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a�s.7saoo2o City of Zephyrhills Fire Fax-813-780-002� <br /> -' ` Permit Application <br /> Date rteceived �— Ptane Contact tor t�ermit �._� 4 y� �4 9 3 <br /> _... . _ <br /> --� m��, ��:�:r��a���u--� ���tt,�� -�_:_:.:.,. ..:_ <br /> Owner's Name <1 Z�L EA S �C L i /^�c . Owners Phone Number � �� � <br /> Owners Address 3 8 g�� N A►�E zEPfi�yiQ�tl/!� 5 FL 3 3 S�f U <br /> Fee Simple Titleholder Name Titleh0lder Phone Number C� � C] <br /> Fee S�mple TiUeholtler Address <br /> . __. ._ -e;x::*-€'�,'*�:: :�s' - '�_`�.�.:;;ss..::���-��;,.. , - <br /> JobAddress ,,-'��g0� V� ZC�HY�P�V��c 5 GL 3355�0 �t� �� <br /> Sub Division Pe�Cel* <br /> . ......_�._;. .i:r'a �'-aL-.:a�rseN:dsYVa�YY.ve;�r_u_.—.�a±.•—.a.z.d.�liZiM'fi. _Y,"eAL`4'.—'_£:'�'S.:i'_:'�,-, ' <br /> � � .. .- . . . . . . ._ <br /> :,:C-_.�,.y�.�,�-�-°�Sur'hr"'�'�!Il....191e' e �T'yF�". � . •i. <br /> � Bio-Hazard 1Maste Storage-ANNUAL Q Hazardous Mate�ial(T'�er 11 or RQ Faality)ANNUAL <br /> � Comm Exhaust IGtG�en HoodlDuct � Hood►nstallaUon <br /> � CormoUed Bum ' � LP/Natur2!Gas-Insfallation <br /> � Emergenq Genera4or<3p� � LPMatural Gas,ANNUAL Sale <br /> � Emergency Generator>30 kw Q Places of Assemby,ANNUAI <br /> afire Proteaion AAaiMertance•ANNUAL � ReueaUonal Bum <br /> s���� ❑� �' �� ❑ s��� (��Z <br /> Fire Alarm � ❑ � }( � ❑ Sponkler System Inciallations � <br /> Hood Cleaoing � 17 ❑ O � StandpiPes(SPrir+kler Sys) <br /> Hoo�Suppresaion � .❑ ❑ ❑ � Torch RooTinglTar Ketde <br /> � fire Alartn Ins�llation � Waste Tire Storage ANNUAL <br /> � Fire Pumps <br /> Fire Wbrks <br /> (� Flammable Applicatan•ANNUAL Valuation of Project <br /> U <br /> fuel Tanka <br /> � Other. <br /> _. � , -- ___ ,.----- - - <br /> . , ,_._,_,...��;�.r-����-� ��- - - •�.�. - ,.��.,.. .:_._..., _ <br /> Contrador Company T 1 'o <br /> Signature Ragisterod Y%N Fee Cu�rent Y!N <br /> Address 3531 1�a ne Ra1. license# Fppp �If <br /> ELECTRICIAN Company �� <br /> s�ynature Registeried Y/N Fee Current Y/N <br /> address License# <br /> PLUMBER Company <br /> S�gnature Reyistered Y/N Fee Current Y/N <br /> Address �g# <br /> MECHANICAL Cp��y <br /> Signature Reg'istered Y/N Fee Currant Y/N <br /> Address �,j�r�p� <br /> OTHER ���y <br /> Signature RegiaOered Y�N Fee Cument Y/N <br /> Address t,}ce��t <br /> .'_. ._ _ . _.,�_��.�._.. ... _...--- - <br /> � � - • _ ._.�._.���.�-�—=•=_::t�::,. ; = <br /> Directions: -�—,L�!_� � A <br /> Fill out application Completdy. • <br /> Owner&COntraCror si�n badc of apPYcation.nofarized{Or.copy of signed contract with owner) <br /> If over 52500,a Notice ot Commenoement is requir�ed(Mechanicel work over 55000) <br /> SuPD►Y two(2)sets of drawin�s with BPP�ipble documentatlon <br /> Atrow 10-�a days for review aRer submittal dafe. Parcel#-obtained from PropeKy Tax Notice(http://appraiser.pascogov.com) <br />