Laserfiche WebLink
813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received Phony po B 70 <br /> ntact-for Permit;!." <br /> Owner's Name ­1 a umber-,!�, <br /> Owner's Address <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder 4ddress <br /> Job Address # <br /> Sub Division Parcai 16-60,W-6=6Z) <br /> Bio-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> Controlled Bum Hood Installation <br /> F-1 Emergency Generator<30 kw LP/Natural Gas-installation <br /> Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Places of-Assembly-ANNU,AL <br /> FUTrTy-1 Pe-m-1, PFF71 <br /> Sprinkler 0 0 o F-1 Recreational Bum <br /> Fire Alarm E] 0 0 o F-1 Sparklers <br /> Hood Cleaning 1:1 0 El 0 Sprinkler System Installations <br /> Hood Suppression 0 0 0 0 Standpipes(Sprinkler Sys) <br /> F-1 Fire Alarm Installation Torch Roofing/Tar Kettle <br /> = Fire Pumps Waste Tire Storage ANNUAL <br /> F� Flammable Application-ANNUAL Valuation of Project <br /> F-1 Fuel Tanks <br /> 0 Other: 54" 'aalA, 22-M W< <br /> Contractor cza7_�-�Vr--z� Company i-,',ev <br /> Signature Registered Y nq Fee6turrent Y/N <br /> Address 'Z_- License# f) 13 <br /> C) 7 <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 L1/N_J <br /> Address License# <br /> MECHANICALI Company <br /> Signature Registered Y/N 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$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(hftp://appraiser.pascogov.com) <br />