09-9040 - Laserfiche WebLink

Browse Search

04/17/2009 11:51 FAX Q1002 8137& -0020 City of Zephyrhilis'Fire it 9 /'O Fax- 813- 780 -0021 Permit Application Date Received I ®11 � Permit �; az" Phone Contact for P Owners Name 1 5rmpI eXGI rune 1' 1 Owner's Phone Number I 1 1 1 Owners Address 1 4 170, Der It i i; Qia4. ^ - l c, gyp& 1 F L 3 36 l 0 Fee Simple Titleholder Name I - . 1 Titleholder Phone Number I I Fee Simple Titleholder Address I I Job Address ( 3 8 SO A Avenue_ Zcphi. rhif . L- 335‘11 Lot# Sub Division 1 1 Parcel # 1 I ED Bio -Hazard Waste Storage -ANNUAL n Fumigation Tent ED Comm Exhaust Kitchen Hood/Duct = Hazardous Material (Tier II or RQ Facility) ANNUAL a Controlled Bum [7 Hood Installation ED Emergency Generator < 30 kw ED LP /Natural Gas - Installation • I Emergency Generator > 30 kw Q LP /Natural Gas - ANNUAL Sale 0 Fire Protection Maintenance - ANNUAL Places of Assembly - ANNUAL ® uii� Sprinkler El ❑ ❑ ❑ n Recreational Bum Fire Alarm = ❑ ❑ 0 1 ( n Sparklers Hood Cleaning E ❑ ❑ ❑ 1 1 El Sprinkler System Installations Hood Suppression ❑ ❑ ❑ 1 1 EJ Standpipes (Sprinkler Sys) ED Fire Alarm Installation a Torch Roofing/Tar Kettle Fire Pumps n Waste Tire Storage ANNUAL Fire Works Flammable Application- ANNUAL I 1 Valuation of Project Fuel Tanks • b!I Other: Srd•M 4 Toyarai gr/fil . Signature Registered Y `� t I • Contractor ` Company / N I Fee Current / N I ' Address I . License* ELECTRICI Company I Signature Registered Y/ N I Fee Current I Y/ N I .Address I I License* I I PLUMBER Company • Signature Registered Y/ N J Fee Current I Y / N I Address I License # _ ( • 1 • MECHANICAL • Company • I Signature Registered Y/ N I Fee Current I Y / N 1 . Address I I License # I I OTHER Company I Signature Registered Y/ N I Fee Current 1 Y/ N J . Address I License* I I Directions: • . Fill out application completely. • Owner & Contractor sign back of application. notarized (Or. copy of signed contract with owner) If over $2500, a Notice of Commencement is required ,(Mechanical work over $5000) . • Supply two (2) sets of drawings with applicable documentation . Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: //appraiser.pascogov.com) .