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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Received �� � Phone Contact for Pertnit �-�J� � ��' <br /> wner's Name /� � Owners Phone Number � � �� <br /> wner's Address � �-'" v , <br /> �e Simple Titleholder Name Titleholder Phone Number C� �� C� <br /> :e Simple Titleholder Address <br /> >b Address � QV'Ct �V(�j �� <br /> Lot# <br /> �b Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <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 /> �y emi �n r �i ��� <br /> Sprinkler � ❑ ❑ ❑ � � Recreationa)Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System InstallaUons <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh Roofing/Tar Kettle <br /> � Fire Pumps a Waste Tire Storage ANNUAL <br /> aFire Works <br /> � Flammabie Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> mtractor � ���C� ��� Company <br /> gnature Registered Y Fee Current <br /> Address License# <br /> _ECTRICIAN <br /> Company <br /> gnature � Registered Y/N Fee Cument Y/N <br /> Address License# <br /> _UMBER <br /> Comparry <br /> gnature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> =CHANICAL 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 /> Fili 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 two(2)sets of drawings with appiicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) <br />