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�i�-�so-oozo City of.Zephyrhills�Fir:e� FaX_$1�-�8apoz� <br /> � Permit Application <br /> Date Received a7 /� - Phone Contact fir Permit a, �� <br /> <,.; � K.,���sr �..�,a= ,.�..,,...r _ <br /> Owner's Name C � Owners Phone Number �� ��,[C� <br /> Owner's Address � � ��� � <br /> Fee Simple Titleholder Name Titleholder Phone Number � �� � <br /> Fee Simple Titleholder Address <br /> Job Address � 1 ��I Lot# � <br /> 5ub Division Parcel# <br /> � Bio-Hazarci Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum a Hood Installation <br /> aEmergency Generetor<30 kw � LPMatural Gas-Instaltation � <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNU Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly NNUAL <br /> �y emi �n er � <br /> �DSprinkler � ❑ ❑ ❑ � Recreational Bu • /� rJ <br /> Fire Alarm � ❑ O � � � 5parklers J <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installa <br /> Hood Suppression � ❑ p ❑ � � Standpipes(Sprinkfer Sys) <br /> � Fire Atarm Installation � Toroh 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 othe � <br /> Contractor Company <br /> Signature Registered Y/N Fee Current /N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> Directions: � - <br /> FII out application completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contrect 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 1 D-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) <br />