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s�aasaoozo City of.Zephyrhills'Fir.e�� Fax-s�;_�8aoo2� <br /> Permit Application <br /> Date Received - Phone Corttactfor Permit � <br /> °� ��� <br /> Owners hlame Owner's Phone Number .�� �pQ <br /> CZCLIZ(� <br /> Owners Add2ss <br /> Fee 5imple-I'itleholder Name Tttleholder Phone tJumber �� � � <br /> Fee Simple Titleholder Address <br /> Job Address �ot� � <br /> L� <br /> 5ub Division Paroel# <br /> � Bio-Hazard Waste Storags-•ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen�Hood/Duct � Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> � Controlled Sum � Hood Installation <br /> � Emergency Generator<30 kw � LP/Naturel Gas-Installation <br /> � Emergenoy Ganerator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Mairrtenance-ANNUAL � Piaces ofAssembly-ANNUAL Q�D <br /> r y ' emi � er �� � <br /> 5prinkler � ❑ ❑ ❑ � � Recreational 8um � � <br /> Fire Alartn � ❑ ❑ ❑ � � 5parklers � <br /> Hoad Cleaning � ❑ ❑ ❑ � � Sprinkler 5ystem Instaliations <br /> Hood SupPression � ❑ � ❑ � � 5tandpipes(5prinkler Sysl <br /> � Fire Alartn Installation � Tornh RoofinglTar Kettle <br /> Fire Pumps � Waste Tira Storage ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Other. - <br /> Cornractor Company <br /> 5ignature ' Registered Y/ N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> license# <br /> PLUMBER Company <br /> 5ignature Registered Y/N Fee Current Y/N <br /> Address • <br /> Lieense# <br /> MECHANICAL Company <br /> 5ignature Registe2d Y!N Fee Current Y/N <br /> Addrass <br /> License# <br /> �THER � t�C�4� �'2� �� � Company <br /> Signature <br /> Registered �l'� rv I Fee Current Y/N <br /> Address <br /> License# <br /> Directions: <br /> Fill out application compietely. <br /> Owner&Contractor sign hack of application,notar¢ed(Or,copy of signed carrtract with owner) <br /> If over$2500,a Notice of Commencement is raquired.(Mechanical work over$5000) <br /> ' Supply 1wo(2)sets of drawings with applieabie documerrtation <br /> Allow'I 0.'14 days ior review after submittal date. Parcel#-ohtained from Prnperry Tax Notice(http_//app2iser.pascogov.com) <br />