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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> ,� Permit Application <br /> ate Received � Phone Contact for Permit jr! •�� S� (� <br /> wners Name = S i' C� UyG(� a r C�R�S i i� �'� Owners Phone Number ��3 Sr �-- � Z G <br /> wner's Address 3���3 /v a„i'�'� l4+� �r,v •L � �n L, ,3 3 r�!y <br /> :e Simple Titleholder Name TiUeholder Phone Number �� C� �.1 <br /> �e Simple TiGeholder Address <br /> >b Address �� <br /> Lot# <br /> ab Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct Q Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installatlon <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> ❑� emi �� � <br /> Sprinkler O ❑ ❑ Recreationai Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ p � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � a Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation a Torch Roofingliar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL 1� �7 <br /> � 1 - 1 Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> �ntractor <br /> Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br /> .ECTRICIAN <br /> I Company <br /> gnature � Registered Y/N Fee Current Y/N <br /> Address License# <br /> .UMBER <br /> Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br /> =CHANICA <br /> Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License� <br /> fHER <br /> Company <br /> 3nature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> rections: <br /> Fill out application completely. <br /> Owner&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 hvo(2)sets of drawings with appifcable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />