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s�saso-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Rece�ved �2 � Phone Contact for Permit 8/ 3 ��� <br /> , � <br /> Owner's Name /• O Owners Phone Number � ��O bo <br /> Owner's Address c� � �� � <br /> Fee Simple Titleholder Name Titleholder Phone Number ��� <br /> Fee Simple Titleholder Address <br /> t , _ , � <br /> Job Address r/ �Yi �1 T� Lot # <br /> Sub Division Paroel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> Q Comm Euhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum a 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 � � O ❑ � Recreational Bum �� 3�� <br /> Fire Alarm � O ❑ ❑ � � Sparklers � <br /> s� <br /> Hood Cleaning ❑ ❑ ❑� � Sp�nkler System Installations <br /> Hood Suppression ,� ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> a Flammable Application- ANNUAL Valuation of Project <br /> a Fuel Tanks <br /> Q Other: <br /> Contractor Company /L� .ij C <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address � D �� License# <br /> ELECTRICIAN Company <br /> Signature I 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 /> 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 (httpJ/appraiser.pascogov.com) <br />