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813-780-0020 Ciry of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> . <br /> iate Received Y � rv Phone Contact for Permit <br /> :�, � �,�-�__ .,.,�.._�„_��.:�.rf�-�..r <br /> hnmer's Name � S � Y� � Owners Phone Number �� �� <br /> hwner's Address � � � v �" <br /> �ee Simple Titleholder Name Titleholder Phone Number �� �� � <br /> =ee Simple Titleholder Address <br /> :.���.,__ : <br /> ,.,���, > wx?:�^� .,� � � <br /> Lot # <br /> lob Address <br /> 5ub Division Parcel # <br /> a , . r ��: �'�`'�,,. <br /> a Bio-Hazard 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-Installatio� <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> y em� n er � / <br /> '� 0 � <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum ( �3 � <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers � <br /> � <br /> Hood Cleaning � ❑ O ❑� � Sprinkler System Installations <br /> Hood SuppressiQn �❑ IH' �� � Standpipes (Sprinkler Sys) <br /> a Fire Alartn Installation � Torch Roofing/Tar Kettle <br /> a Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> �., M ... �¢� �;-�-.� . -� <br /> Contractor Company � <br /> Signature Registered Y/ N Fee Curre 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 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 <br /> Signature Registered Y/ N Fee Current Y/ N <br /> � <br /> Address License # <br /> Directions: <br /> Fill out application completely <br /> Owner 8 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 two (2) sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />