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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> . Permit Application <br /> ate Received • � ��� Phone Contact for Pertnit $�3 � 3� <br /> wvners Name C �'(, Owners Phone Number � � �� <br />�wner's Address ��G [�A.� �"� !'YI� r � 3�� Z' <br /> ee Simple Titleholder Name Titleholder Phone Number � � � <br /> ee Simple Titleholder Address <br /> , . _ �a�~.r ,_ „�n ,t,�sn-:- .r-s° <br />�bAddress p� 5 �t i 33� 2•— Lot# � <br /> ub Division Parcel# <br /> - �--' ..- _ _ • _ _ *x- ar - +�;T;." s-.w.r. _ ,,- ._ �� _ . . - _ ....� r. .r.�,�-t:•a"°'e��,cmS�.r�+n,4a:w+.�:?a�n°:..�s,�.fr F?'.t' -. . . -� <br /> � Bio-Hazard}Waste Storage-ANNUAL � Fumigation Tent <br /> a Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ Facility)ANNUAI <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LPlNatural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL � � <br /> �y emi �n er r 2 <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum I � <br /> Fire, ❑ � Sparklers � <br /> Hood Cleaning � ❑ O ❑ � � Spri�kler System Installations <br /> H Su � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � <br /> Fire Alarm Installatio a Torch Roofing/Tar Kettle <br /> �FFe umps a Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL �jSG�O° Valuation of Project <br /> � Fuel Tanks <br /> aOth : � u. I•H � �K '1� r <br />_ _ _ �. _ .. - _. �- ..�."..�_ ,. , . .,.. ,v��^�- . ..n. . _. - . .. , ,.. -. ax-� „ - °r^-, .°�.w- r'�:��.�.. _ �r t--. ... .,. <br /> ontractor Company h � Ur� c+ ic P �HC, <br /> ignature �_ Registered Y Fee urrent Y/ <br /> Address 6 a � � i �i A �G ,�n ( 3 3 �icense# //'7 <br /> LECTRICIAN Company <br /> ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> LUMBER Company <br /> ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> IECHANICAL Company ' <br /> ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> THER Company <br /> ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> irections: <br /> Fill out application completely <br /> Owner 8 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 /> 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 />