Laserfiche WebLink
813780 -0020 'City of.Zephyrhills Fire Fax -813- 780-0021 <br /> , <br /> "Permit Application <br /> 1 <br /> Date Received Phone Contact for Permit <br /> Owner's Name 1 i . b S KO 12JV EA- Owner's Phone Number I kl3 1 1 - 7152- 1 73 .43 <br /> Owner's Address SPY grP sr <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee SimpieTitieholder Address <br /> Job Address Lot # <br /> Sub Division Parcel # <br /> n Bio-Hazard Waste Storage - ANNUAL n Fumigation Tent <br /> • <br /> n Comm Exhaust Kitchen Hood/Duct . n Hazardous Material (Tier 11 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 /> pr d371 !Semi) tither <br /> Sprinkler ❑ ❑ ❑ n Recreational Bum <br /> Fire Alarm Er ❑ ❑ ( n Sparklers <br /> Hood Cleaning El ❑ ❑ ❑ I I n Sprinkler System Installations <br /> Hood Suppression CI ❑ ❑ ❑ I El Standpipes (Sprinkler Sys) <br /> 1 Fire Alarm Installation n Torch Roofing/Tar Kettle <br /> Fire Pumps n Waste Tire Storage ANNUAL <br /> n Fire Works <br /> H Flammable Application- ANNUAL I ( Valuation of Project <br /> Fuel Tanks <br /> 0 Other. I <br /> Contractor / Company <br /> Signature ...a -IAA Registered Y / N I Fee Current I Y / N <br /> J <br /> Address I I License # <br /> ELECTRICIAN Company <br /> Signature Registered Y/ N I Fee Current I Y/ N <br /> Address I 1 License #. <br /> PLUMBER Company <br /> Signature Registered Y/ N I Fee Current I Y/ N <br /> Address 1 I . License # <br /> MECHANICAL . Company <br /> Signature • Registered Y/ N I Fee Current I Y/ N <br /> Address I I License # <br /> OTHER Company <br /> Signature Registered Y/ N I Fee Current I Y/ N I <br /> Address License # <br /> Directions: <br /> Fill out application completely. • <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> • <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 />