11-11608 - Laserfiche WebLink

Browse Search

ai; ��so-oo2o Ciry of Zephyrhills Fire Fax-813-780.0021 Permit Application Date Received Phone Contact for Pertnit �� Owner's Name 1R � ri �S�rNJ L CN � Ovmers Phone Number �� Owner's Address �7r (�6 �L�• 1 Fee Simple Titleholder Name Titleholder Phone Number �� C� C� Fee Simple Titleholder Address JobAddress 379�8 �� Lot # Sub Division Paroel # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL Q Controlled Bum � Hood Installation � Emergency Generator < 30 kw � LP/Natural Gas-Installation � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL ❑ �y emi n er � �, � Sprinkler ❑ ❑ � Recreational Bum � � Fire Alarm � ❑ ❑ ❑ �� Sparklers Hood Cleaning �❑ ❑ ❑� � Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Torch RoofinglTar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL , Valuation of Project Fuel Tanks Q Other: Contractor Company p Signature � Registered Y/ N Fee Current / N Address License # ELECTRICIAN Company Signature Registered Y/ N Fee Current Y/ N Address License # PLUMBER Company Signature Registered Y/ N Fee Current Y/ N Address License # MECHANICA Company Signature Registered Y/ N Fee Current Y/ N Address License # OTHER Company Signature Registered Y/ N Fee Current Y/ N Address License # Directions: Fill out application completely Owner 8 Contractor sign back of application, notarized (Or, copy of signed contract with owner) If over $2500, a Notice of Commencement is required (Mechanical work over $5000) Supply two (2) sets of drewings with applicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:/lappraiser.pascogov.com)