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E -784-0020 Ciry of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Received Phone Contact for Pertnit � � � <br /> wner's Name Y Owners Phone Number �� �� � <br /> wners Address <br /> 3e Simple Titleholder Name Titleholder Phone Number � � � <br /> 3e Simple Titlehoider Address <br /> �b Address Lot# � <br /> ab Division Paroel# <br /> � 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 LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> � em� � r <br /> Sprinkler � O ❑ ❑ � Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> aFire Alartn Installation � Torch RoofinglTar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> aFuel Tanks <br /> Q Other. <br /> �ntractor Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br /> _ECTRICIAN Company <br /> gnature � Registered Y/N Fee Cument Y J 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 Fee Current Y/N <br /> Address License# <br /> fHER Company <br /> �nature Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> rections: <br /> Fill out application completely. <br /> Ownar&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 applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJlappraiser.pascogov.com) <br />