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a�aaao-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate Received _ � ;�R �Q� �G� Phone Contact for Pertnit �3 � 9'35% <br /> Mmers Name L �� '��i� T� Owners Phone Number �� J'�' �S �{�,�� <br /> Mmers Address /� O. �7� !73 b ��l�J L �3 6 � <br /> ee Simple Titleholder Name Titleholder Phone Number �� � � <br /> ee Simple TiUeholder Address <br /> ob Address v oL��� 7'Tl/�/�� 3�9/� ��L�/V L �. Lot# � <br /> ub Division Paroel# <br /> a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Faciliry)ANNUAL <br /> � Controlled Bum � Hood Installatlon <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 �i 3� <br /> � em� � er �( j <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � � ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � O ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Aiartn installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> aFire Works <br /> � Flammable Application-ANNUAL <br /> Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> :ontractor C� Company ij �.�C <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 /> �ECHANICA 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 <br /> License# <br /> �irections: <br /> Fill out application completely. <br /> Owner�Contractor sign back of appiication,notarized(Or,copy of signed conVact with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanica�work over$5000) <br /> Supply two(2)sets of drawings with appiicable documentation <br /> Allow 10.14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com) <br />