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s�saso-oo2o City of Zephyrhills Fire Fax-913-790-0021 <br /> Permit Application <br /> ate Received / Phone Contact for Permit �� � � <br /> i <br /> wners Name � � Owner's Phone Number ��'3 O � � <br /> wner's Address � ` o ,� , <br /> :e Simple Titleholder Name Titleholder Phone Number � � � <br /> �e Simple Titleholder Address <br /> �b Address ��' �V -�( �� Lot# � <br /> �b Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm F�chaust Kitchen Hood/Duct � Hazardous Material(Tier il or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n er <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum � /(�(/�� <br /> � / r <br /> Fire Alartn � O ❑ ❑ � � Sparklers <br /> Hood Cleaning_ ❑ ❑ � � Sprinkler System Installatlons <br /> Il_ <br /> ood S pression � ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> Fire fllarm Installation a Torch Roofinglfar Kettle <br /> � ire s�� � � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL r Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> �nVactor �—� Company � <br /> gnature Registered N Fee Current N <br /> Address License# <br /> .ECTRICIAN Compa�y <br /> gnature I Registered Y/N Fee Current Y/N <br /> Address License# <br /> .UMBER Comparn <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br /> =CHANICA Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> fHER Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> rections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,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)sels of drawings with applicable dxumentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />