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- s���-�ao-oazo City ofZephyrhillsFir:e� Fax-e�s-�so-ooz�
<br /> Permit Appiication
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<br /> Phone Contact for Permit
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<br /> Owner's Name♦ Owner's1Phone Number � � �
<br /> Owner's Address
<br /> Fee Simple 7itleholder Name Titleholder Phone Number � � �
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<br /> JobAddress l���wcz�d C�nOQ �S /���� �d��'aJAOC" �/�` Lot#
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<br /> � Bio-Hazard Waste Storege-ANNUAL � Fumigation Tent
<br /> � Comm�chaust Kitchen Hood/Duct , � Hazardous Material(Tier II or RQ Facility)ANNUAL
<br /> QControlled Bum � Hood fnstaliation
<br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation
<br /> � Emergency Generator>3D kw � LP/Natural Gas-ANNUAL SaYe
<br /> � Fire Protection Maintenance-ANNUAL � Ptaces of Assembly-ANNUAL
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<br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum �� ��/ 6
<br /> Fire Alarm � � ❑ ❑ � � Sparklers `P
<br /> Hood Cleaning � ❑ ❑ ❑ Sprinkler System Ynstallations
<br /> � Stand i es S nnkler 5 s
<br /> Hood Suppression � ❑ � ❑ � � P P � P Y �
<br /> � Fire Alarm Installation � Toroh Roofing/Tar Kettle
<br /> � Fire Pumps � Waste Tire Storage ANNUAL
<br /> � Fire Works
<br /> � Flammable Application-ANNUAL � Valuation of Project
<br /> � �uel Tanks
<br /> � Other: �
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<br /> Contractor Company _
<br /> Signature Registered Y/N �ee Current Y/N
<br /> Address � 7v 04 [=v.r' J L r�r "5'3d License#
<br /> ELcCTRICIAN 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#
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<br /> Directions:
<br /> Fill out application completely.
<br /> Owner&Cont2ctor sign back of appiication,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 appiicable documentation
<br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)
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