Laserfiche WebLink
a�3aso-oo2o Ciry of Zephyrhills Fire � i I � � Fax-813-780-0021 <br /> Permit Application � <br /> Date Received „ r �" � � Phone Contact for Permit �� C� �� <br /> Owner's Name //rie /Cc�... � 1i 2���„� ` p�y�ers Phone Number �� �f�� QG <br /> Owner's Address L �} � � �. �" j ( <br /> Fee Simple Titleholder Name TiUeholder Phone Number �� �� � <br /> Fee Simple Titteholder Address <br /> . ,. � . , . , . <br /> JobAddress � �9j� �L �jG�/�- �� <br /> Lot # <br /> Sub Division � ` � [`Gy'y� �vtoi✓S' Paroel # <br /> � Bio-Hazard Waste Storege - ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LPlNatural Gas-Installation <br /> � Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Mainte�ance - ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n er <br /> Sprinkler � ❑ ❑ p � � Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ C� � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkier Sys) <br /> � Fire Alartn Installation � Toroh RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL � Q�, o!� Valuation of Project <br /> Fuel Tanks <br /> Q Other: �'.� Tyrc-L o"� F� � 2,,:�ru��eS' �',J � <br /> Contractor � Company /'7� �p � Gcs i <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address O n�Aa e, C !C. L .'l License # t� � a <br /> ELECTRICIAN Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER <br /> Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> Directions: <br /> Fill out application completely <br /> Owner 8 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:/lappraiser.pascogov.com) <br />