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s}:}-7aa-�azo City of Zephyrhills�Fi��: Fax-8�3-�ao-oa21 <br /> '` Permit Application <br /> late Received � - Phone Contact for Pertnit ��'�°� <br /> s:.�'.S_v:?<P.Y:N':s�l���....�tt:��..:.w�<' . , SR�42P1i�itl�T4i�°'"w''�+_ <br /> hvne�s Name �� ���, f u� �G �wner's Phone Number ��[S� «.—� <br /> h�ners Address � ' ` . � �� S � � <br /> =ee Simple Titleholder Name itleholder Phone iVumber �7 �� <br /> =eeSimpleTiileholderAddress . -� �,�;��,.-�;�.����=,- <br /> €� *i�u a-�;�ars� "'�_ x'+��ean,m.+.+�e' � <br /> �.Ot # <br /> Job Address , <br /> � Parcel # (/.7 ' � �(j - �� ' QQ�� ' (? `/.SQ� ' l.�G� � <br /> Sub Division z � ' t - : g�:�-�'w�,�:��n.,��;�.�:- <br /> i>'. '{�w � � <br /> o Bio-Hazard Waste 5tatage - ANNUAL FumigaUon Tent <br /> � Comm Exhaust tGtchen HoodlDuct � Hazardous Material {Tier li or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Insiallatlon <br /> � Emergency Ganerator < 30 kw � LPlNaturaf Gas-Installation <br /> Emergency Generator> 30 kw � LP/Naturel Gas-ANNUAL 5ale <br /> Flre Protection Mairttenance -ANNUAL a Places of Assembly-ANNUAL <br /> ry� emi � er a ,// ]I� �? 2 <br /> Sprinkler �❑ ❑ O Recreatlonsl Bum �� I �� -� <br /> L_J ❑ ° � 1 <br /> Fire Alartn � ❑ ❑ � Sparklers <br /> Hood Cleaning ❑ O ❑� � Sprinkter System Insiallatlons <br /> Hood Suppression � O ❑ ❑� � Standpipes (Sprinkler 5ys) <br /> a Fire Alarm InstallaUon � Torch RoofingfTar KetUe <br /> Fire Pumps a Waste Tire 5torags ANNUAL <br /> Fire Works ' <br /> FtammableAppilCation-ANNUAL Valuation of Project <br /> Fue( Tanks <br /> Q Other: <br /> .. ..�.,,.�����,�°���.. {�:" •z'�..� <br /> � - <br /> ConVactor � Comparry � � + = n•� ".;�`-'rh�j. ' <br /> Signature ' Registereil Y N Fee Current N <br /> Address � � 1 � �� - "� � � '-' � ' ' � Licer�se # j i: � i� <br /> ELECTRtCIAN Company <br /> 5ignature Registered Y/ nl Fee Current Y/ l� <br /> Address Ucense # <br /> PLUMBER Company _ <br /> Signature Registered �Y 1 N Fee Current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y 1 N Fee Current Y/ N <br /> Address License # <br /> 07HER Gompany __ <br /> Signature Registerod - Y/ N Fee Current Y/ N <br /> Address LiCense # <br /> ,'+'-9,a'�`�i3�='•,-, . ,. +ea.e.=,czs:a-3..r.v.�uu v:�..a�� -� ,.��..���:...e.M..:��mw....�.o-.a.�..m.w�ra.,,�" " ' .__.._._.-'—..�_—._. -'x3va, s ._�,...�r,�t.'S���r���.JZ��: <br /> Directions: <br /> Fili out application complete�y. <br /> Owner 8 Contractor sign back ofi appiicatior�, notarized (Or, copy of signad conUaci witfi ownsr) <br /> lf nver 52500, a Notice of Commencement is required (Mechanieai work over $5000) <br /> Supply two (2) sets of drawings with applicable documentafion <br /> Allow 10-14 days for revtew after su6mittal date. Parcel #- obtained from Property Tax NoUce (http:/lappraiser.pasoogov.com) <br />