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��saso-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> ' � ' Permit Application <br /> : Received g� 2 t—( (—, Phone Contact for Pertnit �� 6 9 <br /> �ers Name e.�Gt� C� �� �S Owners Phona Number �� �� 7 <br /> ier's Address � �J ��` l �� J � � • � � 3 3 ST � <br /> Simple Titleholder Name Titleholder Phone Number �� � <br /> Simple Titleholder Address <br /> Address ���� Lot # � <br /> Division Paroel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent __ <br /> � Comm F�chaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) AN <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation �� C� � <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale ` <br /> � Fire Protection Mafntenance - ANNUAL � Places of Assembly-ANNUAL � _ <br /> �y emi �n er <br /> 5prinkler � ❑ ❑ ❑ � Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Spariclers � <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations ��� <br /> Hood Suppression � ❑ ❑ � � � Standpipes (Sprinkler Sys) � � � <br /> � Fire Alarm Installation � Toroh Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storege ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> tractor Company ; t �7` ri �-- <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address p O D� 6 License # <br /> :CTRICIAN Company <br /> iature � Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> IMBER Company <br /> iature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> �HANICA � <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> iER <br /> Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ctions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized (Or, copy of signed contrect with ownerj <br /> If over $2500, a Notice of Commencement is required (Mechanical woric 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 />