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e��-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate Received . Phone Contact for Permit � � � <br /> �wner's Name , � Owner's Phone Number �>3 � �� <br /> Mmer's Address J/ �"� <br /> ee Simple Titleholder Name Titleholder Phone Number C� � � <br /> ee Simpte Titleholder Address <br /> ob Address Lot# � <br /> ub Division Paroel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> a Comm Exhaust Kitchen HoodlDuct a Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum a Hood Installatfon <br /> � Emergency Generator<30 kw � LP/Natural Gas-InsWllation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> Q Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � ❑ ❑ � � Recreational Bum <br /> Fire Alartn ❑ ❑ � � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation � Torch Roofingffar 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 /> :ontractor Company /�_ �.. � <br /> ,ignature Registered Y 1 N Fee Current Y/N <br /> qd License# <br /> :LECTRICIAN Company <br /> ,ignature � 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 /> �ECHANICAL Company <br /> ,ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> )THER Company <br /> �ignature Registered Y/N Fae Current Y/N <br /> Address License# <br /> iirections: <br /> Fill oul application completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed co�tract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over 55000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tau Notice(http://appraiser.pascogov,com) <br />