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813-7&0-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate Received �--� Phone Contact for Permit � �� � <br /> r <br /> Nmers Name j.f Owner's Phone Number � � � <br /> ►wner's Address �� <br /> ee Simple Titleholder Name Titleholder Phone Number � � � <br /> ee Simple TiUeholder Address <br /> ob Address Lot# � <br /> ub Division Parrel# <br /> � Bio-Hazard 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 � LPlNatural Gas-Installation <br /> � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � ❑ � ❑ � Recreational Bum <br /> Fire Alartn � f� ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sp�inklerSystem Installations <br /> Hood Suppression � � ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation � Toroh Roofingltar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> :ontractor Company <br /> ;ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> :LECTRICIAN Company <br /> :ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> �LUMBER Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> 1ECHANICAL Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> )THER Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> lirections: <br /> Fill out application completely <br /> Owner&Contractor sign back of appiication,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 after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />