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' � r 813-780-0020 City of Zephyrhills Fire Fa�c-s��-�ao-oo2� <br /> Permit Application <br /> Date Received — �/ Phone Contact for Permit 352 � 7� 7340 <br /> Owner's Name Amvets Owners PFrone Number �� �� �� <br /> Owners Address <br /> Fee Simple Titleholder Name Titleholder Phone Number 813 780 8180 <br /> Fee Simple Titleholder Address <br /> Job Address Lot # � <br /> Sub Division Parcel # <br /> � Bio-Hazarcl Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (T'rer II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generetor < 30 kw a LPlNaturel Gas-Instailation <br /> � Emergency Generator > 30 kw Q LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Piaces of Assembly-ANNUAt �'� � <br /> � � � e� 0 S <br /> Sprinkier � O ❑ O Recreational Bum �� � <br /> Fire Afartn ❑ ❑ ❑ �� � Sparklers <br /> Hood Cleaning X�X ❑ � ❑� � Sprinkler System installatio <br /> Hood Suppression XX � � ❑ C� � Standpipes (Sprinkler Sys) � <br /> � Fire Afarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL �_—, Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> ConVactor Company <br /> Signature Registered Y/ N Fee Curt�ent Y/ N <br /> Address <br /> License # <br /> ELECTRICIAN Company <br /> Signature � Registered Y! N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company �— <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Add2ss <br /> Lice�se # <br /> MECHANICA <br /> �►+a�m <br /> Signature Registered Y/ N Pee Current Y/ N <br /> Address License # <br /> OTHER � Comparry Securitv Fire EauiDment LLC � <br /> S�g"a�"re �'alt�'�� Registered Y/ N Fee Cument Y/ N <br /> Address 18330 Lawrence Rd License# <br /> Directions: <br /> Fill out application completefy <br /> Owner & Contractor sign back of applica6on, 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 drawi�gs with applicable documerrtation <br /> Allow 10-14 days for review after submittal date. Parce{ #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />