Laserfiche WebLink
813 -760 -0020 City of.Zephyrhills Fire Fax - 81 3 780 -0 021 <br /> Permit Application <br /> Date Received Phone Contact for Permit <br /> -,- JJ f/ /7 7_,O f.14/0 1 Ownet's Phone Number - ?� 99e <br /> Owner's Name /' // , <br /> Owner's Address 566 Get.1( Z/ ads . <br /> • Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Address 1 <br /> Job Address //7 Lot# ' ^ <br /> Sub Division Parcel•# 1 I 2I -21-- OvlV - ZD7 0 c $ <br /> n Bio-Hazard Waste Storage - ANNUAL n Hazardous Material (Ter II or RQ Facility) ANNUAL <br /> n Comm Exhaust Kitchen Hood/Duct n Hood Installation <br /> Controlled Bum n LP /Natural Gas - Installation <br /> n Emergency Generator < 30 kw n LP /Natural Gas-ANNUAL. Sale <br /> n Emergency Generator > 30 kw I Places of Assembly- ANNUAL <br /> Fire Protection Maintenance - ANNUAL - Recreational Bum <br /> 7.7671 e mr gal! Omer <br /> Sprinkler El ❑ ❑ ❑ I n Sparklers <br /> Fire Alarm n ❑ ❑ ❑ I 1 n Sprinkler System Installations <br /> Hood Cleaning = ❑ ❑ ❑ I ( El Standpipes (Sprinkler Sys) <br /> Hood Suppression E ❑ ❑ ❑ I I n Torch Roofing/Tar Kettle <br /> 71 Fire Alarm installation = Waste Tire Storage ANNUAL <br /> n Fire Pumps <br /> 7 Fire Works <br /> n FlammabYe Application ANNUAL / ( Valuation of Project <br /> n Fuel Tanks <br /> 0 Other. 1 <br /> Contractor / J Company <br /> Signature / Registered Y / N I Fee Current I Y / N <br /> Address ( / I License# I ( <br /> ELECTRICIAN Company I <br /> Signature Registered Y/ N - I Fee Current I Y/ N I <br /> Address j I License* <br /> PLUMBER <br /> • <br /> Company <br /> Signature Registered Y/ N I Fee Current I Y / N I <br /> Address I ( License* <br /> MECHANICAL Company I <br /> • <br /> signature Registered Y/ N . 1 Fee Current I Y / N I <br /> Address 1 I License* I I <br /> OTHER Company ( <br /> Signature Registered Y/ N I Fee Current I Y/ N <br /> Address License # I <br /> Directions: <br /> . Fit 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 wtth applicable documentation <br /> Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http• / /appraiser.pascogov.com) <br />