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e�s-�ao-oo20
<br /> , City of Zephyrhills Fire
<br /> " Permit Appiication Fax-873-780-0021
<br /> Date Received
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<br /> �. _ .. ...--- ontact
<br /> for Permit ,Z'�.
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<br /> Owner's Photie Number �'/3 ?�� (p b C..� �
<br /> Owner's Address �jj�/� �j�� D ������l�s �� �,1
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<br /> Fee S�mple Titlehalder Narne ""7 �
<br /> � tiUeholder Phone Number �"�'�
<br /> Fee Simple Titlehoftler Addre55 U
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<br /> Scb Diwsion Lot# �
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<br /> BiaHazard VUaste Stora9e-ANMUAL `_ '=a��:''�a>�y�,a;;�_,.�-�,._,,..__ ��.
<br /> � Comm Exhaust KRchen Hoodlpuct ���s Materia!(Tier II or RQ Facility)qNNUA�'
<br /> ❑ ��trolled Bum � �Od I+�tallation
<br /> � Emergency Generator<30 kw a �'����Gas-Msqpation
<br /> ❑ Emergency Generator>3o k,n, � U'���1 Gas-qNNUAL Sale
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<br /> Fire'�rotection Nyintenance.q1�IN�,q� � P���AS$�b�Y-ANNUAL
<br /> � �-�- � Recreational Bum
<br /> Sprinkfer �
<br /> x o o � �
<br /> F�re Alarm � SParklers
<br /> ❑ ❑ ❑ ❑ '� I � �� �
<br /> Haod Cteaning � � SD����er System Instafiations
<br /> � � ❑
<br /> Hood Su ❑ � ��P'P�s(Sprinkler SYS)
<br /> PP�easion � j� � �
<br /> � Ffre Alarm Install2tion . Torch Roefir�-�Kettle
<br /> � Fire Pumps � �ste Tire Storage ANNUAL
<br /> � Fire Works
<br /> � FlamrrtableAppi�tion-,4NNUq�,
<br /> ❑ Fuel Tanks Valuation�f rroject
<br /> ❑ Other
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<br /> t,ontractor --t�_.==�:;F;�.R:;:�'�=� --
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<br /> ';iynature ---•�_�..--.'::w.;..: ....__._ -- _
<br /> Company T. . ..'... .X �- _ -.:
<br /> �aaress � 3� K Registered Y/►y Fee Current Y/N
<br /> i=LECTRIClA1V �g�� q � 'A
<br /> Signature �.
<br /> comFany
<br /> .4ddress R°Q'�'� 1'�N Fee Current Y/N
<br /> ''�JILi$ER LICE►13Ci1`
<br /> :.naiure
<br /> ���y .
<br /> 4ddress Re9�te"ed Y I N Fee Current
<br /> Y/N
<br /> f I.HANICAL LjCe�@�
<br /> r,,,�ure
<br /> �omPanY
<br /> -�ddress ���� Y�N F�Current
<br /> Y/N
<br /> `'th ; Lic�nse#
<br /> ,��:ur�
<br /> Company
<br /> address Registered Y/N
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<br /> ee curreni Y I N
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<br /> _.,a.x�<_,�._.__,..__ l�Censett
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<br /> Fili Out aPWication Completely -.��,��`-`:'`"-°
<br /> Owner&Contractor sipn badc of applieatpR,notarized(Or,copY of - -_,' --.. _- .._
<br /> If over g2500,a Not�of CpmmenCe[�e�t is t�j�� �^ed COnVact with oN,ner)
<br /> Suppiy iwo�2�Se t s o f drewings with��������k over 55000)
<br /> Alfow 10-14 days for rp�jeyy����y��de�.
<br /> Par�el#-obtained irom Properh'Tax Noticx(hHp_/laPP�iser.Pascogov.com)
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