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s�s-�aa�2o City of Zephyrhills Fire �ax-a�3asa�2� <br /> Permit Appfication <br /> Date �eceiv� � f�trorre Carkacf for Perrtait � � � ( � <br /> flwner's iVame ���� ��"�,S � f�✓!'��,�,/4 � Jl� ( C�are�'s Phane Nurrsber � J J� <br /> // a____..t <br /> OwrrePs Address y � � 1 p'` � ^� �. . ? <br /> J <br /> F2e Simple T�tefiolder tJarne Tdiet�4det Pho��e �kx�bes ��� � <br /> Fee Simp}e Tk�holder Ar4�ress <br /> �-�.� <br /> � <br /> Job Arldress �{ 33 c� �;�. � fi 2��� �� t u_.5 �� 33 ��1 Z �� � � <br /> Sub Dfvision <br /> Parcel # <br /> � Bi Waste 8tarage - A�€Ua'i� �}�azardous AAateriai (fier Il or RQ Fac+liiy) AI�P]U}\L <br /> � Cc,r.xn �xhaust K��h� HoodlBuct � }iaod }�ta14a6on <br /> � CcntroHed Bum � LP/tdatural Gas-Instailation <br /> � Er��ergency Generator < 3D kw � LPMa#utal Gas-A9VNllAL Sale <br /> � En�ergency Genera3or > 30 kw � Places of Assembly-ANNUAL <br /> Fre Profection Mairtter�nce - A9Ni�tUAL � Recreatior�l $um <br /> �� �� �� � <br /> Sprinkler ❑ L] ❑ Sparkiers <br /> Fire Alarm � ❑ ❑ p�� � Sprinlder System Installations <br /> Nood Cieaning � ❑ ❑ ❑ �� � g���� �Sprinkler Sys) / � �/ <br /> f+i�webSugpressron � ❑ � � � '� « <br /> � Torch R�ng/Tar Kettle <br /> � � � � <br /> Fire Ala�n Ir�sta�tation Waste �ire Storage ANMUAi <br /> � Fre Pumps <br /> Fire }Norlcs <br /> F}amrttable Ap�licatian- A�7dJAL <br /> � �� Valuation of Project <br /> Fue{ Tank.s <br /> � dther <br /> � <br /> Cantradar �n�P��Y (� "� C .� <br /> Stgnahtre Reg'ssEerad Y N Fee Current (� <br /> Address — � �� -� <br /> � b L"ecersse # g' � <br /> ELECTRIC7 � ���� <br /> Sic�ature Registered Y/ N Fee Currerrt Y/ N <br /> Address <br /> ticense � <br /> PLUMBEF? � ��' <br /> S�gnature 3�egistered Y/ N Fee Gwrrerrt Y/ N <br /> �,d�ress �— <br /> Licertse # <br /> F+AEChIA�lfCAL �� <br /> sl�ature i2egisi�r+ea Y 1 N fee current Y I N <br /> Address L�cer�se � <br /> OTNEP. � C ��� <br /> Sigrtature Registerr8�i Y J�} Fes Currerrt Y/ N <br /> Address <br /> Licerase �F <br /> Dif8CtlpRS. <br /> �i�� Oli� 3 ,�tC<)=10�1 COiT3�1Q�+. <br /> Onrner &�otri7actof sign back a# appf�aiiOr�, notarQed {Or. co3�Y ��9i'+ed �on�act riith owner) <br /> !f over $25Q0. a�lc3tice af Commencerr�t is requyred (f„lediarrcal work aver �SflOp) <br /> Supply#wo {2 i se3s of dravvirjgs with appfi�aWe docisn+entation •- <br /> Atbw 10-14 days for review aRer su�rnikal date. Parce3 �- oFdaireed irom pmp�ny, �'� Notice {hf�J/appraiser.pascogov.com) -._,_ .. <br />