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813-780-0020 City ofZephyrhills'Fir�s� Fex-s���aaoo2� . <br /> Permit Rpplication . _. <br /> Date Rec ived �-.y, - - Phone Cor�tact for PermR <br /> Owners Name Q. � Q �i Ct.•�jf..� 1� : Owner's Phone Number .� �� <br /> Owners Address � „�� " f".s�` �tv`� 3.�S��t� <br /> Fee, Simple Titlehold�r Name Titleholder Phone Numbar �� � <br /> Fee Simple TlUeholder Address � <br /> Job Address �� � { �� �- ��� ` � Lot # <br /> Sub Division • Parcel # <br /> a BlaHazar�Waste Stor�ge - ANNUAL � FumtgaUon Tent <br /> � Cortttn Fxhaust Kitchen Hocd/Duct a Hazardous Matedal (Tfer II or RQ Facility) ANNUpL <br /> � Controlled Bum � Hood Installation <br /> g Emargeney Generator <�0 kw � LP/Natural Gas-Instatlatlon <br /> Emergency Generator > 30 kw ,� LP/Natural.Gas-AMNUAL Sale <br /> � Ffre Protection Maintenance - ANNtlAL � Places of Assembly-RNNUAL <br /> �y emi ��n er � � � <br /> Sprinkler � ❑ O ❑ � � Recreatlonal Bum � <br /> Fire Alartn � ❑ ❑ ❑ � Sparklers l <br /> Hood Cleaning � ❑ O ❑ g Sprinkler System Installations <br /> Hood Suppresslon � O � ❑� � Standpipes (Sprinkler Sys) <br /> Flre Alamr InstallaUon � Torch Rooflng/Tar Kettle <br /> Fire Pumps . � W�ste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable AppNcation- ANIVUAL , Valuation of Project <br /> ���I���� <br /> Fuel 'fanks <br /> Q Other: <br /> Contractor Company — t <br /> Signature Registered / Fee uRent Y/ <br /> Address �'37 Llcense # <br /> ELECTRICIAN � Company <br /> Signature ' Registered Y./ N Fee Current Y/ N <br /> Address • License # <br /> PLUMBER Company <br /> Signature Registered Y/ N �ee Currerrt Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER � Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> Directions: <br /> FlII out applicaUon completely. � <br /> Owner & Contractor sign back of applicatfon, notarized (Or, copy of aigned contract with owner) <br /> If over 52500, a Notice of Commencement is required.(Mechanical work over $5000) <br /> Suppiy 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 />