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813-780-0020 Ciry of Zephyrhills Fire Fax-813-780-0021 ' <br /> Permit Appiication <br /> ate Received � C� Phone Contact for Pertnit �� ,��'^� � <br /> I /�l�I <br /> avner's Name er's Phone Number C� �� �� <br /> �vner's Address Q � P <br /> je Simple Titleholder Name Titleholder Phone Number �� � � <br /> �e Simple Titleholder Address <br /> L—�J <br /> �b Address Lot# C� <br /> �b Division Parcel# <br /> � ' , ,✓ <br /> Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tie or RQ Fac" �pqVUA <br /> � Controlled Bum � � <br /> � Hood Installation � <br /> � Emergency Generator<30 kw � LP/Natural Gas-In Ilation /' ,� <br /> � Emergency Generator>30 kw � LP/Natural Gas-A NUAL sv2��/ �'�r,� <br /> �' Fire Protection Maintenance-ANNUAL � � � "M ' <br /> Places of Assembly-ANNUA <br /> ❑�y emi � er ❑ <br /> Sprinkler O ❑ ❑ Recreational Bum � <br /> Fire Alarm �,.—�J ❑ ❑ p � � Sparklers � , _ <br /> Hood Cleaning � ❑ ❑ ❑ �� � Sprinkler System Installations ✓ �,E.� ) <br /> L� � �� J <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) � <br /> � � i -�� <br /> Fire Alarm Installation Torch RoofinglTar Kettle <br /> � Fire Pumps � � <br /> aWaste Tire Storage ANNUAL y--,��' <br /> Fre works � !Z <br /> � Flammable Appiication-ANNUAL Valuation of Project�� / <br /> Fuel Tanks <br /> [� Other: <br /> mtrector " ' <br /> Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address � /�J ,� — � License# <br />.ECTRICIAN � Company <br />�nature I Registered Y/N Fee Cument Y/N <br /> Address <br /> License# <br />.UMBER <br /> Company <br /> 3nature Registered Y/N Fee Cument Y/N <br /> Add►ess <br /> License# <br />=CHANICA <br />�nature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br />�HER <br />�nature Company <br /> Registered Y/N Fee current Y/N <br /> Address <br /> License# <br />�ctions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,noWrized(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://apprafser.pascogov.com) <br />