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s��-�ao-oo2o City of Zephyrhills Fire F�-s��-�aaooz� <br /> PeRnit Application <br /> � Received Phone Contact for Pertnit �� � <br /> ier's Name z �, lS P GTh ��� �R� Owners Phone Number �"/3 � � 30 <br /> iers Address / 3 sU .L�A � R � d• z� f I'� ��1S /' L• <br /> Simple Titleholder Name Titleholder Phone Number �� � <br /> Simple Titleholder Address <br /> Address Lot # � <br /> Division Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct Q Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> a Emergency Generator < 30 kw � LPlNaturel Gas-Installation <br /> � Emetgency Generator > 30 kw Q LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> � em� � er <br /> Sprinkler � ❑ ❑ ❑ a Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ � Q Sparklers <br /> Hood Cleaning � ❑ �1 ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ � O� � Standpipes (Sprinkler Sys) <br /> � Fire Alartn Installation � Torch Roofinglfar 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 Company <br /> iature Registered Y/ N Fee Currerrt 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 Current Y/ N <br /> Address License # <br /> :HANICAL Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> IER CompanY u i�eef E .+,e.v LG '�— <br /> �ature Registered / N Fee Current / N <br /> Address License # �p��j /�f <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 NoGce 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 />