11-11831 - Laserfiche WebLink

Browse Search

813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received ��.� ( 1 Phone Contact for Pertnit �� Owner's Name �� / b Owner's Phone Number � 7$3 $+ Owners Address 1'T�� C_7'4� � Q�c� Fee Simple Titleholder Name Titleholder Phone Number �� Fee Simple Titleholder Address Job Address Lot # � Sub Division Parcel # � Bio-Hazard Waste Storage - ANNUAL a 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 In � Emergency Generator> 30 kw � LP/Natural Gas-ANNUAL Sale �� i Y�i 3� V � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL � emi � er Sprinkler � ❑ ❑ ❑ � Recreational Bum Fire Alarm � ❑ ❑ ❑ � � Sparklers Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations Hood Suppression �❑ Q ❑� � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flamma plication-ANNUAL Valuation of Project � Fuel ank Q er• � Contractor Company Signature Registered Y/ N Fee Current Y/ N Address License # ELECTRICIAN Company Signature I 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 CuRent Y/ N Address License # Directions: Fill out application completely Owner & 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 appiicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http:!/appraiser.pascogov.com)