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a�3-�ao-oozo City ofZephyrhills"Fir�• F�-e�s-�so-oo2� _ <br /> Permit Application - _--. <br /> Date Received Phone Co� for Pertnit <br /> - - �.,...��:�.. <br /> ` ` ���� <br /> Owner's Name o�,ers Pr►o� N�„�� <br /> o�rsaaa�s �I 33 �1�. l � �-- <br /> Fee Simpie Titleholder Name Titleholder Phone Number ��� <br /> Fee SimpleTitleholderAddress <br /> 'JobAddress Lot# � <br /> 5ub Division ��� # <br /> � Bio-Hazard Waste Storage -ANNUAL � Fumigation Tent <br /> Q Comm Exhaust FGtchen HoodlDuct Q Hazardaus Mateerial (Tier il or RQ Facility) ANNUAL <br /> � Corrtroiled Bum � Hood InstaUation <br /> � Emergency Generator < 3p kw a LPMatural Gas-Installation � f�(,(�� <br /> � Emergency Genera�or> 30 kw � LP/Naturel Gas-ANNUAL Sale <br /> � Fre Protection Mairrtenance - ANNUAL � Places of Assembly-ANNUAL -- <br /> � �� � <br /> Sprinkler � ❑ O ❑ � Recreational Bum <br /> Fre Alartn � ❑ ❑ ❑ � � Spariclers <br /> Hood Geaning * ❑ ❑� � Sprinkler System k�stallations <br /> Hood Suppressio� ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Instailation � Toroh Roofing/Tar Kettle <br /> Fira Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> FlammabFe Application- ANNUAL Valuation of Project <br /> Fuel Tanks <br /> er: <br /> r <br /> Contractor � ,. Company <br /> signature Registered Y/ N Fee cumerrt Y/ N <br /> Address '� License # <br /> ELECTR�CIAN Company <br /> Signature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> PLUM$ER Comparry <br /> s�s��� Registered Y/ N Fee current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> SignaWre Registered Y/ N Fee Current Y! N <br /> Address License # <br /> OTHER C,omparry <br /> 3i9nawre Registered Y/ N Fee Current Y/ N <br /> �� License # <br /> Direcbons: �` _ `�, <br /> Fill out appiicalion cornpletely <br /> Owner & Contrector sign back of applicatlon. rrotarized (Or. copy of signed contract with owner) <br /> !f over $2500. a Notice of Cortvnencert►ent is reqwred.{Mechanical work over 5.�000) <br /> Suppiy two (2j sets of drawings wifh appiicable documentation <br /> Ailow 1 a14 days for review after submittal date. Part:el #- obtained irom Property Tax Notice (httpJ/appraiser.pascogov.com) <br />