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s��-aso�o2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> : Received Phone Contact for Permit ��� <br /> rer's Name ,�,� � Owners Phone Number �J /,3 �,2 �$ S�// <br /> ier's Address � � LL � U �! <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 Exhaust Kitchen Hood/Duct � Hazardous Materiai (Tier II or RQ Faciiity) ANNUAL <br /> � Controlled Bum � Hood InstallaUon <br /> � � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw a LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Ptaces of Assembly-ANNUAL <br /> �y emi � er <br /> Sprinkler � � ❑ ❑ � Recreational Bum <br /> Fire Alartn � O ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � � � ❑� � Standpipes (Sprinkler Sys) <br /> a Fire Alarm Installation � Toroh Roofingffar Kettle <br /> Q Fire Pumps � Waste Tire Storage ANNUAL <br /> � F�� wo►�5 <br /> Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> tractor Company <br /> iature Registered Y/ N Fee Current Y! N <br /> Address License # <br /> :CTRICIAN Company <br /> iature I Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> IMBER Company <br /> �ature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> :HANICAL Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> IER Company f'1L� v� i> .�i,ec �� •.-.w� [ l, L <br /> iature � Registered N Fee Current N <br /> Address License # ,� �Q�Q (� <br /> ctions: <br /> Fill out application completely. <br /> Owner & 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 (httpJlappraiser.pascogov.com) <br />