Laserfiche WebLink
0 1 Z Fax-813-780-0021 <br /> 813 -780 -0020 City of Zephyrhills Firs 111 <br /> Permit Application <br /> Phone Contact for Permit Z, C ng C. 1.-1,- )ate Received � - „�� -.. M ,�° -- <br /> VP w n E Owner's Phone Number <br /> )wrrers Name <br /> owner's Address ( 1 1 ' <br /> TiUehofder Phone Number i f <br /> =ee Simple Titleholder Name <br /> Simple Titleholder Address <br /> ee Srmp Adds <br /> Lot# <br /> Job Address • • <br /> Parcel # <br /> Sub Division <br /> a Bio-Hazard Waste Storage - ANNUAL <br /> Fumigation Tent <br /> C Comm Exhaust Kitchen Hood/Duct Hazardous Material (Tier 11 or RQ Facility) ANNUAL <br /> C Controlled Bum Hood Installation <br /> ED LP /Natural Gas - Installation <br /> Emergency Generator < 30 kw � LP/Natural Gas - ANNUAL Sale <br /> n Emergency Generator > 30 kw I i Places of Assembly- ANNUAL <br /> Fire Protection Maintenance - ANNUAL e i <br /> n 0 1 t�tny 0 <br /> Recreational Bum <br /> 0 � <br /> Sprinkler l� Sparklers <br /> (� � � � <br /> Fire Alarm I <br /> Hood Cleaning <br /> III 0 0 Sprinkler System installations <br /> Hood Suppression <br /> C 0 0 0 1 I Standpipes (Sprinkler Sys) <br /> E Torch Roofing/Tar Kettle <br /> H <br /> Fire Alarm Installation <br /> 3 _4 Waste Tire Storage ANNUAL <br /> � <br /> Fire Pumps ry1p 1 kS <br /> Fire Works Valuation of Project <br /> H H 1 1 Flammable Application- ANNUAL <br /> �� Fuel Tanks <br /> Other: <br /> Contractor` /I'' Company Y <br /> Sign 1 i %' <br /> Registered N Fee Current I Y / N <br /> 77r� • r 15License <br /> Address'�n�►T�� • • <br /> Company <br /> SL N 1 { Registered Y / N I Fee Current I Y / N 1 <br /> Signnature ature IA I <br /> License # <br /> I <br /> Address f <br /> Company <br /> Signature <br /> PLUMBER Registered Y/ N Fee Current I Y / N <br /> License # <br /> Address I <br /> Company <br /> Signature MEN ALI Registered Y/ N 1 Fee Current I Y/ N <br /> 1 <br /> #. <br /> Address 1 I License <br /> Company <br /> Signature <br /> OTHER I Registered Y / N } Fee Current ` Y / N <br /> License # <br /> Address .;..:... .. , _. <br /> Directions: <br /> Fill out application completely. of signed contract with owner) <br /> Owner & Contractor sign back of application, notarized (Or, copy g <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> SuPPIY 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 />