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• $�aaso-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Qate Received ,� — �� Phone Contact for Pertnit 352 � 7340 <br /> Owner's Name Silverado Ownefs Phone Number �� �� <br /> Owners Address <br /> Fee Simple Titleholder Name Titleholder Phone Number 813 788 1225 <br /> �ee Simple Titleholder Address <br /> Job Address Lot # � <br /> Sub Division Par�ei # <br /> � 8io-Hazard Waste Storage - ANNUAL a Fumigation Tent <br /> a Comm 6chaust Kitchen Hood/Duct Q Hazarcious Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum a Hood Installation <br /> � Emergency Generetor < 30 kw � LPRVaturai Gas-Installation / <br /> � Emergency Generetor > 30 kw � LP/Natural Gas-ANNUAL Sale / <br /> � Fire Protection Maintenance - ANNUAL � Piaces of Assembly-ANNU �� <br /> � �� e � f�� <br /> Sprinkier � 0 ❑ O� � Recreational Bum � <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers � <br /> Hood Cleaning �❑ ❑ ❑� � Sprinkler System Installatio <br /> Hood Suppression � ❑ � ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Instaltation � Torch RoofinglTar KetNe <br /> n Fire Pumps a Waste Tire Storage ANNUAL <br /> � F�� wa�s <br /> � FlammableApplicatlon-ANNUAL Valuation of Projeet <br /> Fuel Tanks <br /> Q Other. <br /> Contractor Corr�pany <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN Company �_ <br /> Signature � Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registe►ed Y! N Fee Current Y 1 N <br /> Address Licerue # <br /> MECHANICA Company <br /> Signature Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> OTHER Comparry Securitv Fire Ecruipment LL <br /> Signature Z% Registered _ Y/ N Fee Curre�t Y/ N �� <br /> Address 18330 Lawrence Rd License# <br /> Directions� <br /> Fill out application completefy <br /> Owner & Contracior sign back of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical wo►k over 35000) <br /> Supply two (2) sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcsl #- obtained from Property Tax Notice (httpJ/appraiser.pascogov.com) <br />