Laserfiche WebLink
813=780-0020 <br /> City ofZephyrhills Fax <br /> Permit Application <br /> I Re ceived k 1 <br /> n Contact for Permit ( <br /> Date I "... 6 <br /> 2 6 <br /> I_ `P Q Owners Phone Number 1 813 <br /> Owner's Name l S TMPT,FXC7RTNNET�L � ,r„,,, <br /> Owner's Address 4701 Oak Fair Blvd TAMPA FL 33610 . <br /> Titleholder Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Address `d 4 <br /> Job Address ss 3 <Da v� r �� 33 y T 0 _ VI . k ... Lot# <br /> `i�'� <br /> Sub Division Parcel # 1 F <br /> `-n .:° . J:._ s.:, g.ura _ - � ,r. .r. ter-- . . L ..:_... - . sx �" <br /> n Bio- Hazard Waste Storage - ANNUAL [ Fumigation Tent <br /> FT Comm Exhaust Kitchen Hood /Duct 1 Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> FT <br /> Controlled Bum 1 Hood Installation <br /> ( Emergency Generator < 30 kw (. LP /Natural Gas - Installation <br /> Emergency Generator > 30 kw <br /> 1 LP /Natural Gas - ANNUAL Sale `V <br /> 4 � <br /> 1 Fire Protection Maintenance - ANNUAL • 1 1 Places of Assembly- ANNUAL . J S c <br /> V ..... t Utrly"Semi l �Anl 1 tither Sprinkler , f 111 <br /> , „.. „ , <br /> V . ❑ ❑. • 1 Recreational Bum <br /> • Fire Alarm 1 ❑ ❑ ❑ 1 1 . Sparklers . <br /> Hood Cleaning 1 0 ❑ ❑ 1 1 1 Sprinkler System Installations <br /> t . Hood Suppression I 1 ❑ 0 . 0 1 1 _ - L 1 . Standpipes (Sprinkler Sys) <br /> ( I. Fire Alarm Installation <br /> 1 1 Torch <br /> Roofing/Tar Kettle <br /> Fire Pumps <br /> ( • 1 Waste Tire Storage ANNUAL <br /> 1 Fire Works <br /> FlammabfeAppfica6on- ANNUAL ! Valuation O f Project <br /> ( 1` Fuel Tanks • <br /> 1 ( Other 1 �.�_� ��� _ - t_.� <br /> mow," ;a • -.OSO . 'a. .;.,.,, . a`� ....N_rrr � "r. W :.-.:.. -. ..P a MLM - ;� �� - .x: , w,:� i <br /> Contractor / Company (1 Ksru -'-G t( <br /> Signature / Registered Y/ N I Fee Current L Y/ N <br /> • <br /> Address 1 .. ... , ( _.. License # . <br /> ' <br /> ELECTRICIAN Company . <br /> Signature , Registered Y / N I ' . Fee Current I Y / N ;:.. <br /> Address 1 • - . ( License # ( 1 <br /> PLUMBER Company <br /> Signature Registered _ Y f N' I Fee Current " I Y/ N 1 <br /> Address 1 . . - I License # • I ' I • MECHANICAL Company <br /> Signature Registered Y/ N 1 Fee Current 1 Y / N <br /> . Address 1. :, .. 1 License #. ( <br /> OTHER Company • <br /> Signature Registered Y / N 1 Fee Current Y / N <br /> e I . . <br /> Address o1:am. -- .. -..,_. LicR . _ = _....�.�_. �: . - <br /> se # <br /> per- � -� ... =F:3_�. - <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 /> Allo* 10 -14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http: /fappraiser.pascogov.com) <br />