Laserfiche WebLink
From: 08/27/2014 12:29 #903 P.001 <br /> , a�a-78o-oo2c City ot Zephyrhills Fire <br /> �ax-e�a-lea-ooz� <br /> Permit Application <br /> Date Received <br /> ,._ .... _ ,. .: .• ._..-•-._- -, ..-. ..._ _. ., -� <br /> ._ ,._ , . ,: ,: ;;, ^ Phone Contact for Permit J � � <br /> . ._- - -='•�-,-.:���,, �_...,. . - :..._.. g� <br /> Owners Name �I.E Q �p ���+� C Owner s Phona Number ,� � , <br /> Owna�'s Addrass 3$(p ��St�1 C ,,`i Vy � �� �I � � <br /> '��s FL , S�Ea <br /> Fee Simple Titleholder Name I Tltleholder Phone Number � � C <br /> Fee Simple Titleholder qddress i <br /> �.�c�'�,'✓i� --- ., . _ , r{ � r , _ ._�� - -- . . <br /> Q) 4 ..r: ....- ,,R:�,.�,. <br /> Job Address ��� �� r',Q /`�t.� �Q �'1 �l� �/ — �yoZ. . � ..1.2I>. �. � <br /> Sub Divlslon V` Lot# <br /> I Paroel# <br /> F: . ,.. " '� Bio-Haz2rd.WasteStore9e'-ANNUA� ,. ..:.. ... .. _. ... ._.�� �. .�, > r -�. �.�.^.'..?Ya.�..'..Y:e??'F%:'..Y:.�-!.•J.�•;•�;.:::� <br /> � Fumigation Ten! <br /> Comm Exhaust Kitchen Nood/0uct � Harardous Materiaf(7ier II or RQ Facitity)ANNUAL <br /> � Cantrolled Bum � Hood Instaflation <br /> � Emergency Qenerator<30 kw � LP/Natura!Gas-Installation <br /> � EmergencyGeneistor>30 kw � LP/Ptaturel Gas-ANNUAL Sale ,✓C�� <br /> � Fire ProtecUon Maintenance-ANNUAL � p�aces of Assembly-ANNt1AL ��,� <br />' fl`'Y emi An e� <br /> Sprinkler � �1 p ❑ I a ReCreational Bum <br />' Fire Alarm � rJ ❑ ❑ � � Sparklers <br />' ficod Clpant�g � ❑ ❑ ❑ � � Sprinkler System Instaliations <br /> Hood Suppression � ❑ ❑ Q � � Standpipos(SprinklerSys) <br /> � Fire Alarm Installatlon � Torch RooFlngfTar Kattle <br /> � ���e f'umps � Waste Tira Smrage ANNUAL <br /> Fire Works <br /> � Flammable Application-ANNUAL <br /> QValuation of Project <br /> fuel Tenks <br /> � ��}Bf; I <br /> CoMractor ' • -- - --•- . ... . . ,. - - • �• • _ . -, . .. . _ .. . -. __ . �.. .. .�_._ . . _: .. __ . ,. <br /> Signature <br /> Company <br /> Reglstered Y/N Fea Curcent Y/N <br /> aadress <br /> � License# <br /> ELECTRICIAN <br /> Comparry <br /> Signature Reg;stered Y/N Fee Current Y/N <br /> Address � Ltcense# "� <br /> PLUMBER <br /> ' Company <br /> 5lgnsture Registered Y/N Fee Current Y/N �^' <br /> Address <br /> � License# <br /> MEGHANICAL <br /> Company <br /> Signature Registered Y/N <br /> Addrass � �ee Current Y/►�J <br /> � License# <br /> OTNER <br /> .Slgneture <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address . .._ .. .. ,. ... _ . . . . . . � License# � <br /> •,•:. .,. . .� <br /> Olractrans: . .._ . • - - , .--'r..+...'.—.^ . . .. � . .: <br /> Rll out appUcation completely. <br /> Owner&Contractor sign back of appilcation,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencemnnf is required(Mechanical work over S590D) <br /> Supply twp(2)sets of drawings with appllcable documeMation <br /> Allow 10-74 days for rev�ew aker submittal date. Parcei#-obtalned irom Pro rt Tax Notice htt J/e <br /> Pe Y ( p• ppraiser.pescogov.com) <br />