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813aso-oo2o City of Zephyrhills Fire Fex-813780-0021
<br /> PeRnit Application
<br /> �ate Rveeivr,d, Phone ConWct for Pertnit ���� l(Zo (p�Z Z
<br /> hvners Name SON N y 'S � Q O�nmer's Phone Number C� �� ��
<br /> ►wners nddress �o�o C l(c G-I�..L�.- g i�v'o Z��.►a 1\3�L �3S 4 L
<br /> ee Simple Titlehoider Name Titleholder Phone Number �j C� ��
<br /> ee Simple Titleholder Address —�
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<br /> ob Address �A�'�'�� {� �-�O J t , r""—�
<br /> lot# �__
<br /> ub Division Pa��#
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<br /> B10-Hazard Waste Storage-ANNUAL � Fumiga6on Tent
<br /> a Comm 6chaust IGtchen Hood/Duct � Hazardous Materiai(Tier II or RQ Facilfty)ANNUAL
<br /> � Controiled Bum Hood Installatlon
<br /> � Emergency Generator<30 kva � LPlNatural GaslnstallaUon
<br /> � �me�9e��Y Generalor>30 kw Q LP/Natural Gas-ANNUAL Sale
<br /> aFire ProtecUon Maintenance-ANNUAL � Places of Assembly-ANNUAL
<br /> I� �1 l�^J � ^ c- �n�r4..
<br /> SpriNcier � ❑ ❑ ❑ � � Recreationa!Bum ��� `���n"T �r
<br /> FireAlarm � ❑ O O � � Sparkiers •.7 r3 2.a lL
<br /> Mood Cleaning a ❑ � ❑ � � Sprinkler System InatallaUons �
<br /> Hood Suppress(on � ❑ ❑ ❑ �� � Standpipes(5prinkier Sys) ?n �
<br /> � Fire Alertn InstallaUon Torch Roofi �! ✓`
<br /> a ng/Tar Kenle
<br /> Fire Pumps Wasle Tire Storage ANNUAL
<br /> Fire Works
<br /> Fiammable ApplicaUon-ANNUAL
<br /> Valuation of Project
<br /> Fuel Tanks
<br /> �] Other.
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<br /> � .r�.r, ,xJ.Srtq�L'e✓e:yk°bHb%'Si7A1".W��w`t�.iKM1'l(L.v�31i�:nT Y-.A�f'_�•
<br /> :ontractor ' " . . �..,
<br /> ��9naWre +�� ComPa^Y S�Jc��TcL�M. S�f�'c4rr C4w�...�_...,
<br /> Registered /N F��� �N
<br /> Addresa 'i'LL I;J QOo�41�,i q Pl. T"IY►-yP l�. �–�. ;�IoZ�'�' License#
<br /> LECTRICIAN
<br /> .ignature � Company
<br /> Registered Y/N Fee Current Y/N
<br /> ��$ License# �— —'�'—,
<br /> 'LUMBER
<br /> •ignature Company �
<br /> Regiscered Y/N Fae current Y/N
<br /> Address
<br /> License# ��
<br /> fECHANICAL
<br /> ignature Company
<br /> Reg�stered Y/N Fee Current Y/N
<br /> Address
<br /> �THER License# �'-1
<br /> ignature COTPe�Y
<br /> Registered Y/N Fee cuRent Y/N
<br /> Address
<br /> � _ License# �,
<br /> Aroctions � �" _
<br /> Ffll out appUcaUon completely.
<br /> Owner d CorNracMr yign baek of application,notar¢ed(Or,copy of signed contract with owner)
<br /> N over a2500,a Notice of Cemmancement is required(MechaNcei work over$5p00)
<br /> Supply hvo(2)sety pf drawings with applicable documenlation
<br /> Allow 10-14 days for review aRer submitta!date. Parael#-obteined from Property Tax Notice(http://app►aiser.pascogov.com}
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