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aisaso-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> ce Recei��ta• 'r �--Z�� Z Phone Contact for Permit �� � <br /> ,_ _. � t . H „ .. . <br /> �wner's Name Z 1��� � ���1 �/ '` Owner's Phone Number � � � <br /> �wner's Address <br /> ee Simple Titleholder Name Titleholder Phone Number � � � <br /> e Simple Titleholder Address <br /> - — , $, ..�.,-,.�.. ,�-�.-,.;a�;.- _�c... _ . - - .�..�^. a�°^-m:;�; -�r-�r:- r _ -�. <br /> AdCf@SS LOi# � <br /> Division Parcel# <br /> _ . _ • �_ __'w""',�w:sr._P.'^*,,,r+_ _, .' . n .-,...-f;,p,<.,.ssewrtu_,-... p�«..,.e..,•�-s:... ,. , .-x:+,'::.....: _..�..3 a+ _ . ,_ ._ .�s+:�'?�AG-���..._,aF.°�r+fi 1?a#" -.,.,-r . , . , <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> Q 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 /> Q Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �� <br /> r y emi n er n � <br /> Spnnkler ❑ ❑ �B � Recreational Bum •� <br /> Fire Alarm ❑ ❑ ❑ �� <br /> � � Sparklers <br /> Hood Cleaning � ❑ O ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Instailation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> - ,. .� .._ �� _� .. _ �. . , . _> ��.�. �� . x , , ,._ . , � �.,� ,. �,.:.z��,.�; ..,,�:;.r..,:., .�.. � <br /> ontractor Company <br /> ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> LECTRICIAN Company <br /> ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> LUMBER <br /> 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 <br /> License# <br /> THER <br /> Company <br /> ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> irections: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,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:l/appraiser.pascogov.com) <br />