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Cibj of Zephyrhills Fire� FaX-8t3=�so-oo2� <br /> 8'!3-780-0020 ' <br /> Permit Application <br /> iate Received � � Phone ContactforPermit �__�T� <br /> � �:at�w�zr�a.���,:�,Y2.z ..,.......�_...,. _�....__..,..,�._...._„_,._.._.__. <br />..'-��M:sSy�<'�u'�r.M'C=M:Ci;�:€��~�,:..,.�.�..._....an � ._ - <br /> Owner's Phone Number <br /> 7wners Name <br />)wner's Address �- � � � ` r� <br />�ee Simple Titleholder Name Titleholder Phone Number � � � <br />=eeSimpleTitleholderAddress J ,�, x���,,��y�y�,.;�;:.;y,=r���,��;g��a_� <br />�.--��"iM't��:?3r3r=w."' "'°�-�-Y"'�'•'�,. �'°°""�° �.�`�`w�e93 i � <br /> _� � ' e � , ._ i C�.s !�- t- n �oc# <br /> Job Addr=ss <br /> Parcel# <br /> 5ub Division -e��gy�;,ei4ci:si:e+�F-.J'-e��'^�'�.�;:`i'=s:;==v^^=.�€`==�s' <br /> ��'=- <br /> i'.�`":.:ri`?-e'=�.r::ac."'"3:i36Y&''��.'�` ' � . ' <br /> � Bio-Hazard Waste 5larage-ANNUAL � FumigaUan Tent <br /> � Comm Exhaust K.itchen HoodlDuct � HazaMous Material(Tier 11 or RQ Facllity)ANNUAL <br /> � ConVolled Bum � Hood{nstallation <br /> � Emergency Generator<30 kw � LPINaturai Gas-InstallaBon -D,`� <br /> o � � �f Y, <br /> Emergency Generetar>3D kw LPINatural Gas-ANNUAL Sale � <br /> Fire Protection Mairtenance-ANNUAL Q Places of Assembly-ANNUAL <br /> �CrJfy' em� �n ar Q t <br /> SPrinkler � ❑ ❑ O RecreaBonal Bum <br /> Fire Alartn ❑ ❑ �'! Sparklers <br /> � S rinkler S stem Installa8ons <br /> Hood Cleaning � ❑ � � � � P y <br /> Hood Suppressi��n � ❑ � ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn installati�n � Torcfi Roafing(far KetVe <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works ' <br /> Flammable Applicatlon-ANNUAL Valuation of Project <br /> Fue{Tanks <br /> � Other: <br /> ,.� = P ����._.� <br /> �.�:� <br /> ConVactor� _ Comparry ' >-',. ;�[S •'-• � 'ir`t��°. <br /> Signature ' Registered Y N Fee Current N <br /> Address ) \� a - ` � '"'f"` License# ��, i ci <br /> ELECTRICIAN Company <br /> 5ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Reglstered �(/N Fee Current Y/N <br /> Address �- Lfcense# <br /> MECHANICAL Company <br /> Signature Registered Y!N Fee Curtent Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered � Y/N Fee Curtent Y/N <br /> Address LiCense# <br /> r;�s���:-_:.�,_.- �..�._-.���,..,�._,�.�SSr��=......,•. �.�.,,....�.�,.�.�..•,ss���+'���. __ --� - --- ---- --- -�t�'°<.:_.� <br /> Directions: <br /> Fill aut application campletely. <br /> Owner 8 Contractor si�n bacic of application,notarized(Or,copy of signed contract with owner) <br /> If nver$25�0,a Noti�e of Commencement is requlred(Mechanical work over 35000) _ <br /> Supply two(2)sats of drawings with applioable documentation <br /> Allow 10-14 days for review after suhmittal date. Parcel#-obtained from Prope�ty Tax Notfce(http:f/appreiser.pascogov.00m) <br />