Laserfiche WebLink
<br />zj1.752ip <br /> <br />Sub Division <br /> <br />Fee Simple TItleh0Ider Name <br />Fee Simple i1lIehoIder Addren I <br /> <br />I ~'fr/ &1#(, &?L:J//J V~fi7''fJ~ <br />L-.I <br />D <br />D <br />D <br />D <br />D <br /> <br />D RecntatIonaI Bum <br /> <br />B <br />D <br />D <br />D <br />t <br /> <br /> <br />City of Zephyrhills Fi~')t'z:, <br />Pennlt Application <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Date ReceIved <br /> <br />~ Conl8c:t for PennIt <br /> <br />Owner's Name <br /> <br />Owner's Addntss <br /> <br />.-: <br /> <br />Job Address <br /> <br />I Lot# <br /> <br />01 <br /> <br />D <br />D <br />D <br />D Emergency Gener8lDr < 30 kw <br />o Emergency GeneralDr > 30 kw <br />~ Are ProtectIon MaIntenance - ANNUAL <br /> <br />SprtrifJerD ~ ~~ 0 <br /> <br />FIre Alann 0 0 0 0 C:=J <br /> <br />~ ~ ~ xB <br /> <br />BkHi8zard Waste 5tDnIge - ANNUAL <br /> <br />Comm ExhlIust KItchen HoodIDuct <br />Controlled Bum <br /> <br />Fumigation Tent <br />~rdous MIIIIlMI (TIer II or RQ Facility) ANNUAL <br />Hood InstaIIdon <br />LPINlII1nI Gu-InstaIIlIIIo <br />LPINlII1nI Gu-ANNUAL s.Je <br />PIlIces of Ass<<nbIy-ANNUAL <br /> <br />Hood Cleaning <br />. <br />Hood SuppressIon <br /> <br />SpIII'IcIers <br />Sprinlder System InstlIIIations <br /> <br />Standpipes (Sprinkler Sys) <br />T arch RoafIngITlII' KetlIe <br />Waste TinI S1Drage ANNUAL <br /> <br />Contractor <br />Signature <br /> <br />D FIre AIann InstaII8lIon <br />Rre Pumps <br />Are Works <br />8..........__ <br />E3 Fuel TlII'lks <br />D other. I <br /> <br />I~~ <br /> <br />~ Valuation of Project <br /> <br /> <br /> <br />Company <br />Registered <br /> <br />I <br />II.F~{J~ <br />Y I N Fee Current Y I <br />I <br /> <br />Llcerme # <br /> <br />ELECTRICIA <br />Signature Y/N I Fee Current I Y/N I <br />Address I Ucense # I <br />PLUMBER I Company <br />Signature Registered Y/N , Fee Current I Y/N I <br />Address I License # I <br />MECHANICAlI Company <br />Signature Registered Y/N I Fee Current I Y/N I <br />Address I License # I <br />OTHER I Company <br />Signature Registered Y/N'I Fee Current I Y/N I <br />Address I J License # C J <br />Directions: <br /> <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 Noliee of Commencement is nlqUired (Mechanical wort 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://appraiseropascogov.com) <br />