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813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Rece?�ed . �1! - � j . Phone Contact for Permit C� � � <br /> wner's Name j l��. /� � i Z�� Owners Phone Number C� C� � <br /> J <br /> wners Address <br /> ae Simple Titleholder Name Titleholder Phone Number C� C� �� <br /> �e Simple Titleholder Address —� <br /> >b Address � Lot# �� <br /> �b Division Parcel# <br /> a Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier il or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood InstallaUon <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL a Places of Assembly-ANNUAL <br /> r y emi �� � <br /> Sprinkler � O D Recreational Bum <br /> Fire Aiartn � ❑ ❑ ❑ � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storege ANNUAL <br /> � Fire Works <br /> a Flammable Application-ANNUAL <br /> � �-, Valuation of Project <br /> Fue�Tanks <br /> [� Other. <br /> mtractor <br /> Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> _ECTRICIAN <br /> I Company <br /> gnature Registared Y/N Fee Current Y/N <br /> Address <br /> License# <br /> _UMBER <br /> Comparry <br /> gnature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> cCHANICA <br /> Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# �— <br /> fHER <br /> N --�,,,�„�"._.--� Company � <br /> �nature �=---�•-•--... C_.�— _ <br /> Registered Y/N Fee Current Y/N <br /> Address — <br /> License# T� <br /> rections: <br /> Fill out applicaGon 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(Mechanicai work over$5000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Par�cel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov,com) <br />