Laserfiche WebLink
_s�saao-oo2o City of Zephyrt�ills Fire Fax <br /> Pennit Application <br /> �te Received, � Phone CoMact for Pertnit � � 3 L q I O� <br /> wner's Name W� ST u� f N �"j a� ScS'�'� � c �!(,1 Owners Phone Number �Jl 3 8 3 �( D � <br /> wners Address J��� [� ( l.. Qt�l� C �VL[ Z � �l� �� t �(,� 3 3'J� y Z <br /> se Simple Titieholder Name Titleholder Phone Number C� ��� <br /> :e Simpie Titleholder Address <br /> �b Address w e ST ��� a S S f 5'f'�C 1 U 1�.1 Ze �1 r4. �� �S �� 3� Z Lot # � <br /> �b Division Parcel # <br /> � Bio-Hazarcl Waste Storage - ANNUAL � Hazardous Material (Tier 11 or RQ Facility) ANNUAL <br /> � Comm Exhaust Kitchen Hood/Duct � Hood Installation <br /> � Controlled Bum a LPMatural Gas-Installation <br /> a Emergency Generator < 30 kw � LPMatural Gas-ANNUAL Sale <br /> � Emergency Generator > 30 kw � Places of Assemby-ANNUAL <br /> n Fire Protection Maintenance - ANNUAL � Recxeational Bum <br /> b�C � m� � r �� <br /> 5�,���' Sprinkler � ❑ ❑ ❑ � � Sparklers ,;iL�' ���v <br /> ���� <br /> �� Fire Alartn � ❑ ❑ ❑ � � Sprinkler System Installations <br /> OGT ?A� 11 Hood Cleaning � ❑ ❑ ❑ � � Standpipes (Sprinkler Sys) <br /> Q Hood Suppression �❑ ❑ ❑ 4M;'�► � Torch Roofing/Tar Kettle <br /> 7 : ��� � Fire Alarm Installation � Waste Tire Storage ANNUAL <br /> � Fire Pumps <br /> Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> anVactor ,,� a �,, � �� 1 �-- Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> Address (�1 �l l� � 13 � License # <br /> _ECTRICIAN Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> _UMBER Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ECHANICAL Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> THER Company <br /> gnature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> iredions: <br /> Fill out application completely. <br /> Owner 8 Contrador sign back of appliption, notarized (Or, copy of signed corrtrad with owner) <br /> If over 52500, a Notice of Commencement is required (Mechaniqf work over $5000) <br /> Suppy two (2) sets of drawings with appliqble documentation <br /> Albw 10-14 days tor review atber subnwtlal dab. Pa�el �- obtained irom Property Tax Nodce (http:/lappraiser.pascogov.com) <br /> � ii.1t�. �C <br /> HOAd � F+�t C� SYC. <br /> P.O. �ac 27'3T#7 +''I�, FI � <br /> p: ai�-��� F: si�-s�-�s <br /> ga[ora�ehew�J►�.can <br />