Laserfiche WebLink
813- 780 -0020 City of Zephyrh)Us Fire- Fax- 813 -780 -0021 <br /> Permit Application <br /> Die Received FA — ,► - Phone Gatacrior Permit <br /> Owner's Name 1 R kt a. r 1 tot r fk7 I o prone Number 1 11 1 I <br /> Owner's Address a I <br /> Fee Skmla Titleholder Name 1 I Tillehokler prone Number I 1 1 11 <br /> Fee Slmple'T1Baholder Address 1 <br /> -- -..- -- 'KV1 --q .rzR'4aia A�$ '-••t Rwl.E":_r.:wwv. ' o azarz.oreary-a:„q^ ^G4 ? , : °' .', f!' -. rf? £Ryt?.e.3.:. 41:,:3iansak. , VOt ch44.:1 w _.. ..,., . _ <br /> .lob Address • $ • ct 1 G ► e • - A r s GC; 1 6 19 Zz_c... Lot # / D <br /> Sub Division - Parcel* I . - - - -_ —.. . 4 - : AP / , 0 <br /> ED Bio-Hazard waste Storage - ANNUAL. r] Fumigation Tent : ANNUAL <br /> ❑ Comm Exhaust 10tchen Hood/Duct ED Haaandous Material (Tier 11 or RO N <br /> Facility) <br /> ❑ Controlled Bum fl Hood installation f ` 0) 9 U <br /> / /' /I <br /> El Emergency Generator < 30 kw LP/Pbt rai Ges-M an ! <br /> p Emergency Generator> 30 kw ED LPMeUral Gas-ANNUAL Sale ,� / (� <br /> �Fre Protection Maintenance - ALaaWAL ❑ Pietas of Assembly - ANNUAL CJ 4 ' <br /> ® ®® - 3 <br /> Sprinkler D 0 0 I n Bum <br /> Fire Alarm ❑ 0 0 0 l 1 D Smolders /.- _-....' <br /> Hood Cleaning ❑ 0 0 0 1 1 0 Sprinider System <br /> Hood Suppression ❑ 0 0 0 1 1 n Standpipes (Sim Sys) <br /> ❑ Fie Alarm Installation 0 Torch Roofing/Tar Kettle <br /> Fie Pumps I l waste me Stamm ANIttUAL <br /> ROI Works <br /> I _j of Project <br /> Fuel Tanks <br /> IIIII Other: <br /> ■ <br /> Contractor O � �A�'+� y r a wire -c ‘..1 C,r[MAP Signature Pr/ t 4 \ "-------- Registered Y / N Fee Current Y / N <br /> Add=- ;50e - 6c..A) tislea)t° 4 . `TT 7L 1 . License* _ .. Ii`b 1. a- 7e) a0ei>o071 <br /> ELECTRIC r Company <br /> Signature Registered I Y/ N I Fee Ghent 1 Y/ N 1 <br /> Address 1 1 License* 1 I <br /> PLUMBER ComPerry <br /> Signature Registered Y / N Fee Current 1 Y/ N 1 <br /> Address 1 License* 1 1 <br /> MECHANICA9 Company <br /> Signature Registered I Y/ N 1 Fee Cunard 1 Y/ N 1 <br /> Address I (\ a # 1 I <br /> OTHER I Oplibk■ „ �1 _ bdt j - rdwrzorsiza x !r „Ai ve - <br /> 1+V ` w Y / N Fee Current Y / N <br /> • --- mr-Yamw - raragyi // License 11":1 E . fa , r . <br /> All out application completely_ <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract vrtih owner) <br /> ff over $2500. a Notice of Commencement is regrired.(Mechericai 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 (help: //appraiser pascogov.com) <br />