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a�saao-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate Received � —��'" Phone Contact for Pertnit �� �� �� <br /> Mmers Name Z�-���y�LZ�s ��1�� Owners Phone Number C� C� � <br /> nnrner's Address <br /> ee Simple Titleholder Name Titleholder Phone Number C� � r_� <br /> ee Simple Titleholder Address <br /> obAddress � �C� �v� S/ 2-���/���Z �J �^/ Lot# C� <br /> . <br /> ub Division Paroel# <br /> � Bio-Hazard Waste Storage-ANNUAL � FumigaUon Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sala <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> emi � er , �� � � <br /> Sprinkler �� ❑ ❑ � � Recreational Bum �' � <br /> Fire Alarm � ❑ ❑ ❑ �� � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkier System Instailations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> aFire Alarm Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> aFire Works <br /> � Flammable Application-ANNUAL r_—_—� Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> :ontractor Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address - License# <br /> :LECTRICIAN Company <br /> ,ignature � Registered Y/N Fee Current Y/N <br /> Address License# <br /> �LUMBER Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> 1ECHANICAL Company <br /> .ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> 1THER Company <br /> ,ignature Registered Y/N Fee Current Y/N <br /> Address License# �_ <br /> iirections: <br /> Fill out application completely <br /> Owner 8�Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> 5upply Mro(2)sets of drawings with applicable documerrtation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:!/appraiser.pascogov.com) <br />