Laserfiche WebLink
e13-7e0-0020 City of Zephyrhills Fire -0021. <br /> Permit Application <br /> Date Received F Phone <I�Ctfor errmit e13 - e67 <br /> Owner's Name South Pasco Health Care Properties,Inc. Owner's Phone Number -407 975 3000 <br /> Owner's Address 485 Keller Rd.,Suite 250,Maitland 33542 <br /> Fee Simple Titlehblder Name N iA Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job address 38250 A Avenue,Zephyrhills,33542 Lot# <br /> Sub Division Parcel# 14-26-21-0010-01300-0010 <br /> c. _ - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> Bio-Hazard Waste Storage c ANNUAL Fumigation Tent <br /> M Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> • Controlled Bum Hood Installation <br /> Emergency Generator<30 kw' LP/Natural Gas-Installatior <br /> Emergency Generator>•30 kw LP/Natural Gas-ANNUAL Sale <br /> a Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> Q-1 d7y FS—.--11 ® Other <br /> Sprinkler I] ❑ ❑' Recreational Bum <br /> Fire Alarm ❑ ❑ ❑ Sparklers <br /> Hood Cleaning ❑ ❑ ❑ = Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> Fire Alarm Installation r1 Torch RooringRar Kettle <br /> QRe Pumps � Waste Tire Storage ANNUAL <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> 0 Other. <br /> Contractor - A _ Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address. License# <br /> ELECTRICIAN Company VoiWtrConstruclors,LLC <br /> Signature A Registered 1YIN Fee Current Y/N <br /> Address 220 W 7th Ave. Suite 210 Tama FL 33602 License# EC13006590 <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y'/N J Fee Current Y/N <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 52500,a Notice of Commencement is required(Mechanical work over 55000: <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(htip:llappraiser.pascogov.com) <br />