Laserfiche WebLink
<br />813-780-0020 <br /> <br />late Received <br /> <br />)wner's Name <br /> <br />)wner's Address <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />.~. <br /> <br />Contractor <br />Signature <br /> <br />Address <br /> <br />~IIClt\..IIC- <br /> <br /> <br />Md~1 <br />PLUMBER <br />Signature I <br /> <br /> <br />~~'t <br />MECHANICAL <br />Signature ' [ <br /> <br />Md~" [ <br /> <br />OTHER <br />Signature <br /> <br />Address I <br /> <br />Directions: <br /> <br /> <br />City of Zephyrhills :Fi~,')ozO <br />Permit Application <br /> <br />/) ~O7/ <br /> <br />Fax-813-7S0-0021 <br /> <br />Pho~e Contact for Permit <br /> <br />II <br /> <br />11 <br /> <br />Il <br /> <br /> <br />o Bio-Hazard Waste Storage - ANNUAL <br />o Comm Exhaust Kitchen Hood/Duct <br />o Controlled Bum <br />o Emergency Generator < 30 kw <br />D~ Emergency Generator> 30 kw <br />~ Fire Protection Maintenance - ANNUAL <br />~~~~ <br />Sprinkler 0 0 0 0 L-.J <br />Do 0 DO <br />Do 0 DO <br />IX.L 0 D)lCl <br /> <br />Fire Alarm <br /> <br />Hood Cleaning <br /> <br />Hood Suppression <br /> <br /> <br />Fire Alarm Installation <br /> <br />Fire Pumps <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />J L <br /> <br />~ ..,; <br /> <br />Fumigation Tent <br />Hazardous Material (Tier II or RQ Facility) ANNUAL <br />Hood Installation <br />LP/Natural Gas-Installation <br />LP/Natural Gas-ANNUAL Sale <br />Places of Assembly-ANNUAL <br /> <br />Spariders <br />Sprinkler System Installations <br />Standpipes (Sprinkler Sys) <br />Torch RoofingfTar KeWe <br />Waste Tire Storage ANNUAL <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Valuation of Project <br /> <br />~~~~~~ <br />~~~AZ:'~~ <br /> <br />l Y I N::- 1- Fee """,,ol 1- Y I N - I <br /> <br />~ I <br />_ Y/N 1 FeeCurrent Y/N T <br /> <br />~ I <br />t Y/N J Fee Current 1 Y/N J <br />r 1 <br /> <br />t Y~N <br /> <br />Fee Current <br /> <br />Y IN J <br />J <br /> <br />- <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 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 />