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e�3-�8o-oozo City of Zephyrhills Fire Fax-813-780-0021 <br /> � " Permit Application <br /> : Received Phone Contact for Permit ��� <br /> ier's Name � �->. /�. Ovmers Phone Number ��3 �e�2 /11 <br /> ier's Address 38'�O/,s Li}.�/S' 2e � �. <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 � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controifed Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LPlNatural Gas-Installation <br /> � Emergency Generator > 30 kw � LPMatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> � emi �n er <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleani�g � ❑ ❑ fe� � � Sprinkler System Installations <br /> Hood Suppression � ❑ � ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Nartn Installation � Toroh Roofinglfar Kettie <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL r---, Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> cractor <br /> Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> :CTRICIAN <br /> 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 Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> �ER Company Pd�r�7 .tntE �Q�i c.c/� � � � <br /> iature Registered / N Fee Current N <br /> Address License # �r � ppY/pe�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 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 />