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a�3aso-oo2o City ofZephyrhillsFic�e�-:�=. �Fax-813-780-0021 <br /> . Permit Application _ <br /> Date Received - Phone Conffict•for Pertnit � <br /> Owners Name � bwner's Phone Number .� �� � <br /> Owner's Address �� �.�� w�'.r� <br /> Fee SimpteTitlehotder Name Titleholder Phone Number � � � <br /> Fee Simple TfUeholder Address <br /> Job Address Lot# � <br /> 5ub Division Paroel# <br /> � Bio-Hazard Waste 5torage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier il or RQ Factlity)ANNUAL <br /> � Controlfed Bum � Hood Instailation <br /> � Emergency Generator<30 kw LPMatural Gas-Installation <br /> � Emergency Generator>3D kw � LP/Naturai Gas-ANNUAL Sale ^� <br /> � Fire Protaction Maintenance-ANNUAL � Places of Assembly-ANNUAL � j �V � <br /> �y emi �n er � <br /> Sprinkler � � ❑ ❑ ❑ � � Recreational Bum <br /> Fire Alartn � ❑ O ❑ � � Sparkfers <br /> Hood Cleaning � ❑ ❑ O � � Sprinkler 5ystem Instaltations <br /> Hood Suppression � O ,� ❑ � � Standpipes(Sprinkler Sys) <br /> � Fre Alartn Installation � Toroh RoofingrTar Kettle <br /> Fire Pumps � Waste Tire Storege ANNUAL <br /> Fire Works <br /> Flammable Applicatlon-ANNUAL � Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> Contractor Campany _ ` <br /> Signature Registered N Fee nt Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Sfgnature Registe►ed Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature � Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> Directions: <br /> FII out application completely. <br /> Owner 8 Contractor sign 6ack of application,notar¢ed(Or,copy of signed contract with owner) <br /> F�over$2500,a Notice of Commencement is required.(Mechanical work over$5000) <br /> Supply two(2)sets of drawings with applicable documerttation <br /> Allow 10-'14 days for review afler submittal date. Parcel#-obtainad from Property Tax Notice(httpJ/appraiser.pascogov.com) <br />