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s��-�so-oo2o City of Zephyrhills'Fi�� Fa�c-sl3-�so-oo2� <br /> Permit Application <br /> late Received � - Phone Contaetfor Permit yC��� <br /> :���.� � a�� z._.�..v...�;...,.�...»,..,,,..........,e,......_..,.�__...�..� <br /> hvners Name � (' � �.�..G DumePs Phone Number C� �� � <br /> �wner's Address �c� \ ( J � � a � <br /> 'ee Simple T�leholder Name �� - c.J (,� (_ 'Titleholder Phone Number � C� � <br /> =esSimpleTitleholderAddress c. '�r � <br /> ..�:�� <br /> �.° : <br /> Job Address �. �'��-2 �a.�� �� ��- �� l 1 S � Lot# � <br /> Sub Division v' �� e `, Paroet# .3 S '�r'J 'a� •UUIO ' V1�,UO -UUC�O <br /> '�".�--- - ' ��-��:ess:�a-�y�»�-�.a�.� <br /> � � BiaHazard Waste 5torage-ANNIlAL � FumigaUon Tent <br /> � Comm Exhaust fQtchen HoodlDuct � Hazardous Matsrial(Tier II or RQ Faciliiy}ANNUAL <br /> � Control{ed Bum a Hood Installadon <br /> � Emergency Generator<30 kw � LP/Naturaf Gas-Installatlon <br /> Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale <br /> Firs Proteofion Mai�enance-ANNUAL �� Pla.^.es af Assembly-ANNUAL <br /> �y em� � r <br /> SPrinkler � ❑ ❑ O � Recreadonal Bum <br /> Fire Alarm � ❑ ❑ � � � Sparklers <br /> Hood Cleaning ❑ O � �� � Sprinkler System InslallaUons <br /> Hood Supp►ession � O 0 ❑ � � Standpipes(Sp�nWer 5ys) <br /> a Fire Alartn Installatlon � Torch Roofing/Tar KetUe <br /> Fire Pumps a Waste Tirs 5torage ANNUAL <br /> Fi►e Works <br /> Flammable Applicatlon-ANNUAL �_-, Valuation of Project <br /> Fuet Tanks <br /> � �tflSf; <br /> ;I�aH9t� <br /> ConUactor -- Comparry -�� � •` .i a�t E:, <br /> Signature � ' Registered Y (V Fee Current N <br /> Addreas 1 � Lice�e# J b i� <br /> ELECTRICIAN Company <br /> 5ignature Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y�N I Fee Current Y/N <br /> Address Ucense# �- -� <br /> MECHANICAI Company <br /> Signature Registered Y I N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered �/N Fee CuRent Y/N <br /> Address License# <br /> '"'s - ------�..,_`.,.,�+..,.��ea..�.......�.._...�e...,a.i n,„..,.,�„_,...,.`-.._._.__.�� .w.s..nseli�ll'APl9 - =—-- . yx;vm�.�.w,_- rlx�ci�^i[r.eS+��e:. <br /> DirecUons _- . _...-.._. .: ..:............_._..._�., ._..: <br /> Fill out appiicaUon completely. <br /> Owner 8 Contractor sign back of app(ication,notarizad(Or,copy of signed oontract with owner} <br /> ff over 52500,a Notice of Commencemant Es raqulred(Mechanica!work over 350D0) , <br /> Supply two(2)sets of drewings with applicable daeumerrtation <br /> Allow 10-14 days for revtew after suhmittal date. Parcel#-obtained frorn Property Tax Notice(http:/lappraiser.pascogov.cam) <br />