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8'�3-780-0020 Ciry of Zephyrhills Fire Fax-813-780-0021 <br /> . Permit Application <br /> ate Received '� Phone Contact for Pertnit � � � <br /> wner's Name � ..Q �„� '� Owners Phone Number �� � � <br /> wner's Address lQ� � (� '� v <br /> ae Simple Titleholder Name � Titteholder Phone Number � � � <br /> ae Simple Titleholder Address - <br />>b Address �/� l9G-�� �J'�) � 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-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n er <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum <br /> Fire Alarm �❑ ❑ � Sparklers <br /> Hood Cleaning ❑ ❑, ❑ � a Sprinkler System Installations <br /> Hood Suppression � ❑ O ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire 5torage ANNUAL <br /> aFire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br />�ntractor ' 1 /� (, �C Company S A Gl.:('� <br /> gnature � � ' �-.-�— Registered Y/N Fee Cument Y/ <br /> Address License# <br />_ECTRICIAN Company <br /> gnature I Registered Y/N Fee Cument Y/N <br /> Address License# <br />_UMBER Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br />=CHANICA Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> fHER <br /> Company <br /> 3nature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> rections: <br /> Fill out application completely <br /> Owner&Contractor 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 /> 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(httpJ/appraiser.pascogov.com) <br />