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s��-�ao-oo2o City of Zephyrhills Fire Fax-s�3aso-oo2� <br /> Permit Application <br /> Date Received Phone Contact for Permit - I 3 �� <br /> .,. _ . , . . < �- � : ..,.. .. . .> <br /> Owner's Name Owner's Phone Number �� ��� <br /> Owner's Address � �� � , <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � <br /> Fee Simple Titleholder Address <br /> .. � ... ;.s,.;«,;,K���.,..x:� ,::ES��?'°-h•se:k:�-a.�i:4" ,Sg.,....y. ��;s:, � .. .. . .. .... ,. .. �. <br /> Job Address 3 � � Lot # � <br /> Sub Division Parcel # <br /> <. ., r a .. ..e.� ...a.. .a..: a..i, r...r n.a �six...r....S. .«. .9i :{:i�:. ..w.:.bn:�;' .. ....Y :'r ...-. . .. � �diG ' , s..r. .;{��� �. . . . .. ...... .... ... <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Materiai (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 � LP/Natural Gas-ANNUAL Sale <br /> a Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> r y emi �n er � ^ �,//' <br /> Spnnkler � ❑ ❑ ❑ � � Recreational Bum 1j�7 � � r <br /> Fire Alarm ❑ ❑ ❑ � � Sparklers � <br /> Hood Cleaning � ❑ ❑� � Sprinkler System Installations <br /> Hoo uppression ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Instaltation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> � Flammable Appiication- ANNUAL r Valuation of Project <br /> � Fuel Tanks <br /> � er: <br /> � .�..,. _..3 ..W�;s ....'S'i;�' ur�l ' 2�a, sa.,��.. .. , , ;�.a.a.�.:..... , � .. �.w.�:�-.�: Sf'x�i�:�r.ti.:.'�'�2.�i.A:«�.:ii^' <br /> Contractor �-- Company p� mm L <br /> Signature � m Registered N Fee Current Y <br /> Address 1 ' 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 /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ,,,,.d<°����-..�, .., <br /> ..... _:>. �._.��: <...�... ._ .,.<.. . .. <br /> '�° •'.:��.^ . . <br /> � ... ..,�.._. .�.h.m •. ., .. ....,. • .�..�.d...�.>.a. • ,..ox y._ � �.:::�..: .. , . ,...,..�.. <br /> Directions: _.. .._.. _. .. ._ __..� .._ ..... _.._ ... ».._.�_.._. ._,_._.�.k.�H. <br /> Fill out appiication completely <br /> Owner 8 Contrector 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 /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />