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a��-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Recei�ed � ` �� y� Phone Contact for Pertnit ¢/ 9qG l.' <br /> Owner's Name vy� /� �.y� `l Owners Phone Number � 7�� nOy� <br /> Owner's Address ( d � <br /> Fee Simple Titleholder Name Titleholder Phone Number ��� <br /> Fee Simple Titleholder Address <br /> � » M ;� :, �: , a:�;� . <br /> Job Address b`r� o Lot # � <br /> Sub Division Paroel # <br /> ,.�.: ° ,. . ,. . ,. .. , � .. - ._ - . .. - � . <br /> � Bio-Hazard Waste Storage - ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct a Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n er ��` <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum ` � s CJ <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers � p� <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations �� Z V`� V <br /> Hood Suppression � ❑ � ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh Roofing/Tar Kettle <br /> n Fire Pumps � Waste Tire Storage ANNUAL <br /> U Fire works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> Contractor Company '/`� ' � h G <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address D � 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 License # <br /> MECHANICA 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 /> Ovmer & Contrector 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 /> Ailow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:/lappraiser.pascogov.com) <br />