Laserfiche WebLink
sas-7aa-ao2o � City of Zephyrhiiis Fire Fax-813-780-0021 <br /> � � ��� Permit Application <br /> late Received � ���.,'2"�'�' ("�,� I Phone Contact for Permit ('� � <br /> tr-;,"'---•��_n..,.-;a7:_.....s_:.:�.z�.. „. i�... ....._ ., r�si.�:;.�=t-""".<�.;a9r..��.3.��..s-�_v._ . __..,. :.r..s:-'�.",'"..........��"s'S$FSf.;�:nr'c.,A-. , L��.�..� <br /> �ix:w`:.`1%F�.:.`...�_no...+v_ �>3..ri.^«L�..�."..NaL'.r:_✓+...%��r'i}L::iAt`i+�Mii:.i4:L�.ia' <br /> �Y.G^.M-.�cr^= <br /> Jwne�s Name �- � �,L �rwner's Phone Number ' C_� � �� <br /> hvne�s Address ��� (�� .��..��� �„ �,3?�j - <br /> ee Simple Titleholder Name Tltleholder Phone Number U �� � <br /> ee Simple Titleholder Address . <br /> ...-,,:.�c_3."`�":::...=t:.`_iS':'?':"_<'5:7�`xs:�.i%..e ...'�t.:s:�>j.i?.�wsi.ati3'.'= 'iC..3..`'t:r.--�.--.�vr�-.caz-�--.z:•, +=.:-�_ :+,r;:-�-->��c. <br /> pT>�,•,-_�,- . ' .,��: ' v�. -�..+,,:..'�".�'_-..zp-^-.�;«x""' _Tn_.�-�'-.�-:.�xi .'-.>`'�`�'».;.i:.::-'�-,�s.,.....:r <br /> - •4::....=asii..'�'"�.�.-`_�.•-=. <br /> ob Address � �� �. jx u��,� �� <br /> �= Lot# <br /> �ub Divisian Parcel# <br /> F».`<.r.:a5`::��"t'its.-:,.�, ,s:c "�'�T.s..'s'.�a..>v..u:.v�u� ' ^' 'x-,�.�,i,a.c�?w.., <br /> _ ,_ 'w"•.i�>. .. w�=_n'::.7v:7k:f�=„zx:`l..^�..-..:_.. � - <br /> �� '. . ,.2.-,..._.,...: � .;:_:1::-."^..Cii:.'.,:::&'_'..:;i:#.�"'„�.:..,�":a"y;.3:.���^.::....'t:..::�.a.':_,,..y.n..w.."r:.,��"'��c:�a.�:�`_.�".�.,'r'�.�__<,x....�.�..s.":=�lr:?:X�%:f.�•."f'?'-:""»", . <br /> ' ' ':ti r <br /> Bio-Hazard Waste Storage-ANNUAL � Fumigation Tenf <br /> � Comm Exfiaust Kitchen Hood/Duct Q hiazardous Materiai(Tier II or RQ Facility)APINUAL <br /> , � Cantrolled Bum � Hood lnstailation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LPlNaturai Gas-At@tdUAL Sa{e <br /> � Fire Protectian Maintenance-ANNUAL Q Places of Assembly-ANNUAL <br /> ❑� emi � er (9j��� <br /> Sprinkter C) O ❑ � � Recreational8um � � t <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> �.�. t � <br /> Hood Cleaning � ❑ , ❑ ❑ �� �SprinklerSystem instaiiations �j'C� � <br /> Hood Suppression � D D ❑ � � Standpipes{8prinkler Sys) <br /> � Fire Alarm Instaltation � Tarch Roofing/Tar Kettle ' <br /> � Fire Pumps o Waste Tire Storage,4P!ldUAl. <br /> � Fiammabie App(ication-At�NUAL Z , Valuation of Project <br /> Fuel 7anks <br /> Q Other: <br /> .�>. _�t__�...,;_...._< .,..�.,. <br /> +=^.:..'Y3..._•v.`.;:L".'Si.r.�;:'rGw:-�,,,;< '�^ .�..f..:e'-m•- w,•>. _ ' _ ' <br /> � � A -. <br /> ..,.`�-.a;.s�..ctr�..!« ..�c.�,:;w.2..>S:'.:.�w��r�«�r.�.::4'S:�':''.e!s..`.ii"u'�xd�...�a.+..�.... .��� .�.r_��-�.m_-..:._:���.,.'�..� - " - ' - <br /> -.a.:.,:.. .. P:s��..�...-. ..r�,�..M,:r..�._.�,.......-._r.-. <br /> " -._�+.:..r -' : -�,�r�:=.,T2.k:.�.�.iY,,.�"�.�..r '+�r-�'.-::x"�x. "�"Y-;�!.^.x-..;;xn+.-... <br /> ,..� , ...,... ,,,.. ., -:..-.,.., ;...�"�ir»"=��;>_' �'"."'.:�'...A.a_..�r,;....�,�'i-`, <br /> :orttractor . Company � � � <br /> iignature Registered � N Fee Curtent Y/1� <br /> Address <br /> license# �3�}7j(� j <br /> :I.ECTRICIAN Company <br /> >ignature Registered -Y 1 N Fee Current Y/N <br /> Address License# <br /> 'LUMBER <br /> Company <br /> >ignature Registered Y/N Fee Gurrent Y/1�! <br /> Addeess License# <br /> dECNANIGAL Company <br /> aignature • Registered Y/N Fee Current Y/N <br /> Address LkCSTSSE# <br /> �THER <br /> Campany <br /> iignature Registered Y i N Fee Cutrent Y 1 N <br /> Address <br /> ,_,.:.,.,•�.n,.• __ . _,,; .,,.. <br /> :;:�.,��_.....,r:.�_..a_r.;�.�,� .,.., .��:� p„s:•::>.:,.-�:�e,. - - - <br /> ,..:s:_:. :�.-�._=.:,s_=, - ��:...., _. <br /> .J:_Y:...c.�...-,.3 -..:.t,'x.,._._.y-,.r.-+_i��:-.:r-::{.^..:4i���Y<`:�"v. <br /> �i�ectians: �..,...,.-:, 58�..� - .�.���.._.3.�_�__�,�_w.�a�...�.�,�..�.,.._._. <br /> ....� ,..,�:.., __...._,:.�-._.�._,... <br /> _,. „ ,._ .,_. :... ...�.._..,,...,._._. I <br /> Fili out appiication completely. <br /> Owner 8 Contractor sign back of application,notarized(Or,copy of signed contraot with owner) <br /> If over$25d0,a t�oiice of Commencemenf is required{Mechanical wark 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 7�Notice{httpJlappraiser.pascogov.com) <br /> i <br />