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s�r�aa-aozo Ciiy of Zephyrhills'Fire� Fax-8�3-780-0021 <br /> � Permit Application ' <br /> )ate Received . ' �F� <br /> Phone Contact�f,o�r�it��- <br /> s.:�:Si':�cK,::CirjC"� . �,>...�:«,.�.�+.wr�a.+.x+w:a _ ' <br /> hvners Name (' � Owner's Phone Number �� VI �,/,�/�, <br /> IL+G� <br /> )wners Address � q, �r <br /> =ee 5impl=Titleholder Name 'TiNeh der Phone Number � � <br /> =ee Simple Titleholder Address <br /> ��s'�x�' ..,w,z�eo,�,., n.�.�r,,.�::erx�:�?��-��3�.""�.�vF�`��! <br /> Job Address � <br /> Lot# <br /> Sub Division Parcel# <br />�§�[t raS°�"'*""��FS31�'a <br /> � —<f1�S�2:fr''a�.e.'�_�..=a�°�`3�.n�«^1C:.�.;��;:;:;.�.r:�'Sf.€.."�-'...x�.rs'. <br /> Bio-Hazard Waste 5torage-ANNUAL � FumigaUon Tent � <br /> � Comm Exhaust FGtchen HoodlDuct a Hazardous Materia!(Tier II or RQ Facllify)ANNUAL <br /> Controlled Bum a Hood installation <br /> � Emergenoy Generator<30 kw a LP/Natural Gas-Instaltation <br /> Emergenoy Generetor>30 kw � LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Mairttenance-ANNUAL � Piaces af Assembly-ANNUAL /� <br /> � r y emi nT ar � � <br /> 5prinkler ❑ ❑ ❑ a Recreational Bum I <br /> Fire Alarm p p � <br /> � � �� � Sparklers <br /> Hood Cleaning ❑ p ❑ Sprinkler System Installatlons <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkier Sys} <br /> � Fire Alartn Installafion � Torofi_RoofinglTar Kettie <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works • <br /> Flammable Applicatlon-ANNUAL —� Valuation of Project <br /> Fusf Tanks <br /> Q Other: <br /> a <br /> Contractor . ����`'��=''�-�'� <br /> Signature � . Comparry ' >:'� , := .i, '' 'j� _ �. <br /> Registerec! Y N Fee Gurrent (� <br /> Address ,� � _ � <br /> � �'f�� License# J t; �� <br /> ELECTRICIAN <br /> Cumpany <br /> 51g�ature Registered Y/IV Fee Current Y/(� <br /> Address <br /> Ltcense# <br /> PLUMBER Company <br /> Sic�nature ReglstBred Y/N Fse Gurrent �/�J <br /> Address <br /> Licensa# <br /> MECHANICAL <br /> Company <br /> Signature Registered Y/N Fee Current Y/N � <br /> Addrsss <br /> License# <br /> OTHER _ <br /> 5lgnature <br /> Company <br /> Rsgistered Y/f�! Fee Gurreni Y/N <br /> Address � � <br />�-�.�.�.:�°s�:_:;�..�.�,,���_ _�,=,¢�.�, Li�ense# <br /> ......�., <br /> �irections: " - - �..�.z.����r <br /> Fill aut appiication completeiy. y `��V� -- �-=Y�-��,p�� <br /> Owner 8 Contractor sign back of appliratior�,notarized(Or,aopy of signad cvntract with owner} <br /> If over 52500,a Noti�e of Commencement fs requirad(Mechanica!work over 35000) <br /> Supply two(2)sats of drawings with applicabie documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice htt !/a <br /> ( p: ppraiser.pascogov.00m) <br />