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s13�so-oozo City of.Zephyrhills�Fir:e• FaX-s�aaao-oo2i <br /> Permit Application . <br /> �• ` - <br /> Date Received ' Phone Contact for Pertnit <br /> Owners Name Owners Phone Number -� �.� <br /> Owner's Address � <br /> Fee Simple Titleholder Name TiUeholdec Phone Number � � � <br /> Fee Simple?itleholderAddress <br /> Jo6 Address � Lot# � <br /> 5ub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material�er 11 or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LPMatural Gas-Installation <br /> � Emergency C;enerator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly ANNUAL �� � <br /> �y emi �n er ,+�' f (.,� <br /> Sprinkler � p ❑ � � � Recreational Bum ` �� � � <br /> Fire Alartn � ❑ ❑ � �� � Sparklers <br /> Hood Cieaning � O O ❑ �� � SprinklerSystem Installations <br /> Hood Suppression � � ❑ ❑ C� ' � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh RoofinglTar Kattle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuei Tanks <br /> Q Othe � <br /> ConVactor Company �.., <br /> Signature ' Registered Y/N Fee Current /N <br /> AddFess Ueense# <br /> ELECTRICIAN Company <br /> Signature � Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUAABER Company <br /> Signature Registered Y/N Fse Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature . Registered Y/N Fee Curtent Y/N <br /> Address License# <br /> OTHER Company <br /> SignaWre Registered Y/N Fee Current Y/N <br /> Address License# <br /> Directions: <br /> Fil out application complately. <br /> Owner 8 Contractor sign back of application,notarized(Or,copy of signed conUact with ovmer) <br /> If over$2500,a Notice of Commencemerrt is required.(Mechanicat woric over$5000) <br /> Supply two{2)sets of drawings with applicable documentation <br /> Atlow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) <br />