Laserfiche WebLink
813 -780-0020 ife City of Zephyrh tls F"ti Fax- 813 - 780.0021 <br /> _ <br /> / . / " . 'D Permit Application <br /> Date Received <br /> Phone Contact for Penn$ <br /> Owner's Naive ( Ovgnees Phone Number / e [W 07s'/ <br /> s Address I s 3 76I►1 / aly. 47 <br /> Fee Simple T older Nam + / /a. ,ieirolder Phone Number Titletwider Address / /'� <br /> Fee Simple > � - <br /> Job Address I "C ‘ 47 <br /> Sub Division Parcel # <br /> •. s^S:a.r: 3:''a= . - _ . � - `...:5»_ ..y...�: :., u.. +CR-...� _:._�'. _'i' F:a., -:.. -�. .:..x - ?iS Lti":+;:_ 2..r.. GY.1.. -',. .. ..: ;, V.: :. '4: �'�:. .. v_z\',�'c`_` .J _c �s F- _P -' .. :...d. 3ry' ....... .,bd�'. <br /> ED Bioa*Iozard Waste Storage - ANNUAL ED Funrigrilion Tre+ <br /> n Cornn Exhaust Kichen Hood/Duct Q Hazardous Material Crier 11 or RQ Facily) ANNUAL <br /> D Conboied Bun - Q Hood irdaMalion <br /> Emergency Generator < 30 kw = LPMMural e G lion <br /> n Emergency Oerrerabr> 30 torn r- ----1 LP/Neheal Gas-ANNUAL Sale <br /> ED Are Protection Meinlenance - ANNUAL n Places of <br /> Sprinkler n ❑ 0 ❑ J Rec sarronal Burn <br /> Fire Alarm 0 ❑ ❑ J 1 Q Sparklers 1 fl 1" / <br /> Hood Clearing le ❑ ❑ J 1 Spriider System I aions i U Hood Suppression © ❑ W( ❑ J 1 El Stand*Oes (SpriniderSys) <br /> n Fie Alum krslallaicn Torch Roofing/Tar Katie \ - <br /> n Rre Pumps n YWele Tie Storage ANNUAL <br /> Free Weirs <br /> Ram/sable Appicalion- ANNUAL <br /> 1 Valuation of Project <br /> Fuel Tanks <br /> D Other. I <br /> Contractor i 7 " • N ;-77 0 . / - ♦ . YO ✓- <br /> Signature Y/ N 1 Fee Cunard I Y 1 N 1 <br /> Addles= r//Ts1l�i� i i.. : %4 -- Liowre l ` I <br /> 7018efej J/ c?a Registered I Y/ N I Fee Current 1 Y/ N <br /> Address 1 I License* I I <br /> PLUMBER Company <br /> Signature Regisioved I Y/ N J Fee Current 1 Y / N <br /> Address I I License* 1 I <br /> MECHANICAL Company <br /> signature Reg6iercd Y/ N J Fee Current Y/ N 1 <br /> Address 1 1 License* 1 1 <br /> OTHER c«r+peny I <br /> Signature Regislerad Y! N, Fee Current 1 Y! N i <br /> Address License* <br /> Directions: <br /> PSI out application comPls:eeh- <br /> Owner & Contractor sign back of application. misdeed (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 witb applicable decommission <br /> Allow 10-14 days for review alter submittal dale. Parcel #- obtained from Property Tax Notice (trtlpcHappraiser paacogovcam) <br />