Laserfiche WebLink
<br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br /> <br />City of Zephyrhills Fir-e <br />Permit Application <br /> <br />160(6 <br />I 3 7 7' 5""7 <br />I <br />I <br /> <br />AUlD <br />5/. <br /> <br />(Lt pI', IlL . <br />(2l> . ~-I...{ <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Phone Contact for Pennit <br /> <br />11719 11~0l 77 I <br />I <br />II " I <br />I <br />I Lot# I <br />I <br /> <br />Owner's Phone Number <br /> <br />I ~/3 <br /> <br />I Titleholder Phone Number I <br /> <br />Parcel # <br /> <br />Contractor <br />Signature <br /> <br />Address I <br /> <br />ELECTRICIANI <br /> <br />Signature <br /> <br />Address I <br /> <br />PLUMBER <br />Signature <br /> <br />Address I <br /> <br />MECHANICALI <br />Signature , <br /> <br />Address I <br /> <br />OTHER <br /> <br />Signature <br /> <br />Address <br /> <br />Directions: <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br />Comm Exhaust Kitchen Hood/Duct <br />Controlled Bum <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANNUAL <br />~~~~ <br />Sprinkler D 0 DOL--' <br />Do ooc=J <br />Do ooc=J <br />Do ooc=J <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />.'E:J <br />~ <br /> <br />Fire Alann <br /> <br />Hood Cleaning <br /> <br />Hood Suppression <br /> <br />D <br />B <br />B <br />D <br />I <br /> <br />Fire Alann Installation <br /> <br />Fire Pumps <br /> <br />Fire Works <br /> <br />Flammable Appllcatlon- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Other: <br /> <br />~/~.~'-" <br /> <br />Fumigation Tent <br /> <br />Hazardous Material (TIer II or RQ Facility) ANNUAL ).1g 11 <br /> <br />Hood Installation \. _;fr ~~. <br /> <br />LP/Natural Gas-Installation ~ v?'/ <br />LP/Natural Gas-ANNUAL Sale <br /> <br />Places of Assembly-ANNUAL <br /> <br />Recreational Bum <br /> <br /> <br />Sparklers <br /> <br />Sprinkler System Installations <br /> <br />Standpipes (Sprinkler Sys) <br /> <br />TOrChRocifiiig7TafKettle-.---___.. <br />------- <br />Waste Tire Storage ANNUA~ <br /> <br /> <br />l Valuation of Project <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 /> <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />I Y/N <br />I <br /> <br />I Y/N <br />I <br /> <br />I Y/N <br />I <br /> <br />I Y I N I Fee Current I Y I N I <br /> <br />~~~~YIN : <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <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 />