Laserfiche WebLink
B r °eo-oozo City of.Zephyrhills Fir:e� FaX-s�3-�ao-oo2i <br /> Pennit Application <br /> - Phone Contact for Permit -�'""�e.�.t:..,..,.:�? � _ <br /> late Received � � - J -- <br /> _ , �a�,-�. —s�+�.II.� �=a�-�,��� � f--�� <br /> a:�P5:5aw^..�: °:e.���s_kY"'«w,co.......Y.:,,.,.,.�...o- ._—� r r ._ /, <br /> l � '� � �"� Owners Phone Number �� -S7S q� �1 <br /> )wners Name �_�� <br /> )wners Address l.' � ��v `�' " �� �`-' � � � �� <br /> ee Simple Titleholder Name Titieholder Phone Number �� � <br /> ee Simple Titleholder Address __ __ , ,��� �� -�� <br /> -�r.�cEs�+v:r,a���'�' - �s3��s"�'"�""�.. �----�`� <br /> '?�iV�.i_'� �'�-- -- ° " � <br /> �s -�sT�f � G L ��. UD. �o� � <br /> ob Address - <br /> Parcel # <br /> �ub Division �i <br /> � Bio-Hazard Wasta Storege - ANNUAL a Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct a Hazardous Material �er II or RQ Facility) ANNUAL <br /> � Controlled Bum a Hood installation <br /> � Emergency Generetor < 30 kw a LP/Natutal Gas-Installation <br /> � Emergency Gene2tor > 30 kw � LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance - ANNUAL a Places of Assembly-ANNUAL <br /> ❑ r y emi � er _ .._ <br /> 5prinkier � ❑ ❑ � � Recreational Bum � �� -� � <br /> ❑ _/ o 0 5� <br /> Fire Alarm O ❑ O Sparlclers � <br /> Hood Cleaning � ❑ J� �� � Sprinkler System Installations �/ <br /> Hood Suppression � ❑ ❑ � � � Standpipes (Sprinkler Sys) / <br /> � Fire Alarm Installation � Torch RoofingfTar Kettle <br /> a Fire Pumps � Waste Tire 5torage ANNUAL <br /> � Fire Worics <br /> a Flammable Application- ANNUAL Valuation of Project <br /> a Fuef Tanks <br /> a Other: <br /> r <br /> �ontractor ° ' Company - <br /> 5ignature ���� � Registered Y/ N Fee Curtent Y/ N <br /> Address License # <br /> ELECTRICIAN Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> PLUMBER Company <br /> Signature Registered Y/ N Fee Current Y! N <br /> Address License # <br /> MECHANICAL Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> OTHER Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner) <br /> If over $2500, a Notice of Commencement is required (Mechanical work over $5000) <br /> Supply two (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 />