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d13-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Received Phone Contact for Pertnit � � � <br /> wners Name — P /�' Owner's Phone Number �,3 ZG.� Q �'7 <br /> wner's Address 7 <br /> 3e Simple Titleholder Name TiUeholder Phone Number � � � <br /> ae Simple Titleholder Address <br />>b Address Lot# � <br />�b Division Paroel# <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/Naturel Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � � ���. <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUA / <br /> �y emi �n er <br /> Sprinkler � �3 ❑ ❑ � Recreational Bum <br /> Fire Alartn � I� ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � � ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installalion � Torch Roofinglfar 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 /> mtractor Company <br /> gnature Registered Y/N Fee Curtent Y/N <br /> Add License# <br />.ECTRICIAN Company <br /> gnature I Registered Y/N Fee Current Y/N <br /> Address License# <br />_UMBER Company <br /> gnature Registered Y/nl Fee Current Y/N <br /> Address License# <br />=CHANICA 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&Contractor sign back of application,notarized(Or,copy of signed contrect 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:/lappraiser.pascogov.com) <br />