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s�3a8o-oozc, — City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> ; Received � Phone Contact for Pertnit ��� <br /> ier's Name �( �� Owners Phone Number ��� <br /> ier's Address � � �� <br /> Simple Titleholder Name Titleholder Phone Number �� � <br /> Simple Titleholder Address <br /> Address p � '� � V Lot # � <br /> Division Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> a Emergency Generator < 30 kw Q LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw � LPMatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � � ❑ ❑ � Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ � ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Instailation � Toroh RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> tractor � '� —�i 1 l J Company p' Q <br /> iature Registered N Fee Current Y/ N <br /> Address License # <br /> :CTRICIAN Company <br /> iature � Registered Y/ N Fee Cument Y/ N <br /> Address License # <br /> IMBER Company <br /> iature Registered Y/ N Fee CurreM Y/ N <br /> Address License # <br /> :HANICAL Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> IER Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <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 applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:/lappraiser.pascogov.com) <br />