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s�s-�ao-oo2o City of Zephyrhills Fire Fax-813-780-002� <br /> . Permit Appiication <br /> 3te Received Phone Contact for Pertnit �� � � <br /> rvners Name IJIJ c'( � ���- Owners Phone Number �� � � <br />�rner's Address � ,/�� L /,L v <br /> ae Simple Titleholder Name TiUeholder Phone Number � �� � <br /> ae Simple Titleholder Address <br />�b Address Lot# � <br />�b Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � 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 � LP/Natural Gas-Installation <br /> Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n er <br /> Sprinkler � � ❑ ❑ � � Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cieaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation a Torch RoofinglTar Kettle <br /> � Fire Pumps Q Waste Tire Storage ANNUAL <br /> aFire Works <br /> � Flammable Application-ANNUAL r����, <br /> Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> mtractor �.�.�s � Compa�y <br /> gnature •"C`--''' Registered Y/N Fee Current Y/N <br /> Address License# <br />.ECTRICIAN Company <br />�nature � Registered Y/N Fee Current Y/N <br /> Address License# <br />.UMBER <br /> Company <br />�nature Registered Y/N Fee Curtsnt Y/N <br /> Address <br /> License# <br />=CHANICAL Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br />�HER <br /> Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> rections: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with ovmer) <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 />