Laserfiche WebLink
613-780-0020 City of Zephyrhills Fire Fax-e13-7e0-0021 <br /> Permit Application <br /> Date Received o('26-7/ Phone Contact for Permit <br /> Owners Name ti a pfr�� G1 F+�.s... C/ t Owner's Phone Number ' <br /> Owners address /g 0 3a�+�e C c"; u1.0 263�� <br /> Fee Simple Titleholder Name Titleholder Phone Number .. <br /> Fee Simple Titleholder Address ll <br /> Job Address 47'a 1/7 La u;.v� „, $- Lot# <br /> Sub Division Parrei# d.26 Z z Gtoav o/SUt� o�Z <br /> Bio-f", JNaste Storage-ANNUAL Fum(gation Terit. <br /> Comm Exhaust Kitchen HoodlDuct .Hazardous Material(Tier II or RO Fac111ty)ANNUAL <br /> Controlled Bum ' Hood Installation -- /3 �0 <br /> Emergency GeneratorL<30 kw "turai Gas-Iristallatior <br /> Emergency%nerator>30 kw a LP/Natural Gas-ANNUAL Sale I n Q <br /> 0 fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> ® we-mn® er <br /> Sprinkler El 0 ❑ ❑ Recreational Sum <br /> R ❑ ❑, ❑ Sparklers <br /> Hood Cleaning ❑ b ❑ Sprinkler System Installations <br /> \J <br /> =Inthila <br /> El ❑ ❑ ❑ Standpipes(Sprinkler Sys) <br /> ®�Frre Alaron Torch Roofing/rar Kettle <br /> Ell Fire P ps _ ste Tire Stor,ge. NH <br /> Flammable Application-ANNUAL / 3 2 �� Valuation f Project <br /> F at-Tan <br /> Other: <br /> Contractor Company <br /> Signature Registered Y/N : Fee Current 1,Y fN <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/:N Fee Current r Y!,-N <br /> Address License# —77 <br /> PLUMBER Company <br /> Signature Registered I. Y/N Fee Current` Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered I Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company Copf1q'erci Floc a Co./lstU)!!}`ct1 <br /> Signature Registered Y/N ' Fee Current Y/N <br /> Address 3" (/r' at",),e C e z 3 7 6o License# F- P.20C ro j 3`1 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign tiack'of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required:(Mechanlcal 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 />