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a�3-780-002o City of Zephyrhills Fire
<br /> � Permit Application Fax-8�3-780-002;
<br /> Date Rece�ved �
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<br /> �ee Simple Trtleh0lder Name � � �
<br /> Fe�s�r�p+e T�t�ehoiderAddress Trtleholder Phone Number
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<br /> Bio•Hazard Waste Storage-ANNUAL �' • . ,�=�-�--
<br /> � Comm Exhaust Kitchen Hood/Duct Q Hazardous Material(Tier il or RQ Facility)ANNUAL
<br /> Controlled Bum �
<br /> Hood Installation
<br /> � Emer �n LP/Naturai Gas-Installation
<br /> 9 �y Generator<30 kw �
<br /> � LP/Natural Gas-ANNUAL Sale
<br /> Emergency Generator>3p k,r, �
<br /> � Fire Protection Maintenance. PlaCes of qssembly-ANNUA�
<br /> ANNUAL �
<br /> �� emi � t er ❑ Recreational Burn
<br /> Sprinkler � � � .�� � �
<br /> Fire Alarm � SParklers '� �
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<br /> ❑ � Sprinkier System Installalions
<br /> Hood Cleaning 0 ❑ �
<br /> ❑ � Standpipes(Sprinkier Sys)
<br /> Hood Suppression a � � � a
<br /> � Torch Roofing/Tar Kettie
<br /> Fire Alarm Instailatlon a
<br /> � Fire Pumps Waste Tire Storage ANNUAL
<br /> Fire Works
<br /> � Flammabie ADPlication-ANNUAI
<br /> � Fuel Tanks Valuation of Project
<br /> ❑ Other:
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<br /> S:gnature Company -T-• ,�, '
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<br /> Address 3 5 31 K e ,.},�Ae Rd R�'�e� Y/N Fee Current Y��
<br /> EIECTRICIqN License# E,F 0004�11
<br /> S�gnature Company
<br /> atldress Registered Y/N Fee Current Y/N
<br /> PLUMaER License# �— �
<br /> S�grat�re Company
<br /> �doress Registered Y!N Fee Current Y/N
<br /> MECHANICn� License# �
<br /> S�gnature Company
<br /> Adaress Registered Y/N Fee Currant �(/�
<br /> OTHFR License# �
<br /> S�onature Compeny
<br /> Adtlress � Registered Y/N Fee Current
<br />��.r�.:ttonc ,. Y/N
<br /> License#
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<br /> mpietely ` _ = - -- _
<br /> Owner&ConUactor sign back of application,notarized(Or,�py of sig�ed contract with owner)
<br /> �f over 52500,a Notice of Commencement is required(Po���anical work over 55000)
<br /> Supply tyvo�2�sets of tlrawings with epplicable tlocumentation
<br /> AUow 10-74 days for review after submittal date.
<br /> Parcel#-obtatned from Property Tax Notice(http:Uappraiser pascogov com)
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