Laserfiche WebLink
� .� (���� <br /> Fax-813-780-OD21 <br /> ati�-�aa-ao2o Ctty of Zephyfiilis'Fir�e�� <br /> . Permit Appiication <br /> )ate Raceived - Phone Co�tact for Pertnit <br /> :�-�' us'�� s""�'. ...�.�..... . R..v...s.�....�� ..,.�..w.�.....,.. � <br /> hvners Name C � �-. � Ovvne�5 Phone Num6er [��1� � �� /� / <br /> �wners Address 3v � e 5 � ' <br /> =es Simple T�leholder Name Titleholder Pfione Number ��� C <br /> =ee Simple T�laholder Address <br /> ����.� <br /> Job Address ��� ��' e t� �� S W� �� 3� 3 t (�'4� Lot # C <br /> `—' �J� c?—txiF�� •vv�� <br /> Sub Division � (� Paroe� # �. ' <br /> y <br /> a Bio-Hazard Waste 5iorage - ANNIlAL � Fumigation Tent <br /> � Comm Exhaust Wtchen HoodlDuct a Hazardous Materfal {71e� li or RQ Faciliiy) ANNUAL <br /> � Controlled Bum a Hood Iristallatlon <br /> � Emergency Generator < 30 kw � LP/NaWrai Gae-InstallaBon <br /> Eme►gency Generator> 30 kw � LP/NaWral Gas-ANNUAL Sale <br /> Flre Prote�tion Mairdenance - ANNUAL � Places af Assembly-ANNUAL <br /> � emi � er <br /> 5prinkler �❑ O ❑ a Recreatlonal Bum <br /> Rre Alartn � O d �� � Sparklers <br /> Hood Cleaning ❑ O ❑� a Sprinklar System Installations <br /> Hood Suppression � ❑ ❑ ❑ �� � Standpipes (Sprinkter Sys) <br /> � Fire Afartn Installation � Toreh.RocfinglTarKetUe <br /> Firo Pumps � Waste Tlre Storage ANNUAL <br /> Fire Works • <br /> Flammabla ApplicatiorrANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> ConVactor , Comparry ', .G � C <br /> , <br /> Signature ' Registered Y N Fee Current N <br /> Address � � l.ice�e # � b i b <br /> ELECTRlC1AN Company <br /> 5ignatura �gistered Y! N Fee Current Y/ N <br /> Address Ucense # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address Ucense # <br /> MECHANICAL Camparry <br /> Signature Regtstered Y 1 N Fee Current Y 1 N <br /> Address License # <br /> OTHER Company <br /> 5ignature Registerad Y/ N Fee Current Y 1 N <br /> Addrass LiCense # <br /> �. CYiWY� - 4 " _ _ <br /> Directions: "" - <br /> Eill out applicaUon completely. <br /> Owner 8 Contractor sign 6ack of applicatlo�, notarized (Or, capy of signad contract wfth owner) <br /> If over �2500, a Notice af Commencement fs required (Mechanlcaf work over 35000) <br /> Supply two (2) sets of drawings with applicable dacumerdation � <br /> Atic�nr 10-14 days for reviaw after submittal data. Parcal #- obtained from Property Tax Notice (http:/lappraiser.pascogov.com) <br />