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si��aso-oozo City ofZephyrhills'Fir:e• Fax-a�saso-oozi <br /> � Permit Application - <br /> - Phone Contact for Pertnit <br /> Date Received <br /> Owner's Name Owners Phone Number -� �• <br /> s � <br /> Owners Address � �� � � <br /> Fee Simple Titleholder Name TiUeholder Phone Number <br /> Fee SimpleTit{eholderAddress <br /> O J " �ot# � <br /> Job Address - <br /> Paroel# <br /> Sub Division <br /> � Bio-Hazarcl Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material�er II or RQ Faciiity)ANNUAL <br /> � Controlled Bum � Hood InstaltaUon <br /> � Emergency Generetor<30 kw � LPMatural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Naturel Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL � � <br /> y emi n er � '� <br /> Sprinkler �� � �� � Recreational Bum -� � <br /> Fira Alartn � ❑ � � � � 5parlclers <br /> Hood Cleaning � ❑ � ❑ � � SprinklerSystem Installations <br /> Hood Suppression � � O ❑ C� � 5tandpipes(Sprinkler Sys) <br /> � Fire Alartn Instaliation � Toroh Roofing(Tar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> � Othe � <br /> ConVactor Company 5 <br /> Signature Registered Y/N Fee Curtent Y/N <br /> AddFess License# <br /> ELECTRICIAN Company <br /> Signature ' Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> Directions: <br /> Fil out application completefy. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed conVact with owner) <br /> tf over$2500,a Notice of Commencement is required(Mechanical worlc over$5000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Ailow 10-'14 days for review after submittal date. Parcel#-obtained from Property Tax Notice{httpJ/appreiser.pascogov.com) <br />