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s�� °0-002o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> e Received Phone Contact for Pertnit �� � <br /> iers Name .Cl /� /� �� /� r/� #� Owners Phone Number �� C3C� S/ <br /> ier's Address �j ��/� lo � ,�(/'F � �i ��� �lS �C • <br /> Simple Titleholder Name TiUeholder Phone Number �� � <br /> Simple Titleholder Address <br /> Address Lot # � <br /> Division Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation TeM <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LPlNatural Gas-Installation <br /> � Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> � emi � r <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum <br /> Fire Alarm � � ❑ ❑ � � Sparklers <br /> Hood Cleaning � � ❑ �� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alartn Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Wo�lcs <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> tractor Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> :CTRICIAN Company <br /> iature � Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> IMBER Company <br /> iature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> :HANICA Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> iER CompanY !i�/ � F �v s..,�.✓� .� G- <br /> iature Registered N Fee Current N <br /> Address License # s'�C}lJ�� � <br /> ctions: <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 applicabte documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />