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s�s-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Datr Received �T Phone Contact for Permit 727-687-1285 � <br /> Owner's Name Alliance Church of Ze h erhills Owner's Phone Number 813-782-886� �� <br /> Owner's Address 6251 Fort Kin Rd. Ze h rhills, Florida 33542 <br /> Fee Simple Titleholder Name Alliance Church of Ze h �hIIIS Titleholder Phone Number 813 �� <br /> Fee Simple Titleholder Address 6251 Fort Kin Rd. Ze h rhills, Florida 33542 <br /> Job Address 6251 Fort Kin Rd. Ze h rhills, Florida 33542 �ot # � <br /> Sub Division Parcel # 03-26-21-0010-09500-0000 <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or R� Facility) ANNUAL <br /> � Controlled Burn � Hood Instailation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL n Places of Assembly-ANNUAL ^ <br /> ry emi �n t er <br /> Sprinkler � ❑ ❑ ❑ B � Recreational Burn �," n � <br /> � ❑ ; �� <br /> Fire Alarm � ❑ ❑ ❑ Sparklers � <br /> Hood Cleaning ❑ ❑ ❑ ❑ � ❑ Sprinkler System Installations : �;�+� ,� <br /> t <br /> Hood Suppression X� ❑ X ❑� � Standpipes (Spnnkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL 175 Valuation of Project <br /> Fuel Tanks <br /> Q Other <br /> concractor Kevin Hoch Company Fire S stems Inc. <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address P O Box 48741 St. Petersbur , Florida 33743-8741 �icense # _CDL/S'�/a2BB�J/�1t90 <br /> ELECTRICIAN Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> PLUMBER <br /> Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address Licen�e # <br /> t <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> OTHER <br /> Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> Directions: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> Supply two (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 />