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813-780-0020 City of Zepfiyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> ate�Received — - Phone Contact for Pertnit � � � <br /> wners Name t � J Owner's Phone Number � � � <br /> wner's Address <br /> 3e Simple Titleholder Name Titleholder Phone Number � � � <br /> :e Simple Titlehoider Address <br /> �b Address Lot# � <br /> �b Division Parcel# <br /> aBio-Hazard Waste Storage-ANNUAL � Fumigatlon Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Faciliry)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> oEmergency Generator<30 kw � LP/Natural Gas-Installation <br /> Emergerrocy Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n r <br /> Sprinkler � /I�' ❑ ❑ � Recreational Bum <br /> l/\ <br /> Fire Alarm � ❑ ❑ ❑ � a Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh Roofinglfar Kettle <br /> � Fire Pumps a Waste Tire Storage ANNUAL <br /> � Fire Works <br /> a Flammable ApplicaUon-ANNUAL �--� Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> �ntractor Company <br /> gnature Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> _ECTRICIAN Company <br /> gnature � Registered Y/PI Fee Current Y/N <br /> Address License# <br /> .UMBER Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br /> =CHANICA Company <br /> �nature Registered Y/N Fea Current Y/N <br /> Address License# <br /> fHER Company <br /> 3nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> rections: <br /> Fill out application completely. <br /> Ovmer&Contractor 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 appiicable documentation <br /> Allow 10-14 days for review aftar submittal date. Paroel#-obtained from PropeRy Tax Notice(http://appraiser.pascogov.com) <br />