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� <br /> at3-7aa-oo2o City of Zephyrhills Fire Fa�c-8�3-�eo-oQ2� <br /> Permit Application <br /> Date Received � � Phone Co�tact far Permit �� � � <br /> (Jwners Name Gwner's Phone Number C� �� �� <br /> c�ners t�ress o t� `�Y"� t,t t' � 4= . 3 � <br /> Fee Simple 7itlehalder Name Titleholder Phone Number � �� �� <br /> Fee Simple Titleholder Address <br /> � <br /> Job Address �� � � �� t"� Lat# <br /> Sub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> Q Comm E�chaust Kitchen Hood/Duct o Hazardous Materiai(fier it or i�Q Faciiity}ANNUAL <br /> � Contrplled Bum � Hood ins#aila#ion <br /> � Emergency Generator c 30 kw � LP/Naturai Gas-Instalia6on <br /> � Emergency Generator>30 kw � LPMaturdi�as-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembiy-ANNUAL <br /> 1 y mi �n er <br /> Sprinkier � ❑ ❑ � � Recrreatinnal Bum <br /> Fire Atarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cieaning � ❑ ❑ ❑ � � Sprinkier System installatians <br /> Hood Suppression � ❑ � 0 � � Standpipes(Sprinkler 5ys} <br /> � Fire Aiarm Instai�ation � Torch Raofing/Tar Kettie <br /> � Fire Pumps � � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> Flenlmable AppliCatian-ANFIUAL ��� � Valuation af Project <br /> QFuei Tanks <br /> Q other: <br /> GonVactar Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address Lic.�nse# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address Li�nse# <br /> PLUMBER Gompany <br /> Signature Registered Y/N Fee Current Y/N <br /> Address �icense# <br /> MECHANICAL Campany <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company � r, � <br /> S+gnature Registered !N Fee Gurrent Y!N <br /> Address Q "� License# <br /> Directions: <br /> Filf out apptication compfetely <br /> Owner&Contractor sign back of applicatiqn,notarized(Or,copy of signed conVact with awner} <br /> tf aver$2500,a Notice of Commencerrtent is required{Mechanical wak aver$50Q0) <br /> Supply two{2)�ts of drawings wi#h applicable documentation <br /> Allow 10-14 days for review after submittai date. Parcel#-obtained from Property T�No6ce(http:/Jsppraiser.pascogav.cam} <br />