Laserfiche WebLink
0;T15 /2008 /WED 10:32 AM ZEPHYEHILLS BUILDING FAX No, 813-780-0021 P. 004 <br /> ej3- 7eao020 City of.Zephyrhills'Fir * :. - Fax- 813-780 -0021 !l.. <br /> Permit Application. : a?ic <br /> Dale Received I Phone Contaatfor Permit <br /> Owner's Name `l Z t 4y R H t i, C- $ io q e (c? _ 1 Owner's Phone Number I 1 I I 1 <br /> • OwnersAddreaa . . t L / 3 3V 26T1 Sr- ZL 14kf-Ls FL. 3 3 5 <br /> Fen:: SlmpleTltleholder Name I ( Titleholder Phone Number 1 1 1 I • <br /> Pao Simple Titleholder Address 1 <br /> MIS <br /> Jol: Address I L ♦ 3 3 0 2 S l CT ,6 P H R1* t -LA FL, 33S 2] Lot# <br /> Sub Division I r # <br /> ri Bio- Hazard Waste Storage -ANNUAL Fumigation Tent <br /> © Comm Exhaust Kitchen Hood/Duct = Hazardous Material ('19er ft or RQ Facility) ANNUAL <br /> n Controlled Burn. Ei Hood Installation <br /> r ^-! Emergency Generators 30 kw 1=1 LP/Natural Gee Inataltation <br /> 'Emergency Generator> 30 kw Q LP /Natural Gas - ANNUAL Salo <br /> Fire Protection Maintenance - ANNUAL • = Places of Assembly- ANNUAL • <br /> Sprinkler El 0 0 0 Recreational Bum <br /> Fire Alarm D ❑ ❑ ❑ 1 . E Sparklers • <br /> Hood Cleaning 0 ❑ ❑ I I [1 Sprinkler' System Installations <br /> Hood Suppression al ❑ X ❑ ( 1 Standpipes (Sprinkler Sys) <br /> 1 1 Fire Alarm Installation n Torch RootlngITar Kettle <br /> Fire Pumps n Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL ,) ValuattionofProject <br /> Fuel Tanks <br /> Other: I _ <br /> Contractor C nwY c- 'T `t 7RA /1J/nl e- Cori ..cu..TJ 4� <br /> Signature 77 (�� �-- Registered U' / N . 1 Fee Current Y / N 1 —! <br /> Address I 333 PO i '�. # L Itt A ^ F� - 3 ?- - y I License # <br /> ELECTRICIAN' 'Company <br /> St mature Registered Y7 N 1 Fee Corral I Y / N 1 <br /> Address 1 I • License # 1 <br /> PI.UMBER Company - •_ 1 <br /> Signature Registered Y/ N I Fee Current 1 Y/11 1 <br /> Address 1 I License # r _ <br /> M I.CHANICALI� Compan _ <br /> Signature I Registered Y/ N 1 Fee Currant r Y / N 1 <br /> Address .- 1 • License # <br /> O HER • Company 1 <br /> Signature Registered Y/ N 1 Fee Current 1 Y! N 1 • Address I i I Lice # _ 1 1 <br /> r! ` <br /> ialelalloullealeassa <br /> CI actions: <br /> fill out application completey. • <br /> Owner & Contractor sign beck of application, notarized (Or. copy of signed contract with owner) • <br /> K over $2600, a Notice of Commencement is required(Mechardcal work over $5000) <br /> Supply two (2) seta of drawings with applicable documentation • <br /> Allow 10-14 days for review after submittal date. • Parcel # - obtained from Property Tax Notice (httpJ /appralser. pascogov.com) <br />