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8is-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application , <br /> Date Received �l �fL� Phone Contact for Permit �� �� 673 S' <br /> Owner's Name C S f � /� ,� I s �LLAlL/! < Owner's Phone Number � � � <br /> Owners Address 37 � � f'�vL <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � � <br /> Fee Simple Titleholder Address <br /> Job Address Lot# � <br /> Sub Drvision Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen HoodlDuct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Burn a Hood Installation <br /> � Emergency Generator<30 kw � LP/Naturai Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> n Fire Protection Maintenance-ANNUAL � Places of Assembfy-ANNUAL <br /> � t y ami .nl t'�her <br /> Sprinkler � ❑ ❑ � Recreational Bum <br /> Fire Alarm � ❑ � Sparklers .Xf �� � I � <br /> 4 1 l <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkier System Installations <br /> Hood Suppression � ❑ � � � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � F�re Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> aFuel Tanks <br /> � Other <br /> Contractor Company i%� j�l/FC <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature I Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address � � License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> Direct�ons <br /> Fill out applicatfon 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 w�th applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser pascogov com) <br />