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813-780-0020 Ciry of Zephyrhills Fire Fax-813-7B0-0021 <br /> Pertnit Application <br /> �ate Received �.S— �-�� Phone Contact for Permit C� � � <br /> nnmers Name ��c���''�,--'Z L S Lv � ` Owner's Phone Number C� � � <br /> wvners Address <br /> ee Simple Titleholder Name Titleholder Phone Number C� � � <br /> ee Simple Titleholder Address <br /> ob Address Lot# � <br /> ub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> � ControNed Bum a Hood Installation <br /> aEmergency Generator<30 kw a LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale- <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNll1�L /�� 1i <br /> emi n er y/ ``� � <br /> i f( '�� <br /> P � � ` I i� . <br /> S rinkler ❑ ❑ � Recreational Bum i <br /> .--" <br /> Fire Alartn ❑ � ❑ � � Spartclers '4 `�,� <br /> Hood Cleaning � ❑ ❑ ❑ � a Sprinkler System Installatiori3�� -�-----�`" � <br /> Hood Suppression � ❑ ❑ � � a Standpipes(Sprinkler Sys} <br /> � Fire Alarm Installation � Torch Rooflnglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL r—_� 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 l 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 /> �ECHANICA 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 /> �irections: <br /> Fill out application completely <br /> Owner 8 ConVactor 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 />