Laserfiche WebLink
F Fax-813-780-0021 <br /> 813-780-0020 C ity ofZephyrhillsFire. 410q <br /> UV (q <br /> Permit Application <br /> Date Received w r <br /> Phone Contact for Permit <br /> Owner's Name STMPT,FXORTNNET,T, Owners Phone Number 813 626 5482 <br /> Owner's Address 4701 Oak Fair Blvd TAMPA FL 33610 <br /> Fee Simple Titleholder Name - Titleholder Phone Number <br /> Fee Simple Address <br /> IM <br /> Job Address Sq 5 I11, J' on ve_,- • 2 eft■I ni t ■1., I_ 335 2 Lot # <br /> Sub Division <br /> Parcel # <br /> , _ - <br /> I • I Bio- Hazard Waste Storage - ANNUAL I Fumigation Tent <br /> I Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier If or RQ Facility) ANNUAL <br /> I 1 Controlled Bum I Hood Installation <br /> I I Emergency Generator < 30 kw 1 LP /Natural Gas - Installation <br /> _ • 1; . 1 Emergency Generator > 30 kw I LP /Natural Gas - ANNUAL Sale <br /> I . I • . Fire Protection Maintenance- ANNUAL I Places of Assembly- ANNUAL <br /> =1 1Semr1 (Ant 1 WEIM <br /> Sprinkler In ❑ ❑ it . I I Recreational Burn - <br /> Fire Alarm I I ❑ ❑ O. I • I I Sparklers <br /> Hood Cleaning I I ❑ ❑ ❑ 1 I 1 I Sprinkler System Installations <br /> Suppression I I ❑ ❑ <br /> Fire A arm Installation Standpipes (Sprinkler Sys) <br /> ❑ 1 I S _ <br /> i : .._.. : : : : . -. : :� <br /> Torch Roofing/Tar Kettle <br /> , 1 Fire Pumps Waste Tire Storage ANNUAL <br /> I • Fire Works <br /> 1., <br /> Flammable Application- ANNUAL I I Valuation of Project <br /> 1 ... Fuel Tanks • <br /> • I Other I `N.PA- Sp ww-it,,i O 13c4clLG -(v(-) -S 1,-0... "A • <br /> . ,_ � „,.� _ , �4..: ,: w•: ,_. . , 4 <br /> Contractor , Company -- CH Kl�rw -e, t-( <br /> Signature � , Registered Y / N I Fee Current I' Y/ N I <br /> rS Address .: .:..:. • .. 1 . License # <br /> ELECTRICIAN - • <br /> Company . '+ <br /> Signature • Registered Y/ N I Fee Current 1 .:.: / N ; : 1, <br /> Address 1 : - .. I License # • <br /> PLUMBER <br /> Company <br /> Signature Registered ¥ / N I Fee Current' I Y 1 N 1 <br /> Address 1 . . • I License # - I • I <br /> MECHANICAL • Company <br /> Signature Registered Y/ N I Fee Current 1 Y / N I <br /> Address 1, : I License # I <br /> OTHER Company - <br /> Signature Registered L Y/ N I Fee Current 1 Y/ N N. <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 /> • <br /> _ Allow 10 -14 -days for review after submittal date_ Parcel # - obtained from Property Tax Notice (http:/ /appraiser- pascogov,com) <br /> • <br />