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s�s-78o-002o City ofZephyrhillsFire� FaX-$�s-�so-ao2� �� <br /> Permit Applicaiion - _._ <br /> . <br /> Date Received _ - Phone Ca�ct for Pemdt �� <br /> Owners Name � Owners Phone Number �� �� �� rJ(� <br /> Owners Address � � �. <br /> Fee Simple litleholder Name Titleholder Phone Nianber ��� �� <br /> Fee S&npleTrtlehoMer Address <br /> Job Address Lot # � <br /> Sub Divisio� Par�cel # <br /> � Bio-Hazard Waste Storage - ANNUAL � FumigaUon Terrt <br /> � Comm Exhaust fCtGt+en HoodlChut � Hazardous Material (T ier II or RQ Facility) ANNUAL <br /> o ��e�, o �����, <br /> a Err�ergency Generator < 30 kw � LP/NaUxal Gas-InstaUati� <br /> Q Emergency Generator > 30 kw � LP1Nahual Gas-ANNUAL Sale <br /> � �ire Protection Mairrtenance - ANNUAL � Places of Assembly ANNUAL ----- <br /> ��� r <br /> Sprinkler � O ❑ ❑ � Recreatlonal8um <br /> Fre Atartn � ❑ ❑ ❑ � � Spa�iders <br /> Hood Geanin9 � ■ ❑� a Sprinicler 3ystem InstallaGons <br /> Hood Suppression ❑ p ❑� � StandPipes �SPrir�e� SYS) <br /> a Rre Alartn Installatian � Tor�h Roofinglfar Ksrile <br /> Fre Punps � Waste Tire Storege ANNUAL <br /> Fire Works <br /> R�� ��tiO" Valuation of Project <br /> Fuel Ta�ks <br /> er. <br /> Cor�tracOor � . ComPe�Y <br /> signaame tiegistered Y/ N Fee current Y/ N <br /> �� Licer�e # <br /> ELECTRIC �, <br /> Stgnature Reg;stered Y/ N Fee Current Y/ N <br /> � Uce�se # <br /> PLUMBER �� <br /> s�gr�ahne Reyistered Y/ N r-ee curtent Y/ N <br /> Address License # <br /> MECHANICAL � <br /> Sig"ah're ttegistered Y/ N Fee Cumant Y/ N <br /> ��' License # <br /> OTHER �� <br /> Signature Re�istered Y/ N F� Cument Y/ N <br /> �� License # <br /> Diroctions: <br /> Fll aat appUcation c�plebely_ <br /> Owner & Corrtractor sign back oF appiicatlon, nomrized (Or, oopy af signed contract with oMmer) <br /> If over 52500, a Notit:e of Corrunancement is requued (Mechanical work over 55000) <br /> S�P�Y ��2) sets of drawings with appiicable doc�nerrtation <br /> Aliow 1 D-14 days for review after subrniCal date. Par�el #- obtalned from <br /> Property Tax Notloe (httP��aPPreiser•Pasco9ov.com} <br />