Laserfiche WebLink
813-780-0020 City of.Zephyrhills Fire. Fax-813-780-0021 <br /> Permit Application <br /> 1 <br /> Date Received Phone Contact for Permit <br /> Owner's Name £/ys7 7i1.1O!> itiENZS 00./ AOAseei I Owner's Phone Number 1 a- 13 1 ?- 7P.r9 <br /> Owner's Address 3e/yS A s- 7-s'4Vt 2994y.h /3 FL • <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee SimpleTitleholderAddress <br /> Job Address Lot # <br /> Sub Division Parcel # <br /> . +b4a.`.4"rJ ,. r_""�iR .:..�"a. d- �x .. :a :.... tv. E t, - ..a.;• F ,. ,;.._ >:. , ,.,;r e x _ ^f. tea... 3x .,... u. `la's.. Y >'S .!ns,3a `/ <br /> n Bio- Hazard Waste Storage - ANNUAL n Fumigation Tent <br /> n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> n Controlled Bum n Hood Installation <br /> n Emergency Generator < 30 kw n LP /Natural Gas - Installation <br /> n Emergency Generator> 30 kw n LP /Natural Gas - ANNUAL Sale <br /> n Fire Protection Maintenance - ANNUAL n Places of Assembly- ANNUAL <br /> IUtrly) 'SemiI Frli other <br /> Sprinkler n ❑ ❑ ❑ n Recreational Bum <br /> Fire Alarm ❑ ❑ 12 I ( n Sparklers <br /> Hood Cleaning n ❑ ❑ ❑ I I n Sprinkler System Installations <br /> Hood Suppression IZ ❑ X1 ❑ l I n Standpipes (Sprinkler Sys) <br /> Fire Alarm Installation n Torch Roofing/Tar Kettle <br /> Fire Pumps n Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application- ANNUAL I I Valuation of Project <br /> Fuel Tanks <br /> 0 Other: I <br /> Contractor Company <br /> Signature Registered Y/ N I Fee Current I Y / N I <br /> Address I I License # I I <br /> ELECTRICIAN Company I <br /> Signature Registered Y/ N 1 Fee Current I Y/ N I <br /> Address 1 I License # I <br /> PLUMBER Company I <br /> Signature Registered Y/ N I Fee Current I Y/ N I <br /> Address I I License # I <br /> MECHANICAL Company <br /> Signature Registered Y / N 1 Fee Current I Y/ N j <br /> Address I 1 License # I I <br /> OTHER ' Company - yr / • e o . L LL. <br /> Signature k Registered fValli Fee Current 64E1 <br /> Address License # St 2 — Oa I •Qor <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 /> Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http:/ /appraiser.pascogov.com) <br />