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813-780-0020 City of Zephyrhills Fire <br /> Fax-813-780-0021 <br /> , - Permit Application <br /> )ate Received <br /> ' "' � ^ � Phone Contact for Permit `�� (� <br /> �r..��..��•.�,� ..,� . > <br /> � .,. ,._ t_���... , .. .v..��,•�,�+, �$�.a..�� <br /> hvner's Name 4 � � • � �—^ �� <br /> Owner's Phone Number � � <br /> hvner's Address <br /> 7 �-._J <br /> 'ee Simple Titleholder Name � � �� <br /> Titleholder Phone Number <br /> �ee Simple Titleholder Address <br /> 4" - rr:��.;�;�...__ .� - <br /> �ob Address � <br /> Lot# � <br /> iub Division <br /> - ,..,:� ,.��,��.x-..�.� <br /> Parcel# <br /> "' �.�_�. <br /> Bio-Hazard Waste Storage-ANNUAL � � �' �""� ' <br /> Fumigation 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 � <br /> LP/Natural Gas-Installation <br /> Emergency Generator>30 kw � <br /> LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL a <br /> Places of Assembly-ANNUAL <br /> ❑�y emi �n er ❑ <br /> Sprinkler n � � <br /> Recreational Bum <br /> Fire Alarm � � � r—1 ❑ <br /> ^,_/� L_,, Sparklers <br /> Hood Cleaning �!�� � � � ❑ <br /> ❑ Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ � ❑ Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL <br /> � Valuation of Project <br /> Fuel Tank <br /> Q Othef: <br /> .>.. «..��;_� - - �..,� ��� <br /> _� _a _����,����� <br />:ontractor <br />�ignature Company <br /> Registered Fee Current (� <br /> Address <br />:LECTRICIA License# <br /> ignature Company <br /> Registered Y/N Fee Cwrent Y/N <br /> Address <br /> License# <br /> LUMBER <br /> ignature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> ECHANICAL License# <br /> gnature Company <br /> Registered Y/N Fee Cun�nt Y/N <br /> Address <br /> License# <br /> fHER <br />�nature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> ections: License# <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 ot Commencement 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 htt //a <br /> � P� ppraiser.pascogov.com) <br />