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813-780-d020 Ci of Zephyrhills Fire Fax-813-780-0021 <br /> ermit Application <br /> -�—„— ��''7- � . t� <br /> r / 3 <br /> Date Received �5'�� J�/, Phone Contact far Permit C / L`/ �_ �'� p <br /> �.:w:;.__..�.�.w�..��._..,��..��__.,_���_...._�..._.__.._,...�__._.,, ��..._�.�.�_.�..��.._._....,a._.__...�._......�._.�.....�_.�.�.._.�..m.......�,.___.,....._____....._.____• <br /> C3wner's Name �n,,, � �°' Qwners Phone Number [� �� [� <br /> ..�`t !'"`_"! <br /> Owner's Address � � �- ��'�' �'+�cs l�`-�J " � <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � � <br /> Fee Simple Titleho{der Address <br /> Job AddressM.._�.._... � �§--Q, _ �'�'..� �� �J� � ��� Lot#�....:�� <br /> Sub Division �� � C, , � � Parce!# <br /> r_.."_�.M_____ ._.. �.�.. .,_.. .�,._._��. ��____�--�.�..��.---`�� � � <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitcfien Haod/Duct � Nazardous Material{Tier((ar RQ Facility}ANNUAL <br /> � Controlled Bum a Hood Installation <br /> � Emergency Generator,<30 kw � �P/Natural Gas-lnstalla6on <br /> � Emergency Generator>30 kw � L.P/Natural Gas-ANNUAL Sale <br /> � Fire Protection Mainfenance-ANFlUAL o Places of Assembly-ANNUAL <br /> t y emi n t er �� � <br /> Sprinkler � ❑ ❑ � Recreational Bum (� <br /> j �� 1 <br /> Fire Alarm � ❑ ❑ � � Sparklers ��"" � <br /> t <br /> fiood C(ganing � Ci � � � Sprinkler System Insfallations � <br /> Hoad Suppression � 0 ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Aiarm tnstat(ation � Torch RoofinglTar Kettie <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL �'�'��"-(?�, Valuation of Project <br /> � Fuei Tanks <br /> QOther: <br /> ��._...��,.__._�..�.,.�.._._�. ..- _.._.�.._.,�._ m...�,_.____�:__. ......_._ .�_.�...�...,.,�..._�.._...___�-._......�_...._...... ..�.a,- �....._:;�,. _.�„_..__.�r�._..��..._..a.°-~.�~� <br /> Contractor Company �--�rl� {� <br /> Signature �� Registered Y I Itil Fee C rent Y/1�1 <br /> Address G '` License# <br /> E�EGTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address �icense# <br /> PLUMBER Company <br /> Signature Registered Y 1 N Fee Current �(/N <br /> Address License# <br /> MECHAN�CAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Currenk Y I N <br /> Address �icense# <br /> �..:......._.._._w��.._.�..._.�.w �......,._ _m,.�..�..��.._.�.._..�.�,,..... .._.,._. _._�.._.�._.�.. �.__... ..��_..,.__..x.__�.__..�_._.�..�.�.m._.d,..W..�_.._..._.. ....._.��:_ <br /> Directions: <br /> Fill out application completely <br /> t7wner R Contractor sign back of applicatian,notarized{Or, apy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mec anical work over$5000) <br /> Suppty two{2}se2s of drawings with applicable documeniati � <br /> AIIow 10-14 days for review after submiftat date. Parcei#-obtained frorn Property Tax Notice(http:l/appraiser.pascogov.com} <br />