Laserfiche WebLink
s�saso-oo2o City of Zephyrhills Fire FaX-s�saao-ooz� <br /> Permit Application _ <br /> Date Received Phone Contact for Pertnit a� o� J' � <br /> Owner's Name C�l E- j Q Owner's Phone Number �� � <br /> Owner's Address 5 � T ��A G,L �1�1� S�7E � -.`C P� m �� 3�( O�7 <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � <br /> Fee Simple Titleholder Address <br /> Job Address � a p� a v� � �� Lot # � <br /> Sub Division Parcel # 3 r j ''?, - o� I— �O / <br /> � Bio-Hazard Waste Storage - ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Materiai (Tier II or RQ Facility) ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generator < 30 kw � LP/Natural Gas-Instaltation <br /> � Emergency Generator > 30 kw � LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance - ANNUAL � Places of Assembly-ANNUAL �` <br /> ry emi �n er �� <br /> �- <br /> Sprinkler � ❑ �. m � Recreationai Bum .��� ( <br /> T� <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑� a Standpipes (Sprinkler Sys) <br /> Q Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> Q Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application- ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> � Other• <br /> Contractor Company <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address License # <br /> ELECTRICIAN Company <br /> Signature Registered Y/ N Fee Current Y/(�I <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 p� ,ec� 7'L'G7>onJ <br /> Signature Registered Y/ N Fee Current Y/ N <br /> Address � License # "j j jll DO D%/ D <br /> Directions. _....>. . .. _ _. _ . ..� _..._ .<....._.� __..._.,. .� ..s.�. .._.A. � ._. ' _...».... ......,� .. ...... .. <br /> FiII out application completely <br /> Owner & Contrector 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 /> AIIow 10-14 days for review after submittal date. Parcel #- obtained from Property Tax Notice (http://appraiser.pascogov.com) <br />