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s��-7e;-�ozo ' City of Zephyrhills�Fir��• Fax-813-780-0021 <br /> Permit Applicativn <br />:Received - Phone ContaetforP�ertnit��,�T� <br />,z::�:�_�.:���a�nat��<,,.,..�....�„ .�m - .. , .., ..- --- <br />�ers Name �wn81's Phone Number [��'�-� � <br /> iers Address �� � i� `"�1 �'�- ^ � � � � ��`j � <br /> Simple 7itleholder Name Titieholde�Phone Number �� C <br />�SimpleTitleholder Address <br /> i�i�"�.�..s"'�'�� .... 4�l�il:i�$i�??:��.�'ra•' <br />�Address + � -�-. Lat# � <br />�Division �i `L'. � Parcel# �� �{Y/ �/ '�J�U�U ���U� J��1l� <br />��3[€=za.:�„�'�.. - - : �31ik�'i.r'�'�Yii�;�to�.P��"�..4�::�:J=��ibz:�fi�z�'S <br /> � Bio-Hazard Waste 5torage-ANNUAL � Fumigallon Tent <br /> � Comm F�chaust Kit�hen HoodlDuct � Hazardous Matedal(Tler II or RQ Facility)ANNUaL <br /> � ConVolled Bum a Hood Installadon <br /> � Emergency Ganerator<30 kw � LP/Natural Gas-Instaliadon <br /> Emergency Generator>3D kw � LP1Platural Gas-ANMUAL Sals <br /> Fire Proteation Mairrtena�ce-ANNUAL � Places af Assembly-ANNUAL <br /> � amt � er <br /> 5prinkler � O ❑ ❑ � � Recreatlonal Bum <br /> Fre Alarm ❑ ❑ � � � Sparklers ( ��Z� <br /> Hood Cieaning g ❑ p ❑ � � SprinklerSystem Installatlons �1 <br /> Nood Suppression � p p ❑ �� � Standpipes(Sp�nkler Sys) <br /> � Fire Alarm installaUon � Tarch RoofinglTar Kettle <br /> Fire Pumps � Waste Tire 5torage ANNUAL <br /> Fire Works • <br /> Flammable Applicatlon-ANNUAL ��— � Valuatlon of Project <br /> Fuel Tanks <br /> Q Other: <br />�,� 6z���.,,�. <br /> onVactor Comparry ' �=', .ar ,.y"'t'it C <br /> _ t ' , <br /> Ignature ' Registered Y N Fee Cutrent N <br /> Address � 1 ' � Licer►se# t�t;1 1 t� <br /> LECTRICIAN Comparry <br /> ignature Reglstsred Y/N Fee Curtant Y/T— <br /> Address Ucense# <br />'LUMBER Company <br />�ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> AECHANICAL Company <br /> iignature Ragistered Y�N Fee Current Y/N�^ <br /> Address <br /> License# <br /> 3THER <br /> Company <br /> - -- <br /> r gnature Registered Y/N Fee CuRent Y 1 N�— <br /> Address <br /> Licensa# <br /> r�"��-uu.a_. �. ...�--=s�w�a.�si..��t..•.*��-^-•��TMarR4 _ ...._......_.........� ��s._:x��-__._..�.,,c;sk�,,•Rr.7v.,, <br />)irections: <br /> Fill aut application comptetely. <br /> Owner&Contractor sign back of applicatfon,notarized(Or,copy of slgnad contract with ownsr} <br /> If t�ver�2500,a Noti�e of Commencement fs requtred(Mechanieal work over 35000) <br /> 5upply two(2)sets of drawings with applicable documerrtation <br /> Allaw 10-'14 days for revisw after submittaV date. Parcel#-obtained frorn Property Tax NoUce(http:Uappraiser.pascogov.com) <br />