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s�aaac�-oa2e City of Zephyrhills�Fir��� Fax-813-780-0021 <br /> �ermit Application <br /> te Received - Phona Contaetfor Permit ` � �T� <br />?_5:tiLL$!:�i%:[w;�l'�.�'n4r'�",:�>,. +....s�,.:n:uia:v CC" -.�.7����0"t�i 41�;`"�k$�' . <br />�ners Name pwner's Phone Num6er � C1� <br /> iners Address �QCI �� � � I 3 3 5 a <br /> e Simple'iitlehvlder Name TiBeholder Pfione IVumber � C� C <br /> e Simple Titleholder Address <br />:�,�`��'�� - <br /> "m":�l�l:i�;F�l:�t."�.�€t�,#�: <br />�Address � Lat# � <br /> b Division �� �e � Parcel# 0�0-a I • l��(�-�()02S()D-Q 5(� <br />�t3tc-y : . . - �$k�i�a�7�°�-Yis.1�:3�:.��..'�>.��"��:."�4�x�%�� <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigaflon Tent <br /> � Comm Exhaust Iptchen HoodlDuct � Haza�dous Material(71er II or RQ Facllity)ANNUAL <br /> � ConVol{sd Bum � Hood Installatlon <br /> � Emergency Generator<30 kw � LP1Naturef Gas-Installa8on <br /> Emergency Generator>30 kw � LP/Naturai Gas-ANNUAL Sate <br /> Flre Prnteo8on Maintenance-ANNUAL a placas of Assembly-ANNUAL <br /> L�r y emi nT er <br /> 5prinkler � ❑ O ❑ � � Ftecreational Bum <br /> Rre Alarm ❑ ❑ �ry L� � Sparklers ��/ ���� <br /> J' � � <br /> Hood Cleaning O ❑ ❑ � a Sprinkler 5ystem Installatlons <br /> Hood Suppression � ❑ ❑ p � a Standpipes(Sprinkler Sys) <br /> aFire Alarm InstallaUon � Torcfi RoofinglTar KetUe <br /> Fire Pumps � Waste Tire 5torage ANNUAL <br /> Fire Works • <br /> Ffammabie Appiication-ANNUA� Valuatlon of Project <br /> Fuel Tanks <br /> Q Other: <br /> ����f,� <br /> ontractor Comparry ='� �� -�--- <br /> - � :�C� ` G, <br /> Ignature ' Registered Y N Fee Current N <br /> Address ) 1 _ � � Licet►se# �Zy �� <br /> LECTRICIAN <br /> Campany <br /> ignature r�egiscered Y/N Fes Cutrent Y/N <br /> Address � <br /> � License# <br /> LUMBER <br /> Company <br /> ignature — _._ <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> Licansa# <br /> IECHANICAL Company <br /> ignature Registered Y�N Fee Current Y/N <br /> Address <br /> License# <br /> THER Company �— <br /> ignature <br /> Registerad Y/N Fee CuRent Y/N <br /> Address <br />��- , License# <br /> irections: '�,°°"'°"� �°.' .._...:.�- .s,��_a�.��-�_�r„�.-��, <br /> Fill aut application completely. <br /> Owner 8 Contractor sign bacfc of applicatior�,notarized(Or,copy of algned contract with owner} <br /> !f nver 52500,a Notice af Commencement fs required{Mechanieaf work over 35000) <br /> SuppYy two(Z)sets of drawings wiih applicable dacumentation ' <br /> Allaw 10-14 days for review after submitts!date. Parcel#-obtained frorrt Property Tax NoUce(http:l/appraiser.pasoogov.com) <br />