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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 Permit f�� �6 (�Sf6 <br />�nmer's Name ,f�vt� Owners Phone Number v�� 7�� �Z7Z <br /> rvners Address (6 O G� lr�t�l Q/�/A � �/ �"Y Z <br />:e Simple Titleholder Name Titleholder Phone Number C� �� �� <br />�e Simple Titleholder Address <br />�b Address Lot# � <br />�b Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood InstallaUon � <br /> � Emergency Generator<30 kw a LPlNaturel Gas-Instaliation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale � �r <br /> � Fire Protection Maintenance-ANNUAL Q Places of Assembly-ANNUAI �� ` <br /> � emi �n er <br /> Sprinkler � O ❑ ❑ � � Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ � a Sparlclers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ � ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> a Ffammable Application-ANNUAL <br /> � r���� Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> mtractor Company � t-1 �r Jrtc, <br />�nature Registered Y/N Fee Current Y/N <br /> Address .t?, p` 6 License# <br />.ECTRICIAN Company <br />�nature � Registered Y/N Fee Current Y/N <br /> Address License# <br />.UMBER <br /> Company <br /> 3nature Registered Y/N Fee Cument Y/N <br /> Address <br /> License# <br />:CHANICAL Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br />�HER Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address License# <br />+ections: <br /> Fill out application compietely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contrect 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 />