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813-780-0020 . City of Zephyrhills Fire Fax-813-780-0�,1 � " <br /> Permit Application <br /> :Received 4-(� -/ <br /> Phone Contact for Pertnit $/ Q 9`(� � <br /> iers Name (:jG p� 2.s , Owners Phone Number gl j� �Q�D po c�� <br /> ier's Address 3�j C-{ ( O `E-�- 'I ( , � 3'3 3-c{ Z <br /> l <br /> Simple Titleholder Name Titleholder Phone Number C] C� � <br /> Simple Titleholder Address «J <br /> Address C�i,,�-� � <br /> Lot# <br /> Division Parcel# <br /> a Bio-Hazard Waste Storege-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installatfon <br /> � Emergency Generator<30 kw � LP/Naturel Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> aFire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL �� <br /> ❑� emi � er �� �(.J <br /> Sprinkler ❑ ❑ ❑ � Recreational Bum �� <br /> Fire Alartn � ❑ ❑ ❑ � � Spark�ers <br /> Hood Cleani�g � ❑ ❑ ❑ �� � Sprinkler System Installations <br /> Hood Suppression � ❑ � ❑ �� � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Instaflation � Torch Roafing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> a Flammable Application-ANNUAL <br /> � Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> --� <br /> trector <br />�ature Company ��K � � � �� <br /> ~� Registered Y/N Fee Current Y/N <br /> Address p c7 �� �` � / <br /> License# <br /> CTRICIAN <br /> ature � Company <br /> Registered Y/N Fee Cument Y/N <br /> Address <br /> License# '—'—� <br /> 1ABER <br /> ature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# � <br /> HANICAL <br /> iture Company <br /> Registered Y/N Fee Curtent Y/N <br /> Address <br /> License# '�--I <br />=R <br /> ture Company <br /> Registered Y/N Fee Current Y/N <br /> Add►ess <br /> ions: <br /> License# �— � <br /> Fill out application compietely. <br /> Owner&Contractor sign back of appiication,notarized(Or,copy of signed contrect 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 h //a <br /> ( ttP: ppraiser.pascogov.com) <br />