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813-780-0020 <br /> City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Phone Contact for Permit �� � L_—J <br /> Date Received � J � � � '� <br /> r _ `CL�J � <br /> � Owner's Phone Number <br /> Owner's Name <br /> Owner's Address � v' �^' ` "� <br /> Fee Simple Titleholder Name Titleholder Phone Number ��� �� <br /> Fee Simple Titleholder Address <br /> ,.S 1 �� <br /> Job Address <br /> N � l.� � -S Lot # I�J <br /> Parcel # <br /> Sub Division <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator < 30 kw � LP1Natural Gas-Installation <br /> � Emergency Generator> 30 kw � LP/Natural GasANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Piaces of Assembly-ANNUAL <br /> ❑ ry emi � er ❑ ^ <br /> Sprinkler ❑ ❑ � Recreational Burn � / , <br /> Fire Alarm � ❑ � � � � Sparklers (/ <br /> Hood Cleaning �� � � Sprinkler System Installations <br /> Hood Su ression � ❑ ❑�� � Standpipes (Sprinkler Sys) <br /> PP � <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> � Other <br /> 4 � <br /> Contractor Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address � i � License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER Company <br /> Signature Registered Y! N Fee Current Y/ N <br /> Address 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 lwo (2) sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:/lappraiser.pascogov.com) <br />