09-9080 - Laserfiche WebLink

Browse Search

813-780 -0020 City of.Zephyrhills Fire Fax -813 -780 -0021 /� Permit Application ®j/�i Date Received ! o Phone Contact for Permit A K . 3 e pe s Phone Number Ce2t°� I (3 116 11 I Owner's Name Owner's Owner's Address I tt 1/ ' ° ff ° 39 2 V U /6 / Fee Simple Titleholder Name I - I Titleholder Phone Number I I I Fee Simple Titleholder Address I /^ i f r2 � ,� p i t r 1 ti ` , 1 1 5 r 1 3 3 S Y/ Lot # I Job Address 7 7 L� r Sub Division Parcel# Bio-Hazard Waste Storage - ANNUAL a Hazardous Material (Tier II or RQ Facility) ANNUAL Comm Exhaust Kitchen Hood/Duct ED Hood Installation El Controlled Bum = LP /Natural Gas - Installation • Emergency Generator < 30 kw ED LP /Natural Gas - ANNUAL Sale Q Emergency Generator> 30 k Places of Assembly- ANNUAL 0 Fire Protection Maintenance - ANNUAL Recreational Bum r y f I OS ' r Sprinkler E ❑ ❑ ❑ E Sparklers Fire Alarm El ❑ ❑ ❑ I I Sprinkler System Installations Hood Cleaning El ❑ ❑ ❑ I 1 [] Standpipes (Sprinkler Sys) Hood Suppression E ❑ ❑ ❑ I I J Torch Roofing/Tar Kettle El Fire Alarm Installation = Waste Tire Storage ANNUAL Fire Pumps Fire Works Flammable Application- ANNUAL 1 Valuation of Project Fuel Tanks Q Other: I Contractor � Company Signature , el/ ) Registered Y/ N J Fee Current I Y/ N I r �� Address I � /� I License # ELECTRICIAN Company I Signature Registered Y / N J Fee Current I Y/ N Address I I License* I I PLUMBER Company I Signature Registered Y / N I Fee Current I Y / N I Address I I License# I I MECHANICAL Company Signature Registered Y / N I Fee Current I Y / N I Address I I License # I I OTHER Company Signature Registered Y/ N I Fee Current I Y / N I Address License # 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: /lappraiser.pascogov.com)