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st3aea-oo2o City of Zephyrhills Fire <br /> . Fax-813-780-0021 <br /> Permit Application <br /> ate Received - .� Phone Contact for Pertnit ����1 <br /> wner's Name S� '� L �- � —J <br /> Owner's Phone Number � � � <br /> wners Address G�- (_ L � L �/J/ <br /> se Simple Titleholder Name ��� r---•—� <br /> TiUeholder Phone Number I I <br /> 3e Simple Titleholder Address L�J <br /> �b Address �� <br /> Lot # <br /> �b Division <br /> Parcef # <br /> � Bio-Hazard Waste Storage - ANNUAL � <br /> � Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Material <br /> � (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generetor> 30 kw � LPlNatural Gas-ANNUAL Sale <br /> Fire Protection Maintenance - ANNii,4t. � <br /> Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � ❑ ❑ � Recreational Bum <br /> Fire Alarm ❑ ❑ ❑ � ❑ <br /> ❑ Sparklers <br /> Hood Cleaning p � � � <br /> ❑ Sprinkler System installations <br /> Hood Suppression ❑ ❑ O�� � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> a Fire Works <br /> � Flammable Application- ANNUAL <br /> � Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> �ntractor <br /> �nature Company <br /> Registered Y/ N Fee Current Y/ N <br /> Address <br /> ECTRICIAN License # <br /> �nature C.ompany <br /> Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # � <br /> JMBER <br /> nature Company <br /> Registered Y/ N Fee CumeM Y/ N <br /> Address <br /> License # � <br /> CHANICA <br /> iature �mpany <br /> Address <br /> Registered Y/ N Fee Current Y/ N <br /> License �F <br /> �ER <br /> iature Company <br /> Address <br /> Registered Y/ N Fee Current Y/ N <br /> :tions: <br /> License # � <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 /> Ailow 10-14 days for review after submittal date. Paroel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />