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a�saso-oozo City of Zephyrhills Fire Fax-813-780-0021 <br /> ^ �j�/r�� �'�� Permit Application <br /> ete Received � � ��• 4�/Z� /(y Phone Contactfor Permit �� �f,s 93�/ <br /> Mmer's Name �-- �/ Owners Phone Number � j 3 ��f.,S q 3 r/ <br /> �wner's Address J", �. D� 7 � �L 3 3 ���f <br /> ee Simple Titleholder Name Titleholder Phone Number �� � �� <br /> ee Simple TiUeholder Address <br /> ob Address v�-l��T�j�.C�Q �',�� �j� L ,�jL�� Lot# C� <br /> ub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tant <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � 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 � Piaces of Assembly-ANNUAL <br /> � ami � er �//- .. - <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum r <br /> Fire Alartn � ❑ ❑ ❑ �� � Sparklers � J _ I <br /> t�- �, � 'f� �p <br /> Hood Cleaning ❑ � ❑ � � Sprinkler System Installati s . / <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh Roofinglfar Kettle '—- <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL <br /> Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> :onVactor �� Company (� ,S <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> :LECTRICIAN Company <br /> �ignature I Registered Y/(V Fee Current Y/N <br /> Address License# <br /> 'LUMBER <br /> Company <br /> ;ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> 1ECHANICA 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 application,notarized(Or,copy of signed conVact with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Supply two(2)sets of drawings with appiicable docume�tation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappreiser.pascogov.com) <br />