11-12348 - Laserfiche WebLink

Browse Search

313-780-0020 City of Zephyrhills Fire Fax-813-780-0021 - Permit Application Date Received ' Phone Contact for Permit �� Owner's Name �� Owner's Phone Number �� I \ Owner's Address St - ��,5 � �� , � � Fee Simpie Titleholder Name Titleholder Phone Number C� �� Fee Simple Titleholder Address J L�___I Job Address _ — _.� t _ � � - C Lot # Sub Division Parcel # � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent � Comm Exhaust Kitchen HoodlDuct � Hazardous Material (Tier II or RQ Facility) ANNUAL � Controlled Burn � Hood Installation � Emergency Generator < 30 kw � LP/Natural Gas-Installation (�-( �j� � Emergency Generator > 30 kw � LPlNatural Gas-ANNUAL Sale �, I � Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL -� 1 r ❑ ry eri �n � ❑ i Sprinkler ❑ ❑ ❑ Recreational Burn Fire Alarm ❑ ❑ ❑ � � Sparklers Hood Cleaning ❑ ❑ p Sprinkler System Installations Hood Suppression � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) � Fire Alarm Installation � Torch Roofingffar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application- ANNUAL � Valuation of Project Fuel Tanks Q Other� Contractor � Signature Company � A Registered Y/ N Fee Current Y/ N Address License # ELECTRICIAN Signature Company Registered Y/ N Fee Current Y/ N Address License # PLUMBER Signature Company Registered Y/ N Fee Current Y! N Address � �icense # MECHANICAL Signature Company Registered Y/ N Fee Current Y/ N Address License # OTHER Signature Company Registered Y/ N Fee Current 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)