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813-780-0020 <br /> City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Phone Contact for Permit ��o � L1.�--J <br /> �ate Received <br /> i �� � Owners Phone Number C� � �� <br /> Nmers Name <br /> hvners Address G Y � L �� �� �� <br /> Titleholder Phone Number <br /> ee Simple Tideholder Name <br /> ee Simple Titleholder Address <br /> �C / � !�� Lot# � <br /> ob Address � <br /> Paroel# <br /> ub Divisian <br /> � Bio-Hazard Waste Storege-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw a LP/Natural Gas-Installation <br /> � � LPINatural Gas-ANNUAL Sala <br /> Emergency Generator>30 kw a <br /> � Fire Protection Maintenance-ANNUAL Placas of Assembly-ANNUAL <br /> ❑� emi � er � <br /> Sprinkler ❑ ❑ ❑ RecreaGonal Bum <br /> Fire Alarm � � ❑ ❑ � a Sparklers <br /> Hood Cleaning � � � � � a Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ C� Standpipes(Sp�nkler Sys) <br /> � Fire Alartn Installation � Torch Roofing/Tar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works �� <br /> � Flammable Application-ANNUAL r� Valuation of Project <br /> � Fuel Tanks <br /> � a <br /> Company <br /> :ontractor <br /> Registered Y/N Fee Current Y <br /> .ignature <br /> License# <br /> Address <br /> :LECTRICIAN Company <br /> Registered Y/N Fee Current Y/(d <br /> �ignature <br /> License# <br /> Address <br /> 'LUMBER Company <br /> Registered Y/N Fee Current Y/N <br /> .ignature <br /> License# <br /> Address <br /> 1ECHANICA Company <br /> Registered Y/N Fee Current Y/N <br /> ,ignature <br /> License# <br /> Address <br /> 1THER Company <br /> Registerad Y/N Fee Current Y/N <br /> �ignature <br /> License# <br /> Address <br /> �irections: <br /> Fill out applicaGon compietely. <br /> Owner 8 Contractor sign back of application,notarized(Or,copy of signed conVact with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Supply Mro(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review aiter submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.paswgov.com) <br />