Laserfiche WebLink
• <br /> 813- 780.0020 City of ZephyThills Fiudelt►?t% Fax -613 - 780-0021 <br /> Permit Application • <br /> Date Received • .1115:1111% - 0 - - Phone Contact for Permit — --- <br /> Owner's Name .. _ PL .�,� /fir. FA : Phone pmt., I '1 I <br /> Ovmees Andes f�i'�W. �' /W- ' ��iG " a AIT� �. I I FA .. <br /> Fee Simple TldsMder Nam. Titleholder Phone Number I l I <br /> Fe. S1mpleTltleholdM'AddmS$ I <br /> Job Addr 111149;' Lot # <br /> Sub Division Parch # <br /> Bio•Hmrd Waste Storage - ANNUAL a Fumigation T.nt • <br /> El Comm EndnnastKitc1en Hood/Duct a Hazardous Material (Tier II or RO Fealty) ANNUAL <br /> Q ControNsd Bum a ret Hood Iron <br /> , <br /> Emergency G.n.or < 30 kw LPMa4sal (ia.- kfsbNeUon <br /> Emrp.ncy Generator > 30 kw t Pn�awrai Gas,i�NNUAL sal. , Jr.___,._..,,/) ,/) <br /> Fir. Prol.enon Makeenernoe - ANNUAL Places of As.smnbly,ANNU ' <br /> MI Mg En i ! a X -AM R Sprinkler O ❑ ❑ _ Recreational Bum _ <br /> Fire Alarm 0 ❑ 0 Spenders -- .. <br /> Hood Mucky ❑ ❑ ❑ 8pirdderSyMMm btM -YNo 8 . <br /> Hood Scetpreesion 0 i pS ❑ _ Standpipes (Sprinkler Sys) , <br /> fin Akan knsWatlon _ Torch Roofing/Tar Kettle ' <br /> Fire Pna*nps - . Waste Tk. Storage ANNUAL • <br /> Fin Works <br /> F1en.m.bl*, Application- ANNUAL. 1 I Value don of Project <br /> Fires Tanis <br /> Other .�.._ <br /> Catteafrx M buy Eel ::1� �.21 '� J ='.� 4 <br /> Sigraban 1111%/farila <br /> 11• 0■Aei1T ._ riitaltaci <br /> Address W JJ'd ` wirfA,F.®d' ,'_ a �i •" tridrAll .. um.** . ` o.L for .! ' ,,L. s i; <br /> ELE any <br /> Signature Registered Y/ N NO Current J Y/ N I • <br /> Address I • - \ < License 5 I I <br /> s� I R.gi.ter.d Y/ N j Fie Culvert I Y/ N I I <br /> Address I I License # I I cHANicA <br /> ME Company I <br /> S Registered [ Y 1 N J Fes Current I Y/ N J <br /> Address 1 License # I I <br /> OTHER Signature Y / N • F ie MINN 1 Y7 N I I <br /> Si gnfaa. [ ,... <br /> Arrois I <br /> Uc.nee ax . I "1 <br /> Limns: <br /> Fi a 3 or combed with owner) <br /> tiwri.rli Corikeobr <br /> It ow $2000. a Notice l�Ci tt' • t ( .► ) <br /> A 1 0.1 4 (2) for des . 4' ` # - obtained from Property Tax Notla (hllpl/appraWr psecogov.00m) <br /> Now 10.1sye trrwi�w:eeM` wkal+>Ibl eats. . <br />