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s�s-�so-oo2o Ciry of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> : Received � Phone Contact for Pertnit ��� <br /> iers Name � Owners Phone Number �� 3 /�3 �J � � <br /> ier's Address 022- �T*+ � � / <br /> Simple Titleholder Name � TiUeholder Phone Number �� � <br /> Simple Titleholder Address <br /> Address �v� � � � 1 1/ Lot # � <br /> Division Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Mate�al (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood InstallaUon <br /> � Emergency Generator < 3� kw � LPlNatural Gas-Installation <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sata a <br /> Q Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL �� �) ���— <br /> � emi �n er <br /> Sprinkler � � ❑ � � Recreational Bum <br /> Fire Alartn � ❑ ❑ ■ � � Sparklers ���t� <br /> Hood Cleaning � � ❑ �� � Sprinkler System installations <br /> Hootl Suppression � � ❑ ❑ � � Standpipes (Sprinkler Sys) � � � <br /> � Fire Alarm Installation � Toroh Roofinglfar Kettle %� _� J` <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works _ <br /> � Fiammable Application- ANNUAL r V aluation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> tractor � Company � s� <br /> iature Registered Y/ Fee Current Y/ N <br /> Address License # <br /> :CTRICIAN Company <br /> iature � Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> IMBER Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> :HANICAL � mPy � Y <br /> iature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> �ER <br /> Company <br /> iature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> ctions: <br /> Fill out appiication compietely. <br /> Owner 8 Contractor sign back of application, notarized (Or, copy of signed conVact 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://appraiser.pascogov.com) <br />