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s�_ �so-oc2o City of Zephyrhills Fire
<br /> Permit Application rax-�;3'so-oc2�
<br /> Dat=R=ceived � -� - -
<br /> . _ ,,. ;;, ___ _ Phone Contact ior Perznif a ,�5 �_ ,.��,-i-i I
<br /> Owner�Name � ��JG. �U G�D 17i�` <._... _.....::r�;��_ ._,..- :i�h.u��:.a�:�n.,...;,�e.h:::r:�.>:r;;..: -._. ,. . LSC�i.2l21
<br /> ^ f- Owner's Phone Number � � r�
<br /> Owner's Address y� � - � �y � ' �G ��I ��T n
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<br /> ree Simole Titieholder Name �� ��
<br /> Titleholder Phone Number
<br /> Fe=Simple Titl=nold=r Addr=ss
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<br /> Job Address A T��� \�
<br /> c Y Lot t
<br /> Sub Division
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<br /> Bio-HazardWasteStorege-ANNUAL ��^�F;�;~A�Ni;��p��-•���::, :�� ��"'
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<br /> arumiaation Tent
<br /> Comm Exhaust Kiichen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
<br /> � Controlled Bum � Hood Installation
<br /> � cmergency Generator<30 kw � � -
<br /> � _ LP/Naturel Gas-Installafion �
<br /> �mergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale
<br /> � Fire Protecfion Maintenance-ANNUAL � � , t�
<br /> Places of Assembly-ANNUAL 'C r��/�
<br /> tny emi ni ner ❑ �i ��,
<br /> Sprinkler � � � � - 1
<br /> Recreafional Bum
<br /> Fire A�arm � �j � ,d
<br /> ❑ S�° � � Sparklers
<br /> Hood Cleaning G u u �
<br /> Sprinkler Syst2m Installatiors
<br /> Hood Suppression � p C � �� �
<br /> aStandpipes(Sprinkler Sys)
<br /> Fire Alarm fnstallation � Torch Roofing/Tar Kettle
<br /> � Fire Pumps � Waste Tire Sto2ge ANNUAL
<br /> � Fire Works
<br /> � Flammable Appiication-ANNUAL
<br /> � Valuation of Project
<br /> ruel Tanks
<br /> Q Other:
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<br /> Contrector _.... .._ . .. ... __. _ .._. .�:s:�c;<.�°.^..��f'�c,_��-_'�',.- r2'�'+`.:w."w&�::��.3"�Nk:�-:k���.,::�?:zr.;:�_;±zt�:x�,s"�3t°�� ;FF. ;.s,.
<br /> 'L3:P *a"�'_:}`1"n;_'�L°;.`w.
<br /> Signature Company
<br /> Registered Y/N Fee Current Y/N
<br /> Addr=ss
<br /> License# �-- �
<br /> ELECTRICIAN
<br /> Sigr,aiure Company
<br /> Registered Y/N Fee Current Y/N
<br /> Address
<br /> License�
<br /> PLUMB=R
<br /> Signature Company
<br /> Registered Y/N Fee Current Y/N I
<br /> Addr=ss
<br /> Licensz� �
<br /> MECHANICAL
<br /> Signature Company
<br /> Registered Y/N Fee Current Y/N
<br /> Address
<br /> License# r--
<br /> OTHcP, �
<br /> Signature � Company =j�L2
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<br /> Address C� �,l _ , tered /N Fee Cu , /(�J
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<br /> Fill out applicafion completely :.' .-- ,. _.s.�,._, .� _�.._ ... _�_.......__. ;��;;�..,.:,,, �:.�•.
<br /> Owner&Contractor sign back ot aoplication,notanzed Or,co ��6�� C � `+�
<br /> I�over�2500 z Notice o`Commencement is reqwred(Mechan calfwork ov e�W�r000)�th owner)
<br /> Supply two(2)sets of drawing_=with applicable documenta[ion
<br /> Aliow 1 C-14 days for r�view after submirai date Parcel�-obtained from Property Tax Notioe(http://appraiser.pasoogov.com)
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