Laserfiche WebLink
ai�-7ao-oo2o Ciiy of Zephyrhills'�ir��� �'�--s Fax-813-780-0021 <br /> - �ermit Appiication <br /> te Received �—�� - Phona Contact for P :(—'—'—'�m� <br />�x_�_aruu�:«:��- _ ermit 1�_J <br /> z"""':' 7Y3¢f8�p6�Fs"F2'.�.���EBRG�"u' ..,.......m...�.. . <br /> Jners Name �� , �,.., Owners Phone Number � � I � <br /> �_-1 <br />+ner's Address ��"JZ'j .� 3 �� � <br /> e Simple Titleholder Name Titleholde�Phone Number �� C/�-S1.y�J L.s.tL�D <br /> e SimpleTitleholder Address <br />��' <br /> �"��'�a�a:;���?`�-Y'�����u <br />�Address � <br /> Lat# <br /> b Division 2 e Parcel# ��'�� —,�� '(��(J " l a�(� ' (J J�� <br />���tis�'���.. � _ <br /> • 'F.�35�?'�'�57�'-�'�.ie:�"a-F�v,.'.�.'�:r.":.�iri-%'�'u�'-�.4,�r5�-'ws&'. <br /> � Bto-Hazard Waste 5iorage-ANNUA a Fumigallon Tent <br /> � Comm Exhaust fQtchen HoodlDuct � Haza�dous Material(Tfer II or RQ Faclliiy}ANNUAL <br /> � ConVolled Bum � Hood Installatlon <br /> � Emergency Ganerator<30� � LP/Natural Gas-Installation <br /> Emergency Generetor>30 kw � LP1Natutal Gas-ANNUAL Sale <br /> Fire ProteoHon Mairttenance-ANNUAL a Places af Assembly-ANNUAL �y�L� <br /> �[�r y em� n(' er Q �� 7 �r <br /> Sprinkler ❑ O O Recreational Bum � <br /> Fre Alartn � ❑ ❑ �j �� � Sparklers <br /> Hood Cleaning O O �p � a Spr�nkler System Installatlons <br /> Hood Suppression � ❑ ❑ p � � Standpipes(Sprinkler Sys) <br /> � Firo Alartn Installation � Torofi RoofinglTar KetUe <br /> Fire Pumps a Waste Tire 5torage ANNUAL <br /> Fire Works � <br /> Flammab(e Application-ANNUAL �� Vaivatlon af Project <br /> Fuef Tanks <br /> Q Other: <br />� <br /> intractor �'�'�s`—""'� <br />�nature - Comparty ' >_� t .� wi � <br /> . � "�L,�� <br /> Registered Y N Fee Current rj <br /> Address 1 - Ucense# <br />.ECTRICIAN <br /> � th t1 1 a`� <br /> 3nature Company <br /> Registered I Y�jV I Fee Current Y/N <br /> Add2ss <br /> License# <br />.UMBER ,_ <br /> 3nature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br />=CHANiCAL <br />�nature Company '—' <br /> Reglstered Y/N Fee curreat Y/N � <br /> Address <br /> License# <br />'HER <br />�nature Company <br /> Regiaterad Y/N Fee Current �'(►�j <br /> Address <br />�e��tions: License# <br /> ,�...�,.�.e...��- <br /> �_�� --�.-,:��r.�-� <br /> Fill aut appiica4on complete�y. � <br /> Owner&Contractor sign back of applicatlor�,notarized(Or,copy of signad conUact with owner} <br /> If over�2500,a Notice of Commencement Is required(Mechanicaf work over 35000) <br /> Supply two(2)sets of drawings with appiicable documerrtation ' <br /> Allow 10-14 days for revisw aftar submittal date. Parcal#-obtained frora Property Tax Notice htt :Ila <br /> ( p ppraiser.pascogav.com) <br />