12-12921 - Laserfiche WebLink

Browse Search

s�s-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit C� �� Owner's Name .C� Owner's Phone Number �� Owner's Address S � , ? Fee Simple Titleholder Name Titleholder Phone Number � � � Fee Simple Titleholder Address Job Address � �� ( -� -', Lot# � Sub Division Parcel# � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL aControlled Burn � Hood Installation � Emergency Generator<30 kw � LPlNatural Gas-Installation � Emergency Generator>30 kw � LPlNaturai Gas-ANNUAL Sale � Fire Protection Maintenance-ANNUAL � °laces of Assembly-ANNUAL r.y .,emc �Tn,�' er Sprinkler � ❑ ❑ ❑ B � Recreational Burn FireAlarm � ❑ ❑ ❑ � � Sparklers �/� �Z � i Hood Cleaning ❑ � � � Sprinkler System Installations � Hood Suppression ❑ � ❑ � � Standpipes(Sprinkler Sys) � Fire Alarm Installation � Torch Roofing/Tar Kettle � Fire Pumps � Waste Tire Storage ANNUAL � Fire Works � Flammable Application-ANNUAL Valuation of Project Fuel Tanks Q Other• Contracto Company � Signature � _ _�� Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company �— Signature Registered Y/N Fee Current Y/N Address Lice^se�t � MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# Directions: Fill out application completely Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com)