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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate Received Z /� Phone Contact for Pertnit � � � <br /> iwner's Name 1="' !C �(7 � Owners Phone Number �� 7��' �3�J� <br /> Iwners Address � <br /> ee Simple Titleholder Name Titleholder Phone Number � � � <br /> ee Simple Titleholder Address <br /> ob Address �� i ��- Lot# � <br /> ub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL a Fumigation Tent <br /> � Comm F�chaust Kitchen HoodlDuct � Hazardous Material(Tier II or R�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 /> � emi � er <br /> Sprinkler � ❑ O ❑ � Recreational Bum <br /> Fire Alartn �� ❑ G2��� � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> aFire Alartn Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL r--� Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> :ontractor �� Company � Sec�S io'Kx <br /> .ignature ���'ri�E Registered Y/N Fee uRent /N <br /> Address License# <br /> :LECTRICIAN Company <br /> ,ignature I Registered Y/N Fee Current Y/N <br /> Address License# <br /> 'LUMBER Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> 9ECHANICAL 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 appiication,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Supply 1wo(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:/lappraiser.pascogov.com) <br />