Laserfiche WebLink
81,3-780-0020 City of Zephyrhills Fire 1 t J 7 Fax-813-7S0-0021 <br /> Permit Application " <br /> Date Recent ` Phone Contact r P 12 z 4y 2 l q <br /> ,.- -,,,,, _ enntt Q3 <br /> e.;'' h >re J j //s We � • 1 <br /> Owners Name (g Owner's Phone Number I s /3 [ 75.2.110 8.251' • Owner's Address 777 14 y`#7 77vet 47e w% C 7: O b S3 0 <br /> Fee Simple Titleholder Name I I Titleholder Phone Number I •1 I,. •1 f 1 <br /> Fee Slmpie Titleholder Address I <br /> • <br /> v0- .:!!I!!iA y ,,... r <br /> Job Address 1 (33° c o 37 7--e14) y s : - _._ 1 , <br /> . ! r - 33,�"�� Loth - <br /> Sub Division * I <br /> fl Blo-Hezard waste Storage - ANNUAL El Hazardous Materiel:trier 11 or RQ facility) ANNUAL .....=.....- •... <br /> n Comm Exhaust Kitchen Hoodrptla = Hood Installation • <br /> . ❑ Controlled Burn D LP /Natural Gas - Installation ' <br /> ❑ ri Emergency Generator < � kw ' LP/Natural Gas - ANNUAL Sale <br /> D Emergency ' Genorator> 30 kw 0 Places of Aaeemby- ANNUAL <br /> ❑ Fire Protection Maintenance - ANNUAL ❑ Recreational Burn <br /> sprinkler 11 .0 O a Sperlders <br /> • Fire Alan D ❑ ❑ ❑ L 1 sprinkler System Inetatladone • . <br /> Hood Cleaning . D 0 O a D D Standpipes {Sprinkler Sys) - <br /> C . fo <br /> Hood Suppresion ..0 ❑ ❑ � Torch Roon/Tar Kee /(, <br /> Fire Alarm Installation Waste Tire Storage ANNUAL t <br /> Fire Pumps t " <br /> Fire Works � 6 <br /> Flammable Application- ANNUAL " Y ', 0 Valuation of Project /' — 4 <br /> ❑ fuel Tanks <br /> ❑ other: I • <br /> Contactor company A 4.a 1 Sp tl.i 'On - nC. 1 <br /> gnature c Registers I T Y / N Fee Current .: Y / N • <br /> Address 13 5 i a t o4lsne. %d. 1 License # 11ri 0000 . I <br /> ELECTRICIAN Company f <br /> Signature Registered Y/ N 1 Fee Current' . • L Y/ N J <br /> . • Address 1 I License # j <br /> PLUMBER Company <br /> Signature Registered 1 Y/ N I Pee Current- I -Y / N I <br /> Address I I License # <br /> MECHANICAL Company I <br /> Signature Registered ¥[N Fee Current .. I Y / N I <br /> Address I I License# r I <br /> • OTHER Company • <br /> i <br /> Signature Registered <br /> I YIN I Fee Current I• Y/ N I 1 <br /> Add License # <br /> Directions: .�..m:_,., <br /> FM out application cornPletey- . <br /> Owner a Contractor elan bade of application, notarized (Or, copy of signed contract wAth owner) <br /> If over 52500, a Notice of Commencement is :required (Mee/winks' week over 55000) . <br /> Supply two (2) sets of drawings with applicable•documentatton <br /> Allow 10-14 days for review after submittal date. Parcel 0- obtained nom Property Tax Notice (httpJ /appreiser.pasoogov-com) <br /> • <br />