Laserfiche WebLink
813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received" " — Phone Contact for PermitORWWR -�^E:=—[= <br /> Owner's Name Owner's Phone Number S11 j �g <br /> Owner's Address boa 6 C Ze dA 33sq2- <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address Sba C 10 1 1 v 71e ' f$ JS Lot# <br /> Sub Division Parcel# <br /> Bio-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RO Facility)ANNUAL <br /> Controlled Bum Hood Installation <br /> Emergency Generator<30 kw LP/Natural Gas-Installation <br /> Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL ©laces of Assembly-ANNUAL <br /> t y emi rKn-n ter <br /> Sprinkler ❑ ❑ ❑ Recreational Bum <br /> Fire Alarm El ❑ ❑ ❑ Sparklers <br /> Hood Cleaning ❑ ❑ ❑ = Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> 0 Fire Alarm Installation Torch Roofing/Tar Kettle <br /> 0 Fire Pumps Waste Tire Storage ANNUAL <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> 0 Other: <br /> Contractor Company <br /> Signaturecaz Registered Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <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/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current <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 Commencement 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(http://appraiser.pascogov.com) <br />