Laserfiche WebLink
, $�3-lso-oo2o City of Zephyrhills Fire <br /> . Fa�c�13-780-0021 <br /> " Pertnit Appiicafion <br /> Qate Received "� Phone Contact for Pertnk �j �� <br /> Owne�'s Name %// lJ 2 rf+i-✓ /�E Owner's Phone Number /� SZ 3 �Y9�� <br /> Owners Add�ess Z � Y h S= -� <br /> Fee Simpte TiUeholder Name Titleholder Phone Number �� �� <br /> Fee Simple Titleholder Address <br /> Job Address � 27 � T h z��t N- �-/ ��L S f' C Lot # � <br /> Sub Division Pa�el # <br /> - ANNUAL a Fumigation Tent <br /> C°rrx^ Exhaust Krtchen HoodlDuct � Hazardous Material (Tier It or RQ Facii'ity) ANNUAL <br /> um a Hood Installation <br /> � Emergency Generator < 3p kw a LPlNahiral Gas-Insta9atlo� �Z, T�-( <br /> � Emergerscy Generator > 30 kw � LP/Nahual Gas-ANNUAL Sale � f �.� � <br /> � Fire Protection Maintenance - ANNUAL Q Places of Asssmbly-ANHUAL <br /> � �� <br /> Sprinkler � ❑ � D� � Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ �� � gparklers <br /> Hood Cleaning �❑ C� p� � Sprinkler System instalfations <br /> Hood Suppression �❑ B' ❑ C� � Standpipes (Sprinkler Sys) <br /> � Fre Aiartn Installation � Torch Rooflngffar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable AppUcation-ANNUAL <br /> Valuation of Project <br /> Fuel Tanks <br /> L� ocner p� - <br /> Contractor <br /> Company <br /> S�9"�� Registered Y/ N Fee currenc Y/ N <br /> Address License # <br /> ELECTRICIAN Company <br /> Signature � Registered Y/ N Fee Curront Y/ N <br /> Address License # <br /> PLUMBER Company <br /> S'g"at""a Registered Y/ N Fee Current Y/ N <br /> Addreas ucer�se # <br /> MECHANIC ��� <br /> Signature Registsred Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER C�nPa�Y G �, L� c� <br /> siynawre ���-�'�- Registerea Y/ N F ciment Y/ N <br /> Address / O c.��c / a C � y Licsnse # — . c a <br /> Directions: .. , � . � � , <br /> Fill out appiication completely. <br /> Owner & CoMractw sign back of applic�tion. notartzed (Or. copy of signed contract with ovmar) <br /> If over y2500, a Notice of Commencemant is required (Mechanical work over E5000) <br /> Supply ivwo (2) sets of drawfngs with appticable documeMation <br /> Allow 1 Q14 days for review after submit�l date. Parcel #- obtained from Property Tax Notice h J/a <br /> ( �P' PP►aiser.pascogw.corn) <br />