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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received �—� Phone Contact for Permit C� � � <br /> Owner's Name � � Owner's Phone Number ^� � � <br /> Owner's Address � > �.� ��.� ')C� `[� <br /> Fee Simple Titleholder Name Titleholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> Job Address � lP�j� �� , - - Lot# � <br /> Sub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw a LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Piaces of Assembly-ANNUAL <br /> r y emi �n er , � <br /> Sprinkler � ❑ ❑ ❑ B � Recreational Bum �� `-� <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers �I' � <br /> Hood Cleaning � � ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other <br /> Contractor � Company <br /> Signature � t Registered /N Fee Current Y/N <br /> Address 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 /> 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(Mechanicai work over$5000) <br /> Supply iwo(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittat date. Parcel#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com) <br />