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813 780-0020 <br /> City of.Zephyrhills�Fir:e• FaX-a�saso-oo2� <br /> Permit Application <br /> - - Phone Contact for Permit /� °2 <br /> Date Received� 2 <br /> � - Owners Phone Number ' .J ��• � /� <br /> Owners Name r ^ <br /> Owner's Address c.lOv� l J�d <br /> TiUeholder Phone Number C� � �� <br /> Fee Simpie Titleholder Name <br /> Fee Simple Titleholder Address <br /> J�r Address <br /> J�o�� \ S � � S' l Lot# �� <br /> Parcel# <br /> 5ub Division <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumiqation Tent <br /> � Comm Exhaust K3tchen Hood/Duct � H�roous Material(Tier 11 or R�Facility)ANNUAL <br /> � Controtled Bum � Hood Instailatlon � <br /> � Emergency Generator<30 kw � LPMatural Gas-Instaltation '�/� �� � <br /> � LPlNatural Gas-ANNUAL Sale N, <br /> Emergency Generator>30 kw � N� <br /> Fire Protection Mafrrtenance-ANNUAL Places of Assembly-ANNUAL �� <br /> �r'i�y emi �n er � <br /> 5prinkler ❑ p ❑ Recreationai Bum <br /> Rre Atartn O � � 5parlclers <br /> Hood Cleaning O ❑ � � � SprinklerSystem installations <br /> Hood Suppression � O � 0 C� � 5tandpipes(Sprinkler Sys) <br /> � Fire Alarm Insiallation � Torch RoofinglTar Kettle <br /> Fire Pumps � Waste Tire Storaga ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> � Othe • <br /> ConVactor Company Z <br /> Ragtstered Y/N ee Current Y!N <br /> Signature <br /> License# <br /> Add�ess - <br /> ELECTRICIAN Company <br /> , Registered Y/N Fee Gurrent Y/N <br /> SignaWre <br /> License# <br /> Address <br /> PLUMBER Company <br /> Registered Y/N Fee Current Y/N <br /> Signature <br /> Address License# �- � <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Curtent Y/N <br /> Address License# � <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> Directions: <br /> FII out application completely. <br /> Owner 8 Contractor sign back of application,notarized(Or,copy of slgned conVact with owner) <br /> If over$2500,a No6ce of Commencament is requirad(Mechanical work over$5000) <br /> Supply two(2)sets of drewings with applicable documentation <br /> Allow 10-'14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http•llappraiser.pascogov.com) <br />