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sia-7ao-oo2o City of.Zephyrhills�Fir•.e• FaX-a�aaaaoo2i <br /> �, , Permit Application <br /> Date Received �Q l - Phone Contact for Pertnit a� " <br /> Owners Name � Ovmers Phone Number -� �,� <br /> Owners Address < < L� <br /> Fee Simple Titieholder Name TiUeholder Phone Number � �� �� <br /> Fee SimpleTitleholderAddress <br /> Job Address y \ F 3� a Lot# �� <br /> Sub Division Parcel# <br /> � Bio-Hazarcl Waste Storage-•ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generetor<30 kw � LPMatural Gas-Installation <br /> � ,�Emergency Generetor>30 kw � LP/Naturel Gas-ANNUAL 5ale <br /> � Fire Protection Maintenance-A UAL � Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkier ❑ p �. � Recrea5�na!9um <br /> Fire Alartn p O '�I � � Sparfclers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh RoofinglTar Kettle <br /> � Fire Pumps � Waste Tira Storage ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Othe � <br /> ConVactor Company y �� - <br /> Signature Registered Y/N Fee Current Y/ �5ya <br /> Add�ess 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 /> Directions: <br /> FII out application completely. <br /> Owner&Contractor sign back of appiication,notarized(Or,copy of signed conVact with owner) <br /> If over$2500,a Notice of Commencemerrt is required.(Mechanical work over$5000) <br /> Supply two(2)sets of drewings with applicable documentation <br /> Allow 10.14 days for review afier submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />