My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
09-9003
Zephyrhills
>
Building Department
>
Permits
>
2009
>
09-9003
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/12/2011 3:25:03 PM
Creation date
1/12/2011 1:02:26 PM
Metadata
Fields
Template:
Building Department
Company Name
QUALITY INN
Building Department - Doc Type
Permit
Permit #
09-9003
Building Department - Name
QUAILITY INN
Address
6815 GALL BLVD
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
813-780-0020 City of Zephyrhills Fire 0 � 3 Fax -813- 780 -0021 <br /> Permit Application ! U <br /> Date Received Phone Contact for Permit 7271 573J 1556 <br /> .. s .. ... <br /> Owner's Name IShree Sai LLC 1 Owner's Phone Number f 8131 1 7621 1 20001 <br /> Owner's Address 16815 Gall Blvd. Zephyrhills, FL 33541 I <br /> Fee Simple Titleholder Name I Pankaj Patel I Titleholder Phone Number I 8131 1 9731 I 24211 <br /> Fee Simple Titleholder Address 129341 Rhodin Place Wesley Chapel, FL 33545 I <br /> Job Address 16815 Gall Blvd. Hwy 301 N. Zephyrhills, FL 33541 1 Lot # I I <br /> Sub Division ( I Parcel # I 1 <br /> I ----- I Bio- Hazard Waste Storage - ANNUAL ED Fumigation Tent <br /> I Comm Exhaust Kitchen Hood /Duct 0 Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> I -1 Controlled Burn n Hood Installation <br /> I -1 Emergency Generator < 30 kw 0 LP /Natural Gas - Installation <br /> n Emergency Generator > 30 kw E1 LP /Natural Gas - ANNUAL Sale <br /> © Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL <br /> ry emi Oil Other <br /> Sprinkler © X ❑ D Recreational Burn <br /> Fire Alarm El ❑ ❑ 1 1 0 Sparklers <br /> Hood Cleaning 0 ❑ ❑ ❑ I I L1 Sprinkler System Installations <br /> Hood Suppression El ❑ ❑ ❑ I 1 I] Standpipes (Sprinkler Sys) <br /> n Fire Alarm Installation a Torch Roofing/Tar Kettle <br /> I Fire Pumps I Waste Tire Storage ANNUAL <br /> H I Fire Works <br /> Flammable Application- ANNUAL ( Valuation of Project <br /> I Fuel Tanks <br /> n Other: 1 1 <br /> Contractor Industrial Fire & Safety Inc. <br /> Signature Registered Y/ N 1 Fee Current 1 Y/ N I <br /> Address I License # 187582700012007 I <br /> ELECTRICIAN Company I <br /> Signature Registered Y/ N 1 Fee Current I Y/ N I <br /> Address 1 I License # I I <br /> PLUMBER Company I <br /> Signature Registered I Y / N 1 Fee Current I Y/ N I <br /> Address I I License # I <br /> MECHANICAL Company I <br /> Signature Registered Y/ N 1 Fee Current I Y/ N I <br /> Address I 1 License # ( I <br /> OTHER Company I <br /> Signature Registered I Y/ N 1 Fee Current 1 Y/ N I <br /> Address License # <br /> Directions: <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 />
The URL can be used to link to this page
Your browser does not support the video tag.