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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> . Permit Application <br /> 3te Received , � � Phone Contact for Pertnit �i��j �y(�� ��11� <br /> wners Name � .�1� _ �- .�• Owners Phone Number �GS 3 �; �fi� <br /> yvners Address � � v <br /> ae Simple Titleholder Name Titleholder Phone Number �� �� �� <br /> �e Simple Titleholder Address <br /> �b Address Lot# C� <br /> �b Division Paroel# <br /> Q Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen HoodlDuct � 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 � Places of Assembly-ANNUAL <br /> ❑ rl emi � er <br /> Sprinkler ❑ ❑ � Recreationaf Bum <br /> Fire Alarm �❑ ❑ � Sparklers <br /> Hood Cleaning � ❑ p ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ C] � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL �--�� Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br />�rrtractor 1 � � <br />�nature �llcor-` Jo�� lCr�.l. /'.� Company s f <br /> Registered Y/N Fee Current Y/N <br /> Address c> 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 />=CHANICAL Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br />�HER <br /> Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br />�ections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized(Or,copy of signed contrect with ovmer) <br /> If over$2500,a Notice of Commencement Is required(Mechanical woric over$5000) <br /> 5upply two(2)sets of drewings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax NoNce(http://appraiser.pascogov.com) <br />