Laserfiche WebLink
1 <br /> a��-7ao-oo2o City of Zephyrhills Fire Fax-a��-7eo-oo2� , <br /> � , , Permit Application 'i <br /> Date Received r � Phone Contact for Pertnit `,3 y�7 7 7 3� <br /> Owners Name � Owners Phone Number � � � �i <br /> Owners Address <br /> Fee Simple TiUeholder Name TiUeholder Phone Number � � � � <br /> Fee Simple Titleholder Address <br /> Job Address y a. Cs(/1,�l 2e � /l` Lot# � <br /> Sub Division Parcel# I <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent I <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(lier II or RQ Facility)ANNUAL II <br /> � Controlled Bum � Hood Installation I� <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation I <br /> � Emergency Generatar>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> Q y emi � er <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum /! _ ,i <br /> �- ��� ��� . <br /> '"i�G"' �� u ❑ � � � Sparklers � <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations� /D /1�C�—, / <br /> (�lJ�-a' LF <br /> Hoo Su ression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) � i� TD� <br /> Fire artn Installation � Torch Roofing/Tar Kettle I`/ �(_ <br /> � � Waste Tire Storage ANNUAL \�r <br /> � Flammable Application-ANNUAL Z, � o� Valuation of Proje��m � 1 <br /> � Fuel Tanks s G� <br /> QOther: <br /> Contractor Company <br /> Signature Registered Y/Iv Fee Current Y/N <br /> Address License# <br />�ELECTRICIAN Company �s O� C eC I�/C ��. <br /> Signature Registered /N Fee Current /N <br /> Address re �/ C � .� License# � ,3�Q ,j C <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/I� <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> Directions: <br /> Fill out application completely. <br /> Owner�Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Cammencement is required(Mechanical work over$5000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) <br />