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s�3a8o-oo2o City ofZephyrhillsFi�e� <br /> F�-s��-7so-ooa� <br /> . Permit Application - <br /> Date Received - Ptwrie coMact tor Permit �� �, �� --: <br /> �� , <br /> owners Name Owne�'s PF�w�e Number ���$ 2�i l <br /> Owners Address � ' 1 , • � <br /> Fee Simple TftlehoMer Wame TitleFwlder PFmne Ntxnber � C� � <br /> Fee SimpleTitleholderAddress <br /> Job Address Lot # �� <br /> Sub Division pHrce� # <br /> a Bio-Hazard Waste Storage - ANNUAL � Fumigaiion Ten[ <br /> � Comm E�aust IQt�hen HoodlDuct a Ha�ndous Material (Tfer II or RQ Facility) ANNUAL <br /> � �n�� � � hlood Instafistion <br /> Q Emer9encY Generator < 30 kw � LPMaWral Gas-Insfalfation <br /> � Emarger�cY Genera6or> 3p kw � LPMahaai Gas-ANNUAL Saie <br /> � Fre Protection t�ir�ance - ANNUAL � Places oF Assemdy-ANNUAL ---- <br /> .Cl���� CI ��Z�D� <br /> SPrinkler ❑ p ❑ Reaeational B�sn <br /> Fire Alartn � O O ❑� Q Sparlders <br /> Hood Geaning � ❑ ❑ C� � Sprinkler System Installations <br /> F�ood St�ppr� ❑ ❑ D� � StandP�Pes �SP� SYS) <br /> � Fira Riartn Ir�staUation a Tor�h RooSnglfar FCettle <br /> Fire Ptmps a Waste Tue Stoiage ANNUAL <br /> Fire Works <br /> Re""r►awe �ica�r''�u'q� �--, Valuaiion of Projecf <br /> Fuel Tanks <br /> r. <br /> Corrtractor � � �� <br /> signaaae Rep;sGeted Y/ N Fee cumenc Y/ N <br /> /Zddt+ess ^ L.icense # <br /> ElECTRICIA � �� <br /> S �"� R�isea�ed Y/ N Fee Cur�+e�,t Y/ N <br /> �� License # <br /> PLUMBER �� <br /> signaa,re Regjstered Y/ N Fee cwranc Y/ N <br /> �� Lice�e # <br /> MECHANICAL � <br /> S�g"ahue Registe�ed Y/ N Fee currerrt Y/ N <br /> �� License # <br /> OTHER �� <br /> �" Resistered Y/ N Fee Cument Y/ N <br /> �� License # <br /> Directfons: <br /> F'iil out aPP���aOon �ple�ely. <br /> Owner 8 CoMracbor sign baclt of applicalion. notari¢ed (Or. coPY ���►tract with awner) <br /> ff over 52500. a Notiae of Cortrr�rt�ent is required.(I,Aecharoical woric over 35000) <br /> S�PP�Y ��2) ssta of drawfngs wRh appl(cabie doctuner�tlon <br /> ANow 10-14 days fior roview after sub�rdttni date. Pareei #- obtained irom Property Tax Notice (hCpJ/appraiser.pascogov.com) <br />