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s��-�..��,02o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> : Received �r � Phone Contact for Pertnit �� �� <br /> T' <br /> iers Name �'� � cr-�v/ 2 t�t � Owners Phone Number `�D� 7� f,�� <br /> iers Address �� l �/ / l 4v1� ✓� Z <br /> Simple Titleholder Name Titleholder Phone Number �� � <br /> Simple Tideholder Address <br /> Address �� �^"�� Lot # � <br /> Division Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent ✓� <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL /� � 9 J <br /> a Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LPMatural Gas-Installation <br /> � Emergency Generator > 30 kw � LPlNatural Gas-ANNUAL Sale . <br /> Q Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL r .- `� � 1 <br /> � emi � er /�' � � � E,'� 0 � <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum �"'� c � /' <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers ��_ <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ,�c ❑� Q Standpipes (Sprinkler Sys) <br /> L <br /> � Fire Alarm Installation . � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> a Fire Works <br /> � Flammable Application- ANNUAL � Valuation of Project <br /> � Fuei Tanks <br /> Q Other. <br /> tractor Company /`+� G <br /> iature Registered Y/ N Current Y/ N <br /> Address � a �.D ,3 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 Cument Y/ N <br /> Address License # <br /> :HANICAL Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> 1ER Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ctio�s: <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://appraiser.pascogov.com) <br />