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s�s-Y"rio-oo20 ' City of Zephyrhilis Fire Fax-&�3�so-oo2� <br /> . Permit Application <br /> � Received . ' Phone Contact for Pertnit ��� <br /> ier's Name .�..�, Ovmers Phone Number �� � <br /> iers Address ��.� vg �� ('� � V <br /> Simple Titleholder Name Titleholder Phone Number �� � <br /> Simple Titleholder Address <br /> Address � �e� � ��� Lot # � <br /> Division Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier 11 or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw Q LPlNatural Gas-Installation <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> Q Fire Protection Maintenance - ANNUAL � Ptaces of Assembly-ANNUAL <br /> �y emi �n er <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum <br /> Fire Alartn ❑ ❑ ❑ � � Sparklers Jy � �, j ( J <br /> ��r <br /> Hood Cleaning O ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alartn Installation � Torch Roofing/Tar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> a Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> Fuel Tanks <br /> [� Other. � / v S r- •a, Te -� '7� - Fr •-. <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 /> �ature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> :HANICA Company <br /> iature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> 1ER <br /> / Company � sy �-a. S t'c � <br /> iature Registered N Fee Current Y/ N <br /> Address Y License # —� d OV p l <br /> ctions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contrect with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical worlc 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 (http://appreiser.pascogov.com) <br />