Laserfiche WebLink
a�saso-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> r2eceived � -�d Phone Contact for Pertnit �g� �� �4 f� <br /> ,vner's Name � � V 5 z P�� /V�. � Owner's Phone Number �� � <br /> Owners Address 79 S G� �3� u(� z� Yl ' �� 3 3 S <br /> r Fee Simple Titleholder Name Titleholder Phone Number �� � <br /> �. Fee Simple Titleholder Address <br /> � Job Address 4 G4 �� ��� v Ul Z� �1 �' l�1 �� T" � 3 35� Lot # �� <br /> � Sub Division Parcel # <br /> a Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> ��C�R+R+ F�e�et�K#sUen Hood/Duct atenal ier II or RQ Facility) ANNUAL <br /> � Controlled Bum Hood Instal <br /> � Emergency Generator < 30 kw aturel Gas-Installation <br /> � Emergency Generator> 30 kw � LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n er <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum <br /> Fire Alarm � � ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alartn Installation � Toroh Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Q Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> Contractor Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <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 /> MECHANICA Company /lZp <br /> /" Signature �Za�� Registered Y/ N Fee Current Y/ <br /> Address C � License # <br /> OTHER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> Directions: - . , ,. . ... . . . . <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical wo�lc over $5000) <br /> Supply lwo (2) sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />