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s�zaao-c��2o City of Zephyrhills'Fir��� Fax-813-780-OD21 <br /> Permit Application <br /> ite Received �� - Phona Contactfor Permit ����, ��R� <br /> 3..'KS�_d•.:_-v.�.[."f'..aP3.'���..�:,�- --,�+w.. - - r3'd����:s�-w.�.+�'�'�.�...^••.�•-:,.�.�.�:" - - - <br /> vner's Name �G� � Owner's Phone Nurnber �] �� �(� <br /> vne�s Address <br />�e Simple Titleholder Name Titlehoider Phone iVumber � �� � <br />:e SimpleTitleholderAddress <br />�s�.�3.�'��` -- ,�'i8r1�:�°�?C�=?� <br /> b Address S� • J''�, Z� (` � `\� � ( Lat# � <br /> ib Di�ision . .� Parcel# )� • . (,!1 - Q,,5 �- VV(�� <br /> 15�i5-:£�°-- - <br /> . "F�3F�?'c�'oi'!�.°:�.F"�..'��z;$=r v,:B.�S:�.Ws3.-�=� <br /> � Bio-Hazard Waste 5iorage-ANNUAL � Fumigation Tent <br /> a Comm Exhaust Kltchen HoodlDuct � Hazardaus Material(Tier If or RQ Facllity}ANNUAL <br /> Q GonVolled Bum a Hood fnstatladon <br /> � Emergency 6eneratcr<301av � LP/Nafurai Gas-Instailatlon <br /> Emergency Generator>30 kw � LP1Natural Gas-ANNUAL Sale <br /> Fire ProteoUon Mairttenance-ANNUAL a Piaces of Assem6ly-ANNUAL <br /> �y emi � er <br /> Sprinkler � ❑ O ❑ � � Recreatlonal Bum <br /> Fire Alartn ❑ ❑ � C� � Sparklers <br /> Hood Cleaning ❑ O ❑ � � Sprinkler System Installations <br /> Hood Supp25sion � ❑ ❑ p � a Standpipes(Sp�nkler Sys) <br /> � Firn Alartn Instaliation � Torch RoofinglTar KetUe <br /> Fire Pumps � Waste llre Storage ANNUAL <br /> Fire Wo�lcs • <br /> Ffammable Application-ANNUAL ���, Valuation of Project <br /> Fuel Tanks <br /> Q Othef: <br />�� <br /> _ s��.�-r� � <br />:ontractor Comparry � . ,L y� �� <br />'�ignature ( • Registered Y N Fee Cuaent N <br /> Address 1 - ' � Licer►se# �r, �� <br />:LECTRICIAN Company <br /> Signature Regfstered Y/N Fee Current Y/N <br /> Add2ss <br /> License# <br />'LUMBER � Company <br /> iignature Reglsteted Y!N Fee Current Y/N <br /> Address <br /> License# <br /> AECHANICAL Company <br />�ignature Registered F Y(N Fee Current Y J N�—� <br /> Address <br /> License# <br /> 7THER Company <br /> iignature <br /> Registered Y/N Fee Curcent Y/N <br /> Address <br /> rs�-��= .� _ __ License# `� _ � <br />)irections: �� ' -- �vu..�a.�.�y�=--�'� ,�z<:s,:is� <br /> y�t�'-� <br /> Fill aut appllcafion completely. <br /> Owner 8 Contractor sign back of applicatior�,notarized(Or,copy of slgnad cont2ct with ownar) <br /> If nver�2500,a Natice of Commencement is required(Mechanicak work over 35000) <br /> Suppfy two(2)sets of drewings with applicable documentation � <br /> Allow 10-14 days for revtew after submittal dste. Parcel#-obtained frort+Property Tax Notice(http:l/appraiser.pascogov.com) <br />