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81 �.� 20 City ofZephyrhillsFir�. Fax-s�a-�so-oo2� t_ <br /> Permit Application - _�-- <br /> - Ft»rie c:orrtact tor Penrdt <br /> Date Received <br /> Owne�'s Phone Numbar •[_�'��, � � � � l <br /> o�,ers nia� <br /> OwnersAddress �• , , � <br /> Fea Simple 7itleFwider Name TitleFwlder Phone Number C] � C� <br /> Fee Sunple'�18eholda� Address <br /> Lot # C� <br /> Job Address <br /> Pareel # <br /> Sub Division <br /> � 810-Flazsld Waste Stara98 - ANNUAL � Fumigation Terrt <br /> � � �� � � � �rdot� Materiel (Tier II or RQ Faclity) ANNUAL <br /> � Controlled Bum � Flood Instailation <br /> � Ert�ergency Gene�'abor < 30 kw � LP/Nahxal Gas-Iru�Uation <br /> � Ert�er�cy Generaior> 30 kw � LP/Nahaal Gas-ANNUAL Sale j ^-�._ <br /> � Fire Protection Mainterrance - ANNUAL � Places of AssemblY-ANNUAL � r�L C' I� <br /> � �� <br /> g ��� �❑ D p � Recreationa� Bum <br /> Ffre Alartn � O � O L�� � SP <br /> /" .�r � �� � gp�er System Installations <br /> Hood Cleaning T — <br /> Hood Suppression D ❑ ❑ � � �^dFWP� �SP�� SYS) <br /> � Fre Alartn Ir�aliation a To�h Roofmgriar Kettle <br /> F �� �� � Waste Tire Staage ANNUAL <br /> Frce Works <br /> Flamrr�bie �p'�cauo�-�NUn� ValUatiOn of Project <br /> Fuel Tardcs <br /> r. <br /> contractor � <br /> s � y � t �tesisterea Y! N Fee Cwre�t Y/ N <br /> Address � License # <br /> ELECTRIGA � <br /> signature Registered Y/ N Fee Current Y/ N <br /> Address Licer�e # <br /> PLUMBER CO <br /> s � 9 � Regisbered Y/ N Fee currarrt Y/ N <br /> Address License # <br /> MECHANICAL ��Y <br /> signature Registersd Y/ N Fee Curtent Y/ N <br /> �� Lice�me # <br /> OTHER CO �� <br /> signati.ae Registered Y/ N Fee CuRent Y/ N <br /> �� License # <br /> Directions: <br /> Fill out application cornpl�ety. <br /> Owner & Contractor s19n badc of appiicat�, notarized (Or, coPY ��9� ca�tract vvith ovvner) <br /> If ove► 52500. a Notloe of Corrvr�merrt is required .(M�nical work over E5000) <br /> Supply two (2) aets of drawings witli applicabie dacurnm�tlon <br /> ANow 10-�4 days for review after submittal date. Pareei #- obtafned from PropertY Tax Notice (httpJ/appraiser.pascogov.com) <br />