Laserfiche WebLink
s�3-�ao-oo2o City of Zephyrhills Fire Fax-813-780-0021 <br /> _ . Permit Application <br />)ate Received Phone Contact for Permit <br />....� . _, ,- . �,�:�r����..���w..:�.�.,�.�..�..:���= � ,„- �:��-n��«,��_5.�>�:,,.-..- <br /> Avner's Name Owner's Phone Number C� � � <br /> hvner's Address , j� <br />�ee Simple Titlehoider Name Titleholder Phone Number � � � <br />�ee Simple Titleholder Address <br /> y i. �����"«: ^,.b«%� ` '�':�1:�p"..3i>� ` . . ^rY0.��5r.sg¢s . <br />�ob Address �� {v1 ,S gC��,! � Lot# � <br />>ub Division Parcel# <br /> a, �• ,;�sc;.., :-�r:,=� . _ :_ . -'�`s� .. ,_ , _ �sa.• . e�.'�<��«r �:a:���a.�'�o� ,�c,. , . <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-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> �y emi �n er <br /> Sprinkler � O ❑ � � Recreational Bum <br /> Fire Alarm � ❑ ❑ O � � Sparklers <br /> Hood Cleaning � � ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> a Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other: <br /> M; �.5... r.,,w: ��,Aai°r�'�a ,�;:.:k.k:aa,;r,.�.aA�:a::�`�='��," : _�:5� _ _4'RT`�1 - _. _ . i.n.aM�!a��C`�,'•,+,rras�+s�arkt'4�_.ds°.cebp�sP!^�. ...r • _ ?�RaW _ _ .. - -4� <br /> Contractor � Company � =,,�7`�,lJ S 'T <br /> 5ignature .� Registered Y N Fee C,urrent 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 C:urrent Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee C:urrent Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee C:urrent Y/N <br /> Address License# <br /> 6 <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 afler submittal date. Parcel#-obtained from Property Tax Notice(http:!/appraiser.pascogov.com) <br />