11-12277 - Laserfiche WebLink

Browse Search

s�s-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 • Permit Application Date Received ' ��g �� Phone Contact for Permit y� `JQ T3S Owner's Name �� Q�( .,� Owner's Phone Number � � � 3 823 ` 3 Owner's Address � � �E . 3 S Fee SimFi� ,�tleholder Name Titlehoider Phone Number �� Fee Simpl^ � �tleholder 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 Burn � 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 tr y emi �n t er Sprinkler � ❑ ❑ � B � Recreational Burn Fire Alarm � ❑ ❑ � � � Sparklers Hood Cleaning � ❑ ❑ ❑� � Sprinkler System InstallaUons Hood Suppression � O ❑ ❑� � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL Valuation of Project � Fuel Tanks � Other� Contractor Company /ire /S'j�� 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 Owner & Contractor sign back of application, notarized (Or, copy ot signed contract with owner) If over $�500, a Nohce of Commencement is reqwred (Mechanical work over $5000) Supply two (2) sets of drawmgs with applicable documentation Allow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http.//appraiser pascogov com)