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s�a-�ao-oo2o City of Zephyrhills�Fir��. Fax-813-�8o-o021 <br /> Permit Application <br />;Received - Phona ContaetforPertnit �� �R� <br /> r...,.._�r •ra�m.e»n�aa�c E.o�S4�' LR..�'.�.�'•-�L-`". . . .. ... _•_ _ <br />.�::':�<K!:�"+%SC+�it�:' � �_r«a...-,��..�.......�.,ww::v —__-__ ,_ � ,j/�,,C� <br /> iers Name --Q <br /> V Owner's Phone Nttmber �i 3 1 , ��. '�'� [_L�3ts�k.,[ <br /> ners Address / /1 � � � <br /> s Simple Titleholder Name Titleholder Phone Number � � � <br /> a SimpleTitleholderAddress <br />��-a.._:_:=�.J�: �f��idr1<.��??���#�_ <br />�Address Lot# � <br /> ` Patcel# U� r��n - �� �[�C:��L' • v/� '�i�+�� <br /> b Division � <br />�.itt�€- -asv s.. 'F�i5��?¢s'ff�=2�e.N�m�i��'y..'�"sc:i':ur'�.4 t'-�-3:� <br /> � BiaHazard Waste 5tocage-ANNUAL � FumigeUan Tent <br /> � Comm Exhaust Kitchen HoodlDuct a Haza�dous Material(Tier li or RQ Faciliiy)ANNUAL <br /> � ConVolled Bum a Hood Installatlon <br /> � Emergency Ganeraior<30 kw � LP1Naturei Gas-Installation <br /> Emergency Gene2tor>30 kw � LP/Natural Gas-ANNUAL Sale <br /> Flre Protection Mairttenance-ANNUAL � Places of Assembly-ANNUAL � � <br /> rty em� �n er /�r <br /> Sprinkle� � ❑ O ❑ � � Recreational Bum � �'r/� <br /> l <br /> Fre Alarm � ❑ ❑ � � � Sparklers <br /> Hood Cleaning 0 a � � � Sprinkler System Installatlons <br /> Hood Suppression � ❑ ❑ O C� � 5tandpipes(Sprinkler Sys) <br /> � Fire Alarm InstallaUon � Torcfi.RoofinglTar Kettie <br /> Fire Pumps � Waste Tire Stotage ANNUAL <br /> Firs Works ' <br /> FlammableApplication-ANNUAL r� � Valuation of Project <br /> Fuel Tanks <br /> Q other: <br />� ���sr� <br />:ontractor Comparry � ��`i .� :�Ce _ �, <br /> ilgnature ' Registereil Y N Fee Current N <br /> Address 1 ' � License# �ty ►c� <br />_LECTRICIAN Company <br /> Slgnature Regfstered Y/�I Fee Current Y/�— <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y!N Fee Current Y/N <br /> Addrass License# <br /> 07HER Company <br /> _— - _ <br /> Signature Registered Y/N Fee Current Y!N <br /> Address License# <br /> 7=._y�"-,.�rs�.n.__.....�.,_��...a�ie,s�..�,..__..�..:cr.�.:�a�6s=sw'�-e:.�mam�.ru+ �nc�._,'��:u��.s.:•_,-"�IN ""°" Ts87'eF --_ _ _—_ ' _' �"Yr__n�-__ _—�.��2�",e�'rJL' <br /> , ... �. ..,......_ � ..:...:. .... _ ....� <br /> Directions: ' <br /> Ftl aut applination complately. <br /> Owner S Contractor sign back of applicatior�,notarized(Or,copy of slgnad contract with ownarj <br /> If over 52500,a Notice of Commencement fs required(Mechanicak work over 35000) . <br /> Supply two(2)sets of drawings with appiicable dacumentation <br /> Allow 10-14 days for review aiter submittal date. Parcel#-abtained frorrt Property Tax Notics(http:llappraiser.pasoogov.00m} <br />