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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate Received �--� �,,� d,��2� /�3 Phone Contact for Pertnit �� S•C� �3,S` <br /> Mmers Name . L �L,�/ �rr/ Owner's Phone Number �f 3 5�� g 3�� <br /> ►��ers Add�ess .0, �0 3 �1 M�'� -�� 3 3 7� <br /> ee Simple Tideholder Name Titleholder Phone Number C� �� �� <br /> ee Simple Titleholder Address <br /> / �� �� <br /> ob Address .�� / G L G �� �• Lot# <br /> ub Division Parcel# <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 � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> � emi � er � <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum (l/� � <br /> � / ( <br /> Fire Alarm � ❑ O ❑ � � Sparklers <br /> Hood Cleaning � ❑ � ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> Fire Pumps � Waste Tfre Storage ANNUAL <br /> aFire Works <br /> � Flammable Application-ANNUAL Valuation of P�oject <br /> � Fuei Tanks <br /> � 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 I N Fee Current Y/N <br /> Address License# <br /> �ECHANICA Company <br /> ,ignature Registered Y/N Fee Current Y/N <br /> Address License�k <br /> 1THER Company <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> �irections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Supply two(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 />