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813-780-0020 City of Zephyrhills Fire � <br /> / �5�� Fax-813-780-0021 <br /> Permit Application ( <br /> )ate R�.:;eived � �p 2� <br /> ` �;��gs{��P#;y.Mw PhoneContactforPertnit � <br /> � _ ._.. ,.� . _ .-,��,.��w�.�K���.-.� 6 S�6 <br /> hvner's Name �� v� 2 ��`�/f �"�,.� � p�ers Phone Number S�j� 7� a--'�y/ <br /> hnmer's Address �j 0 ��� � nt. �_ -�-���-'--�� <br /> �ee Simple Titleholder Name Titleholder Phone Number C� �� �� <br /> ee Simple Titleholder Address �--� <br /> � .JU3-,... :..:�".�P <br /> L-'.:.:i��k�.'�.�:.�`w"�.-' . r�`���,.._ <br /> iob Address �.c Mw+-- � <br /> Lot# C� <br /> iub Division <br /> Parcel# <br /> .. a .k�.,,, ��..�x � ,. . , , , e#y.�.._ -,��°r�:�� „_.�sns�staw;�w.;.d�,-,..��,�*� �, <br /> � - - -, _ 's�:'vA"1w°� . - <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 a Places of Assembly-ANNUAL � � ��� <br /> ❑ r y emi �n er l <br /> Sprinkler O O ❑ � � Recreational Bum <br /> Fire Alarm � ❑ ❑ p � � Sparklers <br /> Hood Cleaning � ❑ p ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ � ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps a Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL <br /> � Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br />. '_ ���»;���;�z:,-.;��:�:_ �a�m,.�,��� <br /> - .:i�.:•r:c�.�-'"�.,r��m,,.�sw=...s.�.,n.4. _ ..�A�:RGS .'� <br />:Of1t�8ClOf �— � � <br /> Com an <br />�ignature - L� P Y �i%':,Fi�Le /m G <br /> Registered Y/N Fee Current Y/N <br /> Address ti �� � �N� D:�� <br /> b 5 License# <br />:LECTRICIAN <br /> ignature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> LUMBER <br /> ignature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> ECHANICAL <br /> gnature Company . <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> fHER <br /> gnature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br />�ections: <br /> ���T <br /> Fill out application completely <br /> Owner 8 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 htt //a <br /> ( p: ppraiser.pascogov.com) <br />