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City ofZephyrhillsFir$ FaX-B��-�so-oo2� - <br /> $ Permit Application - _ -- <br /> . - Ptwne Co�tact for Pem�it <br /> Date Received <br /> � Owr�s PFane Number .� � � � � C�'? � <br /> Ow�ers Name G"� � \ � , <br /> .►- � � <br /> pwners Address �� � �� <br /> TItleF►older Phone t�xnber <br /> Fee Simple Tideholder Name <br /> Fee SimpleTitleholder Address <br /> Lot # �� <br /> Job Address <br /> Parcel # <br /> Sub Division <br /> � Bi�zary Wasie Storage - ANNUAL a Fumigatim+ Terrt <br /> � Comm Exhaust Kitchen hloodlOuct ��� �� R�r II or RQ Facilky) ANNUAL <br /> � Corrirolied Bum � H°°d Installation <br /> � �� �� < � � � LPMaWral Gas-Installation <br /> a Emergeney Ge�erator > 30 kw � LP/t�aWral Gas-ANNUAL Sale ,�? � ------ <br /> � Places of AssembiY-ANNUAL �, J� (/ <br /> � Fre Ptotectlon Mair�Eanance - ANNUAL I'/// <br /> ❑ � � L'�] � � � �✓�. <br /> 5prinlder ❑ O ❑ Recreational Bum ,, i <br /> Fire Alartn � O ❑ ❑� a Sparklers � <br /> ❑ � ❑ �� Sprinkler System Ir�staliations <br /> Hoad qeamn9 � �� � g��P�P� �Sprinkier SYs) <br /> Hood Suppression � ❑ ❑ <br /> Q Fire Alartn Ir�taUation � Tor�h RoofinglTar Keide <br /> � Waste Tire Storage ANNUAL <br /> Fire Pumps <br /> Fire Works � <br /> Fl ��� B ��� A ��� Valuation of Project <br /> FuelTanks <br /> er: <br /> Cor�tractor • � <br /> • Reg;stered Y/ N Fee curreM Y/ N <br /> Signature <br /> �' LiCense # <br /> Address - <br /> ELECTRICI �� <br /> S �� Reg;stered Y 1 N r-ee current Y/ N <br /> Address � # <br /> PLUMBER �� <br /> S �� Rey;stered Y/ N Fee current Y/ N <br /> Address License # <br /> MECHANICAL � <br /> 5 ��� � Y/ N Fee Cument Y/ N <br /> Address License # <br /> OTHER � <br /> signawre Registered Y/ N Fee Current Y/ N <br /> Addtess Licer�se # <br /> Directions: <br /> F�i out appiicadon completaly. <br /> Owner 8 CoMractor sf9n badc of appifcation, rwta�ized (Or. coPY aF �iyned corrt�cl wNh oavrur) <br /> If over 52500, a Notice of Commencems►n is roquired (Mechanical waic over 55000) <br /> S�PPhI �(2) sets of drawirgs wittt appiicabie documetrtation <br /> Allow 10-14 days for review aRer s�mittal date. Parcel #- obtafned from ProPertY 7ax Notice (httP��PP��•P�9ov.corn) <br />