Laserfiche WebLink
<br />MAR/28/2007/WED 07:20 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No, 813-780-0021 <br /> <br />p, 001 <br /> <br />813-780-0020 <br /> <br />City of Zephyr hills 'FillS~ <br />Permit Application <br /> <br />Fax-813-780-0021 <br /> <br />:!1 <br /> <br />. .:1'~ <br /> <br />o t Ra led r .: 1 PI~.e..Co_".'~~.,,~f~rpermlt ',~ '. n.'^?~ I. C ~ ,bt.tZO\ <br />~~~"""-J....."~,,,, '''1'1'-._ - -I.... -- -- -:-:: .------ ~;~-. <br />ow \ N [:-"U L I \." .ll.;::- <:21'\ -;:::1. Owner':; Phone Number ,I . II II . I <br />",..~ Q' UJ" ~~'1b . .. <br />=:::~'d<<=f).;20 ~ ~ - I ~~I~ i ll~ I!?L I T.,~d<< FOO" N~'" [II 111 <br /> <br /> <br />I"ee Simple Titleholder Address I, ~ .: ~ ..----' <br /> <br /> <br />:::~-r~~:t~~- '~=P'~I~_~--_.T ~ <br /> <br />_""" __~.~ 17'''- _ ..."'" " -------- - -'- : '(---=, ~,.1JlI 1 n= -~ _-.-J <br />D Blo-Hazard Waste Storage. -ANNUAL 'D Fumigation Tent <br />D Comm Exhaust Kitchen Hood/Duct ' D. Hazardou~ Malertal (Tier II or RQ Facility) ANNUAL <br />D Controlled Bum 0 Hood Installation <br />o Emergency Generator" 30 kw D LP/Natural Gas-In",tallatlon <br />, D 'Emergency Generator" 30 kw D LP!Natul<\l Gas-ANNUAL Sal", <br />D Flm Protection Maintenance" ANNUAL D places of Assembly-ANNUAL <br />T-i'i~ ~oml '~Dn'~ D <br />~ g L-J Recreational Bum <br />o 0 0 o[:=J D <br />DODoc=JD <br />o pOD c=J 0 Stendplpes(SprlnklerSYs) <br />o Torch RooflngfTar Kettle <br />D Weste Tire Storage AN~UAL <br /> <br />'LlLllb.l'Y) ,I, Valuation of Project <br /> <br />Hood Cleaning <br /> <br />Sparklers <br />Sprinkler System Installations <br /> <br />--,~ <br />J..[).~:C{) <br />~du\ec1'fty <br />1,\ 'olo~ <br /> <br />Sprinkler <br /> <br />Fire Alarm <br /> <br />Hood SuppressIon <br /> <br />.........,~ <br /> <br />~ <br /> <br />D <br />TW'-. <br /> <br />I <br /> <br />Fire Pumps <br /> <br />Fire Work!.! <br />Flammable ApplicatIon- ANNUAL <br /> <br />Fire Alarm lne,teHa\ion <br /> <br />Fuel Tanke <br />I <br />"'(f,j <br /> <br />Other: <br /> <br />11; <br /> <br />IIU <br /> <br />--1 JllI..'IIIi!iIl ~ f~ iI:j~:~ -\'W~r ~- ~ ~ ~;'''''''I'ililldl,i~ <br />I Company , I <br />Registered Y/N Fee CUTTBnt Y INI <br />I l.icense # L I <br />I CompanY I' <br />Registered Y/N Fee Current, l Y/N ] <br />I License # L I <br />I Company I J <br />Registered Y/NJ Fee Cl.lfTent Y/N <br />J L1cen!.!e # I <br />I Company I - <br />RegIstered Y/N Fee Current I Y/N <br />J LiceflBe # I <br />I Compeny <br />RegiBlered <br /> UCElIlBe # <br /> <br /> <br />Contractor <br />Signature <br /> <br />Address l <br /> <br />ELECTRICIANI_ <br />SIgnature <br /> <br />Address I <br /> <br />PLUMBER <br />Signature <br /> <br />Address [ <br /> <br />MECHANICAL[- <br />SIgnature __ <br /> <br />Address I <br /> <br />OTHER <br />Signature <br /> <br />AddrellS <br /> <br /> <br />Directions: <br /> <br />Fill out application eompletely, <br />Owner & Contractor sign baak of application, notar1zed (Or, copy of signed contract with owner) <br />If over $25QO, a Notice of Commencement is requIred (Mechenical work over $5000) <br />Supply two (2) sets of drawings with applicable documentation <br />Allow 10-14 days for revieW after submittal date, Psrcel It. obtained from Property Tax Notice (http://appraiseLpascogov,com) <br />