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s�s-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit �G�r.�---� �� �LJ�����} <br /> Owner's Name � Owner's Phone Number � Z I �'�'�'( 1 <br /> Owner's Address �� �Q I � <br /> Fee Simple Titleholder Name Ttleholder Phone Number � � C� <br /> Fee Simple Titleholder Address <br /> Job Address � \ 1 �.J� Lot# � <br /> Sub Division Parcel# � �" �� � V � <br /> ' � D� - U�(q� <br /> � Bio-Hazard Waste Storage-ANNUAL � Hazardous Material(Tier il or RQ Facility)ANNUAL <br /> � Comm Exhaust Kitchen Hood/Duct � Hood Instaliation <br /> � Controlled Bum � LP/Natural Gas-Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-ANNUAL Sale <br /> aEmergency Generator>30 kw � Places of Assembly-ANNUAL � ���v�� <br /> � r <br /> Fire Protection Maintenance-ANNUAL Recreafional Burn � <br /> �� emi � er � <br /> Sprinkler ❑ ❑ ❑ Sparkiers <br /> Fire Alarm � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Cieaning � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> Hood Suppression � ❑ ❑ ❑ � � Torch Roofing/Tar Kettie <br /> � Fire Alarm Installation � Waste Tire Storage ANNUAL <br /> QFire Pumps <br /> � Fire Works <br /> FlammableAppiication-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other• <br /> Contractor , � Company � • �� <br /> Signature Registered /N Fee Current Y/N <br /> Address "]C � License# �_ p, <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Cur2nt Y/N <br /> Address <br /> License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER <br /> Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> Directions: <br /> Fill out appiication compietely <br /> Owner&Contrador 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 /> Ailow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http:!/appraiser.pascogov.com) <br />