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a�saao-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> � R �� Phone Contact for Pertnit ��� <br /> wner's Name Owners Phone Number �] �� <br /> wners Address ��.0 � � r ( �.• <br /> �e Simple Titlehotder Name Titleholder Phone Number C� �� <br /> ae Simple Tttleholder Address <br /> /► ..�.+ ` t (� <br /> �b Address �L..� �� �+ r r, � Lot # <br /> �b Division Parcel # <br /> � BiaHazard Waste Storage - ANNUAL � Hazardous Materiat (Tier II or RQ Facitity) ANNUAL <br /> � Comm Exhaust Kitchen HoodlDuct � Hood Installation <br /> � Controlled Bum � LPMatural Gas-Installation <br /> � Emergency Generator < 30 kw Q LPMatural Gas-ANNUAL Sale <br /> � Emergenq Generator > 30 kw � Places of Assemby-ANNUAL <br /> a Fire Protec6on Maintenance - ANNUAL � Recreational Bum <br /> � m� � er <br /> `���Q(�1�,� Spr�nkler � O ❑ ❑ � Sparklers �;�� <br /> �ry t� �� F��q�� � ❑ ❑ ❑ � � SprinklerSysteminstalla6ons � I�� <br /> ' �^` �'! <br /> � m Hood S ppression ❑❑ ❑ ❑� � StandpiPes (SPrinkler Sys) <br /> � � ❑ ❑ � � Torch Roofing/Tar Kettle <br /> � Fire Alartn Installation ��j� �(r��� Waste Tire Storage ANNUAL <br /> Fire Pumps <br /> Fire Works <br /> Flammable Application- ANNUAL r � Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> �ntractor /� /�� J ` `� �pa�y <br /> 9 ��� V�- 1�G Registered Y/ N Fee Current Y/ N <br /> qddress a License # <br /> _ECTRICIAN Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> qddress License # <br /> _UMBER Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ECHANICAL Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> Add►�ess License # <br /> THER Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> �rections: <br /> Fill out applicaUon completely <br /> Owner 8� CoMrador sign back of appliption, noTarized (Or, copy of signed coMrad with owner) <br /> If over a2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> Suppy two (2) sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal dale. Paroel *- obfained Trom Properly Tax Notice (httpJ/appraiser.pascogov.com) <br /> ����� � � � �d�s <br /> Hoed d� �t �kanie� Svc. � � � <br /> P.O. Hrrec 2"'137�' *'t�► F! 3'� � <br /> P: a13-�� F: h3-�i-i� <br /> ga�a�eway@a�.can <br />