Laserfiche WebLink
813-780 -0020 City of Zephyrhills `Fire I'4 65 21 Fax -813- 780 -0021 <br /> Permit Application <br /> Date Received �► <br /> � .. Phone Contact for Permit $/ 3 I, f <br /> ... - w+: asvr.. xssw .terra:.:hn-.-.as�n??.a:=:: 1 <br /> Owner's Name 51rn / /fK (7' // Owner's Phone Number <br /> 11 1 1 <br /> Address 4-701 O k Fs l f RI Lid Ta t) pca , FL 336 /O <br /> Fee Simple Titleholder Name Titleholder Phone Number I 1 1 1 1 <br /> Fee Simple Address I <br /> Job Address 3 k a y o f D G l J e i P f -) 7 Ra- 2 P p h p -hi)J / a - - ' i i Lot # I <br /> Sub Division <br /> try+ Parcel # <br /> I I Bio- Hazard Waste Storage - ANNUAL Fumigation Tent <br /> I 1 Comm Exhaust Kitchen Hood /Duct Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> n Controlled Bum <br /> Hood Installation <br /> I I Emergency Generator < 30 kw <br /> LP /Natural Gas - Installation <br /> I Emergency Generator> 30 kw LP /Natural Gas - ANNUAL Sale <br /> n Fire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL <br /> JUtnyl !Semi Uther <br /> Sprinkler ❑ ❑ ❑ I ( Recreational Bum <br /> Fire Alarm 1 ❑ ❑ VI I n Sparklers <br /> Hood Cleaning 17 ❑ ❑ ❑ I I I Sprinkler System Installations <br /> Hood Suppression 0 ❑ ❑ ❑ I I Standpipes (Sprinkler Sys) <br /> n Fire Alarm Installation n Torch Roofing/Tar Kettle <br /> Fire Pumps I I Waste lire Storage ANNUAL <br /> 1 I Fire Works <br /> n Flammable Application- ANNUAL <br /> I 1 Valuation of Project <br /> Fuel Tanks <br /> n Other: I <br /> Contractor / <br /> 1.7 �^ <br /> Company "3 (p' h S Cr I <br /> Signature Registered Y / N ] Fee Current Y / N j <br /> Address I <br /> 1 License # I <br /> ELECTRICIAN' I Company I <br /> Signature Registered Y/ N , Fee Current I Y / N I <br /> Address ` I License # I <br /> PLUMBER I I Company 1 <br /> Signature Registered Y/ N J Fe e Current I Y/ N I <br /> Address I ( License # I <br /> MECHANICAL' I Company I <br /> Signature Registered Y/ N I Fee Current I Y/ N <br /> Address 1 I License # I <br /> OTHER I I Company <br /> Signature l Registered Y/ N j Fee Current I Y/ N I <br /> Address <br /> �•� . _ m License # <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 htt //a <br /> ( p: ppraiser.pascogov.com) <br />