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&�z�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Y� ' ' Permit Application <br /> ite Received �� �,�i� —/�:Cl\ Phone Contact for Pertnit � � � <br /> nmers Name Owners Phone Number � � � <br /> nmer's Address J � <br />�e Simple Titleholder Name TiUeholder Phone Number � � � <br />:e Simple Titleholder Address <br />�b Address �7 3 � '� J 1 r G . � Lot# �� <br />�b Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Instailation <br /> aEmergency Generator>30 kw LP/Natural Gas-ANNUAL Sate <br /> � Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL ,,,,,,///�/� <br /> � emi �n er !1 Y <br /> Sprinkler � ❑ � ❑ � � Recreatio�al Bum � � ' <br /> j �_ <br /> Fire Alartn � ❑ ❑ ❑ � a Sparklers � <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System installatio <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> .-�_- <br /> � Fire Alarm Installalion � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Ot er. <br /> mtractor , Company Y�( ,S <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br />.ECTRICIAN Company <br /> gnature I Registered Y/N Fee Current Y/N <br /> Address License# <br />_UMBER Company <br /> gnature Registered Y/N Fee CurreM Y/N <br /> Address License# <br />=CHANICAL Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> fHER Company <br /> 3nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> rections: <br /> Fill out application completely. <br /> Owner&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 /> Suppiy 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 />