Laserfiche WebLink
<br />813-780-0020 <br /> <br />1'rfJ 311{ <br />Phone Contact for Permit ..UL1JJ (P fi llL~.ffL,1 <br />., II II I <br />I <br />I <br />I <br /> <br />'1. <br /> <br />I <br />I <br /> <br />City of Zephyrhills Fife <br />Permit Application <br /> <br />~~~e~:~lWm_L"___,...,...""^,,,,.J <br /> <br />^.~ifa .t:!.. '"f.: Mt .~~,t-~ <br /> <br />Owner's Phone Number <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fax-813-780-0021 <br /> <br />II <br /> <br />Job Address <br /> <br />I <br />L <br />I,OSQ <br /> <br />Gall <br /> <br />8lvd. <br /> <br />Fee Simple Titleholder Name <br /> <br />Titleholder Phone Number I <br /> <br />II <br /> <br />Zlfh'l! Iii I/,; / (l. <br /> <br />J Parcel # <br /> <br />D <br />D <br /> <br />D Hood Installation <br /> <br />D <br />D <br />D <br /> <br />D Recreational Bum <br />D Sparklers <br />D Sprinkler System Installations <br />D Standpipes (Sprinkler Sys) <br />D Torch RoofingfTar Kettle <br />D Waste Tire Storage ANNUAL <br /> <br />Fee Simple Titleholder Address <br /> <br />Sub Division <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 />I~ 1~~mlJ IA~II 0 <br />Ooooc:=J <br />Ooooc:=J <br />Ooooc:=J <br /> <br />Sprinkler <br /> <br />Fire Alarm <br /> <br />Hood Cleaning <br /> <br />Hood Suppression <br /> <br />Contractor <br /> <br />Signature <br /> <br />Address <br /> <br /> <br />c-P <br /> <br /> <br />Fire Alarm Installation <br /> <br />Fire Pumps <br /> <br />Fire Works <br /> <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Other: <br /> <br />ELECTRICIANI <br />Signature <br /> <br />Address I <br /> <br />I <br /> <br />PLUMBER <br />Signature <br /> <br />Address I <br /> <br />MECHANICAll <br />Signature <br /> <br />Address I <br /> <br />OTHER <br />Signature <br /> <br />Address <br /> <br />?l~5~1 <br />I <br /> <br />I lot # <br /> <br />Fumigation Tent <br />Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> <br />lP/Natural Gas-Installation <br />LP/Natural Gas-ANNUAL Sale <br />Places of Assembly-ANNUAL <br /> <br />Valuation of Project <br /> <br />5,~~/-ev ~ <br />Y I N Fee Current Y I N <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 />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Fae Current <br /> <br />Y/N <br /> <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 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 />