Laserfiche WebLink
<br />.813-780-0020. <br /> <br />f ~l5 V <br /> <br />ij~~~~,:;~j=i~*""f@l,m;4l!~~t"",,,,~~J-..w~~~~~_1 <br /> <br />City of Zephyr hills Fir.-e <br />Permit Application <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fax-813-780-0021 <br /> <br />-w_~~~~=~g~1rL,",,,.~__1L_,,,,~,_ <br /> <br />I Own:rs Phone Number I', <br /> <br />U I <br />"'""~~'.';"_~'_M''''~'''_.';'f~"""",,,,~.o..: <br /> <br />1,1 I <br /> <br />. L .- <br />Z.iipffy~JtI(...S. i:,iC~ O~Y"i 1.131 <br />'t > I W,It,! 1/..#16 Z.itlU""Il""'" ~ <br /> <br />,; <br />r.. H ~~r) <br /> <br />I Titleholder Phone Number <br /> <br />Fee Simple Titleholder Name <br />Fee Simple Titleholder Address <br /> <br />II <br /> <br />II <br /> <br />Job Address <br /> <br />Lot# <br /> <br />I <br /> <br />Sub Division <br /> <br />Z.t,PI1VtfHIt...S e/.#t.S Lt:I.,/'i "Z'll <br /> <br />t is I AJilllt ~r:4" l../I.,.,iI".... s Ii... B~ l'j <br /> <br />Parcel # <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />D <br />D <br />D <br />B <br />D <br /> <br />- <br /> <br />i'!'\ '~ <br /> <br />Contractor <br /> <br />Signature <br /> <br />Address <br /> <br />ELECTRICIANI <br /> <br />Signature . <br /> <br />Address ] <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Address I <br /> <br />MECHANICALI <br /> <br />Signature . <br /> <br />Address I <br /> <br />OTHER <br />Signature <br /> <br />--:=~",.="='" <br /> <br />Directions: <br /> <br />Bio-Hazard Waste Storage -ANNUAL <br />Comm Exhaust Kitchen Hood/Duct <br />Controlled Bum <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANNUAL <br />~~~~ <br />Sprinkler [l[J 0 0 W L-J <br />Fire Alarm 0 0 0 0 c=J <br />Hood Cleaning 0 0 0 0 c=J <br />Hood Suppression 0 0 0 0 c=J <br />Fire Alarm Installation <br />Fire Pumps <br />Fire Works <br />Flammable Application- ANNUAL <br />Fuel Tanks <br />Other: <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <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 />Recreational Bum <br /> <br />Sparklers <br />Sprinkler System Installations <br />Standpipes (Sprinkler Sys) <br />Torch Roofingrrar Kellle <br />Waste Tire Storage ANNUAL <br /> <br />g / 5/D6 <br />-1fj(Sdf1(r <br /> <br />Valuation of Project <br /> <br />r; r, 3~1''t <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Company <br />Registered <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />'" i"'"'.'~<-_""""""."""~"''"'~-''.,""'''''f9''''-~'"_.'_'''='~"~~,~,,. .. ""T"'~""i_~'''-''-''~"''-'''''''''.''''~.'~.L~~ <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 />