My WebLink
|
Help
|
About
|
Sign Out
Browse
Search
11-12410
Zephyrhills
>
Building Department
>
Permits
>
2011
>
11-12410
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/11/2012 1:32:55 PM
Creation date
6/11/2012 1:32:55 PM
Metadata
Fields
Template:
Building Department
Company Name
ZEPHYRHILLS MASONIC LODGE
Building Department - Doc Type
Permit
Permit #
11-12410
Building Department - Name
ZEPHYRHILLS MASONIC LODGE
Address
5950 12TH ST
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
s��-�so-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> � Received � Phone Contact for Pertnit ��_� � <br /> ier's Name �( .kSv r o t Owners Phone Number g-/.3 Q�� �y(� <br /> ier's Address /p? � s �j�� •Ze � �lS <br /> Simple Titleholder Name Titleholder Phone Number ��� <br /> Simple Titleholde� Address <br /> Address Lot # � <br /> Division Parcel # <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tant <br /> � Comm Euhaust Kitchen Hood/Duct � Hazardous Material (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood InstallaUon <br /> � Emergency Generator < 30 kw � LP/Natural Gas-tnstallation <br /> � Emergency Generator > 30 kw Q LP/Natural Gas-ANNUAL Sale <br /> Q Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL <br /> � emi � er <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ �. � � Sprinkler System Installations <br /> Hood Suppression � ❑ � O� � Standpipes (Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> o Flammable Application- ANNUAL <br /> -� Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> tractor Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> :CTRICIAN Company <br /> iature I Registered Y/ N Fee Current Y/ N <br /> Address <br /> License # <br /> IMBER Company <br /> �ature Registered Y/ N Fee Cument Y/ N <br /> Address License # <br /> �HANICAL Company <br /> iature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> iER <br /> Company � - v .....�..i > L <br /> iature Registered N Fee Current N <br /> Address License # G pp0 � � <br /> ctions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, noWrized (Or, copy of signed conVact with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> Supply Mro (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 />
The URL can be used to link to this page
Your browser does not support the video tag.