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� s�3��so-oozo Crty ofZephyrhills"Fir:e�- Fax-aisasaooz� <br /> Permit Application <br /> Date Received =- Phone Contact for Pertnit � <br /> ;� <br /> Owner's Name L(f(� Owners Phone Number � �� � <br /> Owner's Address <br /> Fee SimpleTitleholder Name Titlehotder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> �---�-� <br /> JobAddress G f� (f Lot# y <br /> � <br /> 5ub Division Paroel# <br /> � Bio-Hazard Waste 5torage-ANNUAL � Fumigation Tent �'""�- <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(l'ier II or RQ Facility) NUAL �� <br /> � Controlled Bum � Hood Installation ���.� <br /> Emergency Generator<30 kw LP/Natural Gas-Installation <br /> � Emergency Generetor>30 kw � LP/Natural Gas-ANNUAL Sale � �i <br /> � Fire Protection Maintenance-ANNUAL � �� <br /> Places of Assembly-ANNUAL <br /> ❑� em� � er <br /> 5prinkler ❑ ❑ L7 � � Recreational Bum J �� <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers � / �� _Y_... <br /> Hood Cleaning � ❑ ❑ ❑ � � 5prinkler8ystem Installations� <br /> Hood 5uppression ❑ O Standpipes(Sprinkler Sys) <br /> � Fire Alartn InstallaUon � Torch Roofingll'ar Kettle <br /> Fire Pumps � Waste Tire 5torage ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> QOther: <br /> Contractor <br /> Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> MECHANICAL Company <br /> 5ignature - <br /> Registered I Y�N I Fee Current Y/N <br /> Address License# <br /> OTHER <br /> � �� Company <br /> Signature ! %" _ Registered / Fee Current Y/N <br /> Address <br /> _ License# <br /> Directions: - <br /> Fiil out appiication completely. <br /> Owner 8 Contractor sign back of applicafion,notar¢ed(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required.(Mechanical work over$5D00) <br /> Supply two(2)sets of drawings with applicab{e documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained frvm Property Tax Notice(httpJlappraiser.pascogov.com) <br />