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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate Received , r' Phone Contact for Pertnit � �� �� <br /> Mmer's Name t � �.-y��S �. oC �0�7 C^. Owner's Phone Number �� ?� "Z � <br /> Nuners Address �D���� ��j�j Q'j"�' �ytT���� t(�✓t� <br /> ee Simple Titleholder Name Titieholder Phone Number � C� � <br /> ee Simple Titleholder Address <br /> ob Address Lot# �� <br /> ub Division Parcel# <br /> � Bio-Hazard Waste Storege-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installatlon <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> ❑�y emi �n er ❑ <br /> Sprinkler ❑ ❑ ❑ RecreaUonal Bum <br /> Fire Alarm � ❑ p � � Sparklers <br /> Hood Cleaning � ❑ ❑ � � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL � Valuation of Projeot <br /> � Fuel Tanks <br /> Q O r. <br /> :ontractor , <br /> � Company OG�{ ,(�-�L�� <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> :LECTRICIAN Company <br /> ,ignature I Registered Y/N Fee Current Y/N <br /> Address License# <br /> 'LUMBER <br /> Company <br /> .ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> �ECHANICAL Company <br /> ,ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> )THER Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> �irections: <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 />