Laserfiche WebLink
� , 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> s�s-7ao-ao2o <br /> Permit Application <br /> Fax-813-780-0021 <br /> Date Received 04/94l2016 � Pho�e Contact far Perrnit A 843, 247 T 4777 <br /> i �--�.�_._.,.____._..� _ _._W__._._....._.._��..._._.._._..w_�,_e...___._�.� __._.__._��,..._�_�...�..�_�__ .—__-__.___ �_._�_._ ..._��.. <br /> � Owner's Name Ze h r I I LLC Owner's Phone Number �_� � �� <br /> � oWr,ersaddress 14524 N. Rome Avenue Tam a FL 33613-2p19 <br /> Fee 5imple Titleho(der Name Titleholder Phone Number �--� � [� <br /> Fee Simple Titleholder Address <br /> _ ~ ____.�....�.�._� _ _ _ ---_ � _ �_�__. :_ _"_"n�'� I <br /> Job Address 5935 Gall Blvd., Zephyrhills, FL 33542-3464 (`� � Loc# �� I <br /> I <br /> suti Division Parcel# 10-26-21-0020-Q0000-0050 <br /> �=_:w._,: -:,_____ �� ._..,_� • �-��.�...w_______���--.��-��__�_.. A..�__�__�...�.,._.. ,� <br /> o Bio-Nazard Waste Storage-ANNUAL � Fumigation Tent � �� <br /> � � <br /> Gomm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RC!Facility)ANNUAL <br /> QControlled Burn � Nood Installation <br /> � Emergency Generator<30 kw � LPlNatural Gas-lnstallation � <br /> Q Emergancy Generator>30 kw � LP/IVaturat Gas-ANNUAL.Saie <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> try emi n t er ���� 7 / <br /> � ��' <br /> Sprinkler ❑ ❑ �� � Recreational Burn � <br /> Fire Alarm � Q p ❑ �� � Spark(ers ' <br /> Hood Cleaning � ❑ ❑ ❑ �� � Sprinkler System Installations -Add/Relocate 225 fire sprinkler heads <br /> Iiood Suppression � O ❑ O C� � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL $35,030 � Valuafion of Project <br /> Fuel Tanks <br /> Q Other: <br /> �w,�.__...._� .__....J__-__- - _�._ _ �,� m_�....w_.__ . - _.._ ______.__., _ <br /> Cantractor Gampany <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature � Registered Y/N Fee Gurrant Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address Lioense# <br /> MECHANICAL Company <br /> Signature Registered Y/�1 Fee Current Y I N <br /> Address License# <br />,' oTH�R Company �ox Fire Protection, Inc. <br /> Signature �: ��3(/' � , ��Q� (�j� Registered Y/N Fee Current �'/N <br />� Address 7914 Frc�fessional Place,Tam a, FL 33637 License# 016982-0001�1985 <br /> �_—._w�_ <br /> Directions: �'�'.....,_.�..�,..�_.._,. .W._,.�._...,.._��._�.�.�_�.,__�.�.._._.�_.,..._,Y...�.....�.��..��..,.....�_.,�_.....,._v.__.�..a__. �,_____._.__.___._...W..�.�_�� <br /> Fill ouf application comptetely <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5040) <br /> Supply two{2}sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obteined from Property Tax Notice(http://appraiser.pascogov.com) <br />