11-11720 - Laserfiche WebLink

Browse Search

a�saso-oo2o City of Zephyrhills Fire Fax-813-780-0021 _ Permit Application Date Received Phone Contact for Pertnit �� Owner's Name �� c{ � Q D Owners Phone Number �� Owner's Address eJ 7T � � e /�` " Fee Simple Titleholder Name TiUeholder Phone Number �� Fee Simple Titleholder Address .. .. . � �: .. Job Address � �� Lot # � Sub Division Parcel # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL � 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 � 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 Alartn Installation � Toroh Roofinglfar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works Q Flammable Application- ANNUAL Valuation of Project � Fuel Tanks Q Other: Contractor Company Signature � Registered Y/ N Fee Current Y/ 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 # MECHANICAL 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 Ovmer & 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 drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com)