i�ense � <br /> Directions. <br /> FiU out appficatian compie#eiy <br /> {,irner & Cot�irador sic,� bacic of app{catian, noi�arized jOr, copy o# signed conhad with otimerj <br /> )fi over $2500, a NQiice of Commencemeni is required (i�;echanical rvorac over $5aL1�j <br /> Supply iwo (2) se#s of drawinc�s w9th a�pficable documen�tivn <br /> , Afbw � 0.14 days far review aFte� submittal date. Parcei �- obtained from Property Tax Atotice J/a raiser. <br /> + {hifp pp pascagov.com) <br />