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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> , Phone Contact for Pertnit � <br /> ate Received . ° <br /> ,a�,��..���.�.��.:�,�.:-..-.,�,,<,-., ._ .�..>_.. . .�. � <br />� �. �,..�-.��,, ... ..�... � � <br /> avner's Name Owners Phone Number <br /> nnmer's Address �' �/ h � <br /> ee Simple Titleholder Name Titleholder Phone Number C� � � <br /> ee Simple Titleholder Address <br /> e,�.r, �.«hx,,���?��t�' �� <br /> Lot# <br />�ob Address <br /> iub Division <br /> Parcel# <br />� ;:�,-,���:,�n'�,'...,���a�--- - � .. <br /> sc*�e a <br /> � Bio-Hazard Waste Storage-ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum a Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL <br /> ❑� emi � er ❑ <br /> Sprinkler ❑ ❑ ❑ Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ � ❑ �� Sprinkler System Installatio�s <br /> Hood Suppression � ❑ � ❑ �� � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> aFuel Tanks <br /> Q Other: <br />� .��� r,>:�, � <br /> Contractor Company � . ���f T � <br /> 5ignature Registered Y/N Fee C:urrent Y/ <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee(:urrent Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature <br /> Registered Y/N Fee(:urrent Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee��uRent Y/N <br /> Address License# <br /> ` , _ _ <br /> Directions: <br /> Fill out application completely <br /> Owner 8�Contractor sign back of application,notarized(Or,copy of signed contract with ovmer) <br /> If over$2500,a Notice of Commenceme�t is required(Mechanical work over$5000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:!/appraiser.pascogov.com) <br />