Laserfiche WebLink
813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Application <br /> �ate'Received / Phone Contact for Pertnit 8'�l3 �� �6 p <br /> Mmer's Name �Q if�l q— e Owners Phone Number � <br /> �� ��� 3oa <br /> Mmer's Address (� � �/� � �Q /t f (�S' <br /> ee Simple Titleholder Name Titleholder Phone Number C� �� � <br /> ee Simple Titleholder Address <br /> ob Address �� <br /> Lot# <br /> ub Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> Controlled Bum � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-tnstallation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sala <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> � emi �n er <br /> Sprinkler � O ❑ ❑ � � Recreational Bum <br /> Fire Alarm � O B� ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Instailations <br /> Hood Suppression � � ❑ ❑ � � Stand i <br /> p'pes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> :ontractor � CompanY � P P/1 S � u,S�,��o � <br /> �ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> :LECTRICIAN Company <br /> .ignature I Registered Y/N Fee Current Y/N <br /> Address License# <br /> 'LUMBER <br /> Company <br /> ,ignature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> 9ECHANICAL Company <br /> �ignature Registered Y/N Fee Gurrent Y/N <br /> Address License# <br /> 1THER Company <br /> ,ignature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> �irections: <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 Nvo(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Paroel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />