Laserfiche WebLink
813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received (z �// Phone Contactfor Permit ��/ �rs0' � L37�5' <br /> ...:;i'.�"w^7:Ex'�"'mf:a:.;3i�:. . ,.. e �.ix:.�.�?,:�.._.ai�,.�.0 ,,,,�'},�.'.� wdzx?y..N.,_ _. ..,.}_ .. ." _. � . . � iv: ,:.� �us�r•r.�:?°z�<i.�ar'u:t. z. suxc=:.o <br /> Owner's Name /►1 � S�i� �AICS ��. CG /`� � s°�r Owner's Phone Number �rJ � J 7s�0 <br /> Owner's Address � �AC/I[LL f'q i( /�'�� F 33syz <br /> Fee Simple Titleholder Name Titleholder Phone Number ��� <br /> Fee Simple Titleholder Address <br /> , >".��: 'v�R»'<'��'� . ...::.��!':5 'w" M xy.'�;.�� '��a'.�€��.:' "y�'t��:tr�4'�»., � :':ez'''3;�";�. '<':w .P� .`i:' �` <br /> g�;::� .L �>!,;'�??"� �att.� <br /> ` Job Address Lot # � <br /> Sub Division Parcel # <br /> ,�r$'"'. :s�.;.C`��.. .�c«::�_. �s�« � «oz�`.1��•.'la:�a�s:i.a� #«•' �fi': -km.�..ca E<. ....M."�;�..�. . �. ... 4 _. 'S.� a ?= , ? .y�•..��':.2.". fmal:.=:'�.^1�'.. . `�s:a3ti"," '�. <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> try emi �n t er <br /> Sprinkler � � ❑ ❑ � Recreational Burn y� //g � f <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers -�, C ( ( / <br /> Hood Cleaning � � ❑ O� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> 0 Other <br /> , . � <. ,.. � ��N.. �°�,�� .,.... . .m ,�. N. , _ - . �. , .� ,. ,. � . _ , ...,.. � .� ,. .. . ��:.;� � .. <br /> Contractor . Company � /(//y <br /> 5ignature Registered Y/ 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 /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address 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 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://appraiser.pascogov com) <br />