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s��-,80-002o CityofZephyrhills'Fire��- �_. Fax-813-7g0-0021 <br /> Permit,4pplication <br /> Date Received - Phone Contact�for Pertnit � <br /> Owners Name �N'�� �S' � <br /> Owners Phone Number .� ��� �p � <br /> Owner'sAddress 3���,� �":� � <br /> Fee SimpleTiUeholder Name Titleholder Phone Numher � � � <br /> Fee Simple Titleholder Address <br /> Job Address � <br /> Lot# <br /> 5ub Division Paroel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facfltty)ANNUAL <br /> a Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LP/Naturel Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL <br /> l�f"y emi �n er � I <br /> 5prinkler T � ❑ O O � � Recreationai Bum �� 2 <br /> Fire Alartn � ❑ ❑ ❑ �� � "5parklers <br /> Hood Clsaning � p ❑ ❑ C� � Sprinkler System Installations <br /> Hood Suppression � ❑ � p � � Standpipes(Sprinkler 5ys) <br /> � Fire Alartn Installation , � Toroh RoofingfTar Kettle <br /> n Fire Pumps � Waste Tire 5torage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANMUAL ����� Valuation of Project <br /> Fuel Tanks <br /> ' Q Other: <br /> Contrector Company ,� , f �� <br /> -iG <br /> 5ignature Registered Y/N Fee Cu nt Y/N <br /> Address � � License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECi-IANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER <br /> Company <br /> Signature Registered Y/N Fae Current Y/N <br /> Address License# <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign 6ack of application,notarized(Or,copy of signed contract with owner) <br /> tf over$2500,a Notice of Commencement is requfred.(Mechanical work over$SOOD) <br /> Supply 1wo(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 />