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81378D-OD20 City of.Zephyrhills�Fir:e• FaX-s���eo-oozi <br /> � , � _ Permit Applicafion <br /> Date Received � ' Phone Contact for Pertnit ��� <br /> Owner's Name # J Owners Phone Number -� �,�� <br /> Owner'sAddress ��Ja � <br /> Fee Simple Titleholder Name TiUeholder Phone Number � � � <br /> Fee SimpleTitleholderAddress <br /> Job Address ]�j� �� � ` , Lot# � <br /> Sub Division Paroel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kltchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum Q Hood Installatlon <br /> � Emergency Generator<30 kw � LPMatural Gas-instellation <br /> � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> � ami � er <br /> 5prinkler � O � ❑ � Recreational Bum �(� <br /> Fire Alarm � ❑ O `� � � Sparklers 'T' 1 �� (J <br /> Hood Cleaning � ❑ ❑ ❑ �� � Sprinkler System Instaltations <br /> Hood Suppression � O ❑ O � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh RoofinglTar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL , Valuation of Project <br /> Fuel Tanks <br /> Q Othe • <br /> ConVactor Company a ! <br /> Signature Ragistered Y/N Fee Current / 23rJLl r <br /> � J <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/M Fea Current Y/Id <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fc:e Current Y/N <br /> Add2ss 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 8 Contractor sign back of application,notarized(Or,copy of signed conUact with ovmer) <br /> if over$2500,a Notice of Commencemerrt is required.(Mechanical woric over$5000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Ailow 10-14 days for reviaw after submittal date. Parcel#-obtained from Property Tax Notice(http://appreiser.pascogov.com} <br />