Laserfiche WebLink
�ARj2�%2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No,Bl3 P.001 <br /> 813-7$0-0U20 Ctl�/ �fZ9ph)/ff1III6Fl(�6� Fau-813-780-0D21 '!: <br /> permit Applfcation . _. <br /> Date f�eceived •Phone Ce�ntact tor PermR <br /> (hmer'e Name • Owners Phone Number .� � � <br /> r ' � <br /> Oumera Addresa <br /> Fee simple TlUeholder Name ' Tjtleholder Phone Numbar ���� <br /> KeeSimplaTltlaholdt�Addre,s • � � <br /> Job Addreas � � ' l.of # • � <br /> Svb Divlslon Paree{ # <br /> � 610-Hazard Weate Storage –ANNUAL � � Fumigatlon 7en[ . <br /> � Comm �xhaust Kitchen Hood/DUCt : •� Hazardous Meterlal (Tier II or RQ Feclllry) ANNUAL <br /> � Conirolled Hum � Hood Inslallailon <br /> � �margency G�nerator < 30 kw • � LPINaturel Gas-InatallaUon ' <br /> • � � �mergency �aeneralor y 3o kw , � i..PMatural Gas-ANNUAL 5ale , <br /> � �Ire Protac6on Malrttanence = ANNUAL O Places vf Assembly-ANNuAL • <br /> � � emi � � � �� <br /> Sprinkler p p Reoreatlonal Bum • <br /> Frs Alarm � . ❑ C7' ❑ � � 3pa�klers . ����� '"� <br /> Hood Cleaning � [] � ❑ [] � � gprinklar'Syatam Instqlla6on5 � � 1 �� I � I <br /> 1 <br /> Hood Suppresslon � p ❑ D�� � Standpipes (SpdnklerSys) � <br /> � Rra Alamt inetellatian � Torch RoofinglTa� Keltle , <br /> Flre Pumpa � Weste 71ra Storage ANNUAL <br /> Flro Worka • <br /> Flammable Applica0on-ANNUAL •��_—� Valuetiofl of P�ojeCt <br /> Fuef Tanks <br /> Q • Other: ' � , <br /> Contraclor � Company � <br /> Signawro ' Registered Fee Curtsn[ / N• <br /> Address �D �icense # <br /> ��EC7RICIAN . • Comparty <br /> Signature Reglstefed Y/ N • Fee Current Y/ N <br /> Addreee License �i ' <br /> PIUMeEFt Cnmpany � <br /> Slgnalure Raglstered � Y!'N Fee Current Y/ N � <br /> nddross ' � Llcenea # • - <br /> MECNANICAL Company <br /> si9nature wcgistared Y/ N Fee currcnt Y/ N <br /> .4ddress Licanse # <br /> OTH�R ' Compeny ' <br /> signature Re9��red Y/ N Fee Curtant Y/ N <br /> Addreeg - Ucanes �! <br /> Direction�; <br /> Fltl Out appl'�caiion tompletaly. <br /> Owner & Coniractor e�Bn baok of applica6on, nolarized {Or, copy of eigned contract wlth owner) <br /> If over 825�0, a Notice of Commencament ia reqwred.(Meehanical work over $6000) - <br /> Supply two (2) sets o1 drawinge with appAcable documentatlon <br /> Allow 1 D-14 daye for rev{aw aher eubmitlal da1e. Percei �t - obtel�ad frvm Propsriy Tax No9ca (h[tpJ/apprsieer.paSCOgov.com) <br />