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813-7ao-oo2o City of Zephyrhills Fir•e Fax-813JSD-002'
<br /> Permit Application
<br /> Date Received Phone`ContactforPermit � �5�—� ��Lr
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<br /> Owner's Name f �� �� �
<br /> �` �� �•� Owner's Phone hlumber
<br /> Owner's Address � -* �� � �
<br /> Fee Simple Titlehold=r Name Titleholder Phone Number � C� �
<br /> r°�aimple Titiehclder Address
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<br /> Job Ad6ress C r ] � ��+ �
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<br /> Sun Divisior
<br /> Parcel m
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<br /> � Bio-Hazard Waste 5tcrage-ANNUAL � rumigation Tent �
<br /> � Comm Exhaus;Kitcne� HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL
<br /> � Controlied Bum � Hood Installation
<br /> � Emergency Generator<30 kw � LPlNatural Gas-Insta�latior
<br /> � Emergency Generater=30 kw � LP/Natural Gas-ANNUAL Sale
<br /> � Fire Frotectier,Maintenaroe-ANNtJAL � Places of Assembly-ANNUA '
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<br /> Sorinkler � � � �. �_� � Recreationai Bum ��� �
<br /> Fire Alarri u ❑ ❑ � a Sparklers /��
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<br /> Nood Cleaning �' ❑ CI �� � Sprinkier System installati
<br /> Noo uppression � ❑ ❑ �� � Standpipes(SprinklerSys)
<br /> � Fire A,lam Installation � Torch Roofing/Tar Kettie
<br /> � Fire Pumps � Waste Tire Storage ANNUAL
<br /> � Fire WorKs
<br /> � Fiammable AppiicaUan-ANNUAL r���� Valuation of Project
<br /> � Fuel i anks
<br /> u Off��r•
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<br /> Gontracto- ��-.,`�r�r � - � I Company � �—
<br /> 5ignature � � --"--'—
<br /> Registered N Fee Current Y
<br /> address �
<br /> !icense;�
<br /> �=LcCTRICIAN
<br /> Company
<br /> Signature Registered Y/N Fee Current Y/N
<br /> Address License#
<br /> r LUMBER Company
<br /> Signature Registered Y/N Fee Current Y/N
<br /> Address �
<br /> License#
<br /> MECHANICAL Company
<br /> Signature i � Registered Y/N Fee Current Y/N
<br /> Address License#
<br /> OTHER
<br /> Company
<br /> Signature Registered L Y/N Fee Current Y/N
<br /> Adaress
<br /> .•.:..,.,-;,.�,;; License#
<br /> Directions. . .„ -;i:'..:.. . .. .. ...�.._,,...,,,.,.. ...,. ..�.., ... ....,... „ , ,
<br /> Fil!out appiicatic^comolete!y
<br /> Owner&Contrac,ar s�gn back ot app!ication,ne,ar�zed!Or ccpy of signeo contrect with owner)
<br /> ff over�250C,�N�',;ce of Commencemer,t is required(t•,AecP,anic��work over�50Qu)
<br /> Supply nvo(2j sets o`drewrngs with appl�cabfe docum?rtat�nr�
<br /> Ailow�0-"�d day=_`cr,-<_v�ew after sunm�-cz�cate �arc_al�'-:.r:a�ned frcm Property Tax Notrce(h;tp://appraiser.pasoogov.com)
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