Laserfiche WebLink
813-780-0020 City of Zephyrhills Fire Fax-813-7e0.002.1 <br /> Permit Application <br /> Date Received Phone Contact for Permit <br /> Owner's Name L:G. � LD IVC-60' Owner's Phone Number <br /> Owner's Address <br /> Fee Simple Titleholder Name Titleholder.phone Number <br /> Fee Simple Titleholder Address <br /> Jab Address Z L+'r� �CTt l Ls c �J J`-L Lot# <br /> Sub Division Part el.# <br /> Blo•Flazard Waste StOraos-ANNUAL Fumigation Tent. <br /> Comm Exhaust Kitcheh Hood/Duct .Hazardous Material(Tier II or RO Facility)ANNUAL <br /> ri Controlled Bum Hood installation <br /> Ergergency Generator<30 kw LAINatu si Gas-Iristallatior <br /> Eniergehcy Generator>30 kw LP/Natural Gas-ANNUAL Sate <br /> Fire Protection Maintenance-ANNUAL Pieces of Assembly-ANNUAL <br /> W em ®Mar <br /> Sprinkler ❑ ❑ ❑ � Recreational Sum <br /> Fire Alarm ❑ ❑. ❑ Sparklers Vl\ <br /> Hood Cleaning � ❑ ❑ ❑ El Sprinkler System Installations <br /> I <br /> Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) (�/U <br /> Fire Alann Installation Torch Roofing/re,Kettle (U_ <br /> Fire Pumps a 1Naste Tire 8 Storage.ANNUAL Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Other: <br /> Contracto Company <br /> Signature Registered Y'/N Fee Current IN <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered I Y/N :_ Fee Current Y/,:N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N I Fee Current <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 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(http://appraiser.pascogov.com) <br />