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a�s-�so-oo2o City of Zephyrhills Fire Fax-813-780-002't <br /> , Permit Application <br /> ate Re�eived — Phone Contact for Pertnit � ��� (c�C� <br /> wners Name c� w�r�v.� � Owners Phone Numbe� ���j ,�j y2� <br /> �vner's Address <br /> :e Simple Titleholder Name TiUeholder Phone Number C] C� �� <br /> �e Simple Titleholder Address �-��J <br /> �b Address su VW-�— � <br /> Lot# <br /> �b Division <br /> Parcel# <br /> � BiaHazard Waste Storage-ANNUAL � Fumigation Tent ` <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw a LP/Natural Gas-Installation <br /> � Emergency Generetor>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> ❑ R�rTy] emi A�Tn er ❑ J! � <br /> �7 <br /> Sprinkler ❑ ❑ ❑ Recreational Bum � 1/ �� <br /> Fire Alarm � p � � �F <br /> � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ a Sprinkler System Installations ���i <br /> Hood Suppression � O � ❑ � � Stand i / " <br /> � p pes(Sprinkler Sys) <br /> Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> a Flammable Application-ANNUAL <br /> � Fuel Tanks �� Valuation of Project <br /> Q Other: <br /> mtrector <br />�nature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address 0 K �j L..a„� p`� (o License# �, <br />.ECTRICIAN <br />�nature Company <br /> Registered Y/N Fee Current Y/N <br /> Addrass <br /> License# <br /> UMBER <br />�nature Company <br /> Registered Y/N Fee Cument Y/N <br /> Address <br /> License# <br />:CHANICAL <br />�nature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> HER <br /> nature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br />;ctions: <br /> License# <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized(Or,copy of signed contract with oxmer) <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:/lappralser.pascogov.com) <br />