Laserfiche WebLink
813-700-0020 , City of Z.ephyrhills Fire Fax a13-7s0-0021 <br /> Permit Application <br /> Date Received Phone Contact for Permit —� <br /> _.. . - <br /> Ownees Name Owner s Phone Number <br /> Owner's Address Tx M <br /> Fee Simple Titleholder Name 74 U11Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address - �,1`Yk - Lot# <br /> Sub Division J t-.' Parcel# 0 <br /> Q Bio-Hazard Waste Storage-ANNUAL Fumigation Tent ; <br /> Comm Exhaust Kitchen Hood/Duct Hazardous(Material(Tier 11 or RQ Facility)ANNUAL <br /> QControlled Bum Hood Installation <br /> Emergency Generator<30 kw LP/Natural Gas-Installation . <br /> QEmergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> Q Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> V y emi rA75 ter <br /> Sprinkler O ❑ . ❑ Recreational Bum <br /> �, ❑, ❑ ❑., Sparklers3r?lc? � T.he`r;: <br /> Fire Alarm CITY,Or z.EpH�'R J — <br /> Hood Cleaning ❑ ❑ ❑ �� Sprinkler System tnstaliations�U� � C' CIttS <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm installation Torch Roofing/Tar Kettle ! <br /> _ Fire Pumps Waste Tire Storage ANNUAL �s <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Other Y <br /> Contractor Company _ — <br /> Signature Registered Fee Curr Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y�N �� <br /> Address License# <br /> PLUMBER <br /> Company-•... <br /> Signature Registered Y N.. Fee Current Y/N... <br /> Address License# b <br /> MECHANICAL Wi Company <br /> Signature Registered Y/.N Fee Current Y I N <br /> Address ,r License# <br /> OTHER Company <br /> Registered <br /> Signature YIN Fee Current Y/N <br /> Address License# <br /> - r <br /> Fill out application completely. _._...., _._...-. a.._._ ,....- _ <br /> Owner&Contractor sign`back:of applidation,notarized�(Or,copy of'sigried contract with owner) <br /> If over$2500,a Notice of'Cornnienc'ernent is required'(Mechanical workover. $5000) .` } <br /> Supply two(2)sets of drawings with appiicabie`docurnentation <br /> pascogov.comj' <br /> Allow 10-14 days for review after submittal'date: "% ''Parcel#-obtained'from Property Tax Notice`(httpa/a pprai'ser: <br /> a .. <br />