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, ats-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021 �v>� <br /> Permit Application <br /> ate Received ,�t31c J� ��-- Phone Contact for Pertnit � a � � ��u <br /> / Owner's Phone Number � ? �d` J� 2 ` <br /> wnefs Name C..� '` <br /> wner's Address � 3� �,L� ' � ' � � ��� � S �� 3 4-a`��� i�A <br /> ;e Simple Tdleholder Name Titleholder Phone Number C� �� C� "; <br /> ,,t <br /> j. <br /> �e 5imple Titleholder Address <br /> k„ <br /> ib Address <br /> �5�J F� U��� l�'��J � . .. . �� � p r �1 e !'�-� 3�9 a�� �ot# �� '' <br /> �t <br /> �b Division Parcel# <br /> '<� <br /> � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tfer 11 or RQ Facility)ANNUAL <br /> � Comm Exhaust KitChen Hood/Duct ����� � Hood Installation p <br /> � Controlled 8um �� '�',L� LP/Natural Gas-Installation <br /> � Emergency Generator<30 kw LP/Natural Gas-ANNUAL Sale µ <br /> � Emergency Generator>30 kw RT ���� � P�aces of Assembly-ANNUAL _ ' <br /> ■■�-����]].. Fire Protection Maintenance-ANNUAL Recreational Bum _f�—j ��� � <br /> ►y" r y emi �n er `�—f � � <br /> f'� Sprinkier � C ❑ O � � Sparklers <br /> Fire Alarm � � ❑ ❑ � � Sprinkler System Installations <br /> `� Hood Cleaning ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) "` <br /> Hood Suppression � p ❑ p � � Torch Roofingffar Kettle <br /> 1�� <br /> aFire Alarm Installation � Waste Tire Storage ANNUAL <br /> � Fire Pumps � <br /> � Fire Works ; <br /> � Flammable Application-ANNUAL � VelUatiOn Of ProjeCt ` <br /> � Fuel Tanks " <br /> , <br /> � � Other: �- <br /> �nttactor . 't/►_ ��� �� '� � Company ` <br /> gnature VV��� Registered Y!N Fee Current Y f N <br /> � <br /> �d�� r Lice�se# <br /> _ECTRICIAN � Company <br /> gnaWre Registered Y/N Fee Current Y/N <br /> Add ss License# <br /> _UMBER � tC�` Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address � License# <br /> ECHANICAL Company <br /> gnaiure Registered Y/N Fee Current Y/N <br /> Address License# <br /> THER Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br /> irections: <br /> Fill out application completely <br /> Owner&Contractor sign back of appiication,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> 5upply hvo(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Pa1ai��l Tex Notice(http:l/appraiser.pascogov.com) <br /> �� �1�NM�iM� <br /> I�� �' �` "_ • <br /> a� ��� -- �,�� � <br /> � � �� <br /> � �� <br />