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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate Received � L�-- G�2 Phone Contact for Pertnit C� C� �-1 <br /> _1 <br /> Mmers Name �L- r"l�`1 -���Q 6 � ("—'—� � <br /> Owner's Phone Number �_ <br /> �wner's Address � t'�C_ L /,1 L lr0 2�"�/f�/�,��L Cf �'L <br /> ee Simple Titleholder Name Titleholder Phone Number � C� �� <br /> ee Simple Titleholder Address �� <br /> ob Address Lot# � <br /> ub Division Paroel# <br /> a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installatfon <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � � �/ � �j <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL ( �P <br /> �� emi �n er <br /> Sprinkler ❑ ❑ Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL <br /> � Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> :ontractor <br /> Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> :LECTRICIAN Company <br /> ,ig�ature � 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 <br /> License# <br /> 1ECHANICA Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br />)THER <br /> Company <br />.ignature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> iirections: <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 />