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. 813 � • City of Zephyrhills Fire <br /> , , Fax-813-780-0021 <br /> Pertnit ApplicaUon <br /> Date Received � Phone Corrtaa for Permft ���� <br /> Owners Name � '� Owners Phone Ninr�ber [� /3 � 7�(� a(g� <br /> Owrte�s Address �p s �j L.� <br /> Fee Simple Titletalder Name Titleholder Phone Number � C� �� <br /> Fee Simple Titleholder Address <br /> Jab Address l0 S� .3 � S Z Lot # � <br /> Sub Division Par�el # Z Z QpZ� <br /> � Bio-liaza�d Waste Stora e- AI�IUAl. � Fumigation TeM - . _ . <br /> ��.--- ! <br /> Comm Exhsuat Kitcl��plioc 4t' Q Flaza�dous AAa6�rial (Tier tl or RQ Facility) ANNUAL <br /> ��e�, o �,��, <br /> � Emergency Generator < 30 kw a LP1Nahnat Gas-instaliation <br /> � Ertrergency Generator> 30 kw a LP/Natural Gas-ANNUAL Sale <br /> o Fire Protection Maintenance - ANNUAL a Pix� of Assembly-ANNUAL <br /> � �� / � <br /> Sprinkler � ❑ � O � � Recreational Bum ,'� '� �P <br /> F►e Alarm � � ❑ ❑ � � S <br /> � ��9 � ❑ ❑ ❑ � � Sprinkler System I�taliatiau (�,� � � J � i�''" <br /> C� �-� 0 '� �° 2 � �( <br /> hbod suppression ❑ ❑ ❑ r . st�piaes (gprinkle►Sys) �I LJ .�� <br /> � Rre Alarm Instailation � Torch RooflnglTar Kedle � <br /> Fre Pumps Q Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Appl�-ANNUAL SL'p � Valuation of Project <br /> Fuet Tanks <br /> [� Other. <br /> Contractor �� - - <br /> signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN ��� <br /> S�s^�+� I Reyistered Y/ N Fee Cumerit Y/ N <br /> Address License # <br /> PLUMBER ��� '� <br /> signawre Regismr� Y! N Fee Curtent Y/ N <br /> Address License # <br /> MECHANICA ��� <br /> S�9"a�� Registered Y 1 N Fee Current Y/ Id <br /> Address License # <br /> OTHER � C�P�Y E'ivPi7Y fi � dUi�r+l�ilrT <br /> signatura Registerea / N 'Fee Cunent N <br /> Addtess / b / - Licer�se # <br /> - - 'Z zooa oci <br /> LA�BGIOAS. .. _ , -,. �-. :.... _ . i_ ,... . . .�, ..—.��. .. - _ _ ..� �-._ ...,.._::.. '� - �, _ ,...aY _K.., - .. -,.- _. <br /> Fill out appiication �mplately. <br /> Owner & Con6racror sign bac�c aF applir.ation. no3a�aed {Or. coPY ��9r�ad crontract with ovmer) <br /> If uver $2500, a Notice of Commencement is raq�dred (Mechanical work over 55000) <br /> Supply Mro (2} sets of drawings wfth applicable docisnerrta6an <br /> Ailow 10-14 days for review aRer s�mfdal date. Parcel #- obtained from Property Tax f�btltice (htlp:Uapprais�.pasCOgov.COrtt) <br />