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s�aaso-oozo City of Zephyrhills Fire Fax-e��-�ao-oo2� <br /> Permit Application <br /> Dffie Received Phone CoMad for Pertnit � <br /> , ",r.. ; .., r- e;._ .s-:. , . . .. � - ,_ . - .s:a x x4- _ ,; ._ ,.-.- ,�, : x.� .�. �.;,, •��:. ,«�.. , ,�<��s^� ,. <a�s .n"a�.�.. _. .... _. .�. .. . . _. _. -. , _,. _ _. . <br /> Owner's Name , ! Owners Phone Number � J� �� ! <br /> �,�5 A��S �� �� S+ 5� � l� nrla �k� D�-- �� �- c�n. i..32 5e- <br /> Fee Simple Titleholder Name TRleholder Phone Number �� � <br /> Fee Simple TiUeholder Address <br /> :.:, < — - `�a : 0:,,,�.,_. .. . ; . - �. 3 „ e_ ,: . � .. ._,, , z .. ;.„, ,N!;N . , � ._, v. _ �, _. <br /> JobAddress C� ��L-L L�LV� `� �rI �N�Lt.� �]--3 Lot# � <br /> Sub Division •� I� r ��n ~'' �.li')�� Parcel # .3�j '— � J ` �'� � (�� .�l?" L Q��G " U /� � <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � ConVolled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n er 7 <br /> Sprinkler � ❑ � ❑ � Recreational Bum .� � � !/ � <br /> Fire Alartn ❑ ❑ T� � � Sparklers , <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> n Flammable Application- ANNUAL Valuation of Project <br /> �� <br /> u FuelTanks <br /> Q Other: <br /> Contrador Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Add�es� Lice^se # <br /> ELECTRICIAN Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER Company �; c./`�/ yN � <br /> Signature Registered Y/ N Fee Curtent Y/ N <br /> Address Le � t� � License # t' /C' L3V tJ <br /> Directions: � � ��'L <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized (Or, copy of signed contrad with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> Supply Nvo (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 />