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a�,s-:3o-oo2o City of Zephyrhills Fire Fax-813-780-002'I <br /> Permit Application <br /> ate Received j — ^^� � Phone Contact for Pertnit � C� � <br /> avner's Name �. � �Z�� � �� Owners Phone Number �� � �� <br /> �vnersAddress y ��� Z � � <br /> :e Simple Titieholder Name Titleholder Phone Number � �� � <br /> se Simple Titlehoider Address <br /> �b Address Lot# � <br /> ib Division Parcef# <br /> � Bio-Hazard Waste Storege-ANNUAI � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum a Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Insta � �` . <br /> � Emergency Generator>30 kw � LP/Natural Ga NUAL Sale � <br /> � Fire Protection Maintenance-ANNUAL a Places of sembly-ANNUAL R <br /> �y emi �n er �� <br /> Sprinkler �� ❑ ❑ � � Recreationa um � <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Ins ations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation � Torch RoofinglTar Kettle <br /> Q Fire Pumps � Waste Tire Storage ANNUAL <br /> aFire Works <br /> � Flammable Application-ANNUAL <br /> Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> mtractor Company <br />�nature Registered Y/N Fee Current Y 1 N <br /> Address License# <br />.ECTRICIAN Company <br />�nature � Registered Y/N Fee Current Y/N <br /> Address License# <br />.UMBER <br /> Company <br /> 3nature Registered Y/N Fee Current Y/N <br /> Address License# <br />=CHANICA Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> fHER Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> rections: <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(http://appraiser.pascogov.com) <br />