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s��-7aa-aa2o City of Zephyrhills"Fir�� F�-��3-�aa-aa2� <br /> . Permit Application <br /> )ate Received � - Phone Contact for Permit �� ` <br /> .�5.'.s���.�.r.�•s���;��:: �, - - , �7�cs�s�E�1bT�+�r�s+�s'Yl�•w�.-. <br /> hvners Name i L� L. P J Owne['s Phone Number � �� �� <br /> �nrner's Address <br /> � '� C.� � LT�i f f 11 � / � :` � � i' . <br /> � , � � <br /> =ee Simple'CiUeholder Name Titleholder Pfione Number <br /> =ee Simple Tiileholder Address <br /> �'u'.�"`�."�3i ""3'�9'c.'.,�s3'�'�""E�{a.'�.�s ° '� <br /> 1ob Address C` Lot # C <br /> Sub Division Parcel # � � � ' � <br /> .��:��!>:.�i:�,.z�=._.._ __: ����= ��: <br /> '„�I::F'LF-'d ^ •,��,�.,Y....�a��;N�x- . <br /> � Bio-Hazard Waste 5torage - ANNUAL � Fumigallon Tent <br /> � Comm Exhaust Kitchen HoodlDuct � Hazardous Material (Tier If or RQ Faciliiy) ANNUAL <br /> � Controlled Bum � Hood Installatlon <br /> � Emergancy Generator < 30 kw � LP/Natural Gas-Installation <br /> Emergency Gene2tor> 30 kw � LP/Natural Gas-ANNUAL Sale <br /> Fire Proteotion Maintenance -ANNUAL � Places of Assembly-ANNUAL 'I" ���� (` <br /> �r y emi � ar � 7 <br /> Sprinkler � ❑ ❑ ❑ � � Rec�eaHonal Bum <br /> Fire Alarm � � ❑ �1 � � Sparklers <br /> ! <br /> Hood Cleaning ❑ O ❑� � Sprinkler System installatlons <br /> Hood Suppfession � O 0 O� � Standpipes (Sprinkier Sys) <br /> a Fire Alarm Installation � Torcfi Rooftng/Tar KetUe <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable AppliCatlon-ANNUAL Valuation of Project <br /> Fue{ Tanks <br /> Q Other: <br /> � � ✓N���p.� AatPY._,�71,�Y4s _�f!Y.;'[v.r <br /> i <br /> ConUactor � Comparry ? ', •�- � ���'t '1�-. <br /> Signature ' Registeraii Y 1�I Fee Current Y N <br /> Address a � i � �.� - "� � � '�' � ° License # ;> i: ► iZ ' <br /> ELECTRICIAN Company <br /> Signature Registered �( /�l Fee Current Y/ l� <br /> Address License # <br /> PLUMBER Company _ <br /> 5ignature Reg'tstered Y/ N Fee Current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y � I� Fee Current Y/ N <br /> Address License # <br /> OTHER ComRany <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Add ress L ioense # <br /> 'f.-':M:�'.e�'.s.:�._.�.—..,._ ., ,.,.. +r„:,se - .m,:c......._ ....._--�w..�unu.���r.wu �- - .' . ________ — __ ----- � 'ut`". � f � .Ja,s <br /> Directions: ~ <br /> Fill out application completely. <br /> Ownar 8 Contractor sign back of appiicatior�, notarized (Or, copy of slgned contrect with owner} <br /> lf nver $250D, a Notice of Commencement is required (Mechanicak work over 35000) <br /> Suppiy two {2) sets of drawings with applicable dacumentation <br /> Aliow 10-14 days for rsview afier submittal date. Parcel #- obtained from Property Tax Notice (http:/lappraiser.pascogov.com) <br />