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s��-�aaoo2o City of Zephyrhills�Fir�� Fax-813-780-0021 <br /> Permit Application <br /> e Received J11� —� - Phone Contaet for Pertnit �� <br />��:4L��.::v+.ar�lew.i�[i��:`+�w.+�+�+�+wausw ____——_—__ —��" ���y�-.� _ ..' _" <br /> ner's Name � pwner's Phone Number � 7 , � t�� <br /> ners Address L.. f S �S <br /> a Simple't'itleholder Name TlHeholder Phone Number �� � <br />;Simple Titleholder Address <br />��€.�,.;:a�=-- ��:-- �x: <br /> ""•13'�.�i�°�u??aa,'�i� <br />�Address Lot# � <br />�Division � ` Parcel# f�' ;�n-.�/ •/�().Y� ' Q(�.,Ql1.� 'VU�� <br /> ..a�_--i -a.��,.� <br /> iu�fFP':r.zt[__—+fsg<i!¢�.^.�.'_�a .�i °'.:F5�3^u�t�L`..ti'�i��"'�8.1�m�i.ic:v..T'S�'`•u^:::.1-.fm.°'LL�b4'"..CV. <br /> aBio-Hazard Waste 5iorage-ANNUAL � FumigaUon Tent <br /> � Comm Exhaust Kltchen HoodlDuct a Hazardous Material(Tfer I�or RQ Facliity)ANNUAL <br /> � Controlled Bum o Hood fnstalladon <br /> Emergency Generator<30 kw � LP1Naturei Gas-Installation <br /> Emergency Generator>30 kw � LP/Natural Gas-ANNUAL 5ale <br /> Flra Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL <br /> �y emi � er <br /> Sprinkler � O O ❑ � � Recreational Bum <br /> Fre Alartn p � � 1.__J � Sparklers ��/; � <br /> Hood Cleaning ❑ p ❑ � a Sprinkler 5ystem Installations �( � <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(SprinWer Sys) � <br /> � Fire Alartn Installation � Torch.Roofing/Tar Kettle <br /> Fire Pvmps � Waste Tire 5torage ANNUAL <br /> Fire Works <br /> Flammable Applicatlon-ANNUAL ��, Valuatlon of Project <br /> Fue(Tanks <br /> Q Other: <br />� m�x����� <br />�ntractor r� • <br /> , ComPanY ' �°� � .� ►.�:•�t't-' G, <br /> gnature ��,/� J � ' Registered Y N Fee Current N��' <br /> Address 1 _ � � Uce�se# �'j t}, �� <br /> LECTRICIAN Company <br /> Ignature Registered Y/N Fee Cument Y/N <br /> Address License# <br /> LUMBER � � Company <br /> igneture Reglstered `(/N Fee Current Y 1 N <br /> Address <br /> License# <br /> fECHANICAL Company ^ <br /> ignature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br />�7HER Company <br /> ignature Regiatered �_Y/N Fee Current Y/N <br /> Address <br />,�-.��.�.-- License# <br />. � ._ <br />. . � <br /> i�recttons: -_._�� �..��.a.'=.,s�r�+^^�s+ _........_...... _��.. _.;�:>.�:�,`� -�...:�.�;at�r•�-,�.�. <br /> Fill aut application completefy. <br /> Owner 8 Contractor sign back af applicatior�,nota�ized(Or,copy of slgned wntract with ownar} <br /> If over 52500,a Notice af Commencement is requlred(Mechanicat work over 35000) <br /> Supply two(2)sets of drawings wiih applica6le documerrtaUon <br /> Allow 10-14 days for revisw after su6mittal date. Parcel#-obtained from Propedy Tax Notics(http:J/appraiser.pascogov.00m) <br />