Laserfiche WebLink
8� - 18� 'o City of Zephyrhills'�ir��� Fa�c-813-78o-o021 <br /> Permit Application <br /> te Received � � - Phone ContactforPertnit �T� <br /> w.'K:���t.tt:wMc+�'�.:i�� w�u.., � �a�l2aca- �^E�. �.�...,�..�.... - - . <br /> uner's Name �� Owners Phone Num6er � � <br /> �3�G.L� <br /> vner'sAddress ?j � � �� � '� <br /> e Simpie Titleholder Name Tideholder Phone Number �� � <br /> e SimpleTitleholderAddress <br />��:r�^ t�s�°��?�sQ�4 <br /> b Address � <br /> Lat# <br /> b Division � Parcel# j <br /> s,.,:t� _� � �x.u.�-.:�ls#�:�A�t�.��=�z�.��r�: <br /> � eio-Hazard Waste 5iorage-ANNUAL � FumigaUon Tent <br /> � Comm Exhaust Kltchen Hood/Duct a HazaMous Matedal(71er II or RQ Fac(lity)ANNUAL <br /> ConVolled Bum � Hood fnstallation <br /> � Emergency Genarator<30 kw � LP/Naturel Gas-InstailaBon <br /> Emergency Generator>30 kw a LP/Natural Gas-ANNUAL Sale <br /> Flre Prote�tion MaiMena�cs-ANNUAL � Places of Assembly-ANNUAL <br /> ❑ Ifl�ry emi A"in er � <br /> Sprinkler ❑ ❑ p Recreational Bum <br /> FireAlarm Q ❑ � � � Sparklers / ��j1Q� <br /> Hood Cleaning g ❑ p " ❑ � <br /> � a Sprinkler System Installations � <br /> Hood Suppression � ❑ ❑ p � � Standpipes(Sprinkler Sys) <br /> � Fira Alartn InstallaUon � Torcfi RoofinglTar Kettle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Wotics � <br /> Flammable Applicatlan-ANNUAL ���� � Valuation of Project <br /> Fuef Tanks <br /> [� Other: <br />� <br /> ?�ss�s:���c�,;. <br />�ntractor — <br /> gnature _ Comparry " >='�. • .`, .� � <br /> ' Registerad Y N Fee Current rj �'� <br /> Address 1 - � � Lice�e# �ty �� <br />_ECTRlCIAN <br /> Comparry <br /> gnature Regisiered Y/N Fee Current Y/1�) <br /> Address <br /> License# <br />_UMBER Company <br /> ignature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> ECHANICAL <br /> Campany <br /> gnature Reglstered Y/N Fee Current Y/N <br /> Addrsss <br /> License# <br /> THER <br /> Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address <br />�-�—a..-;,;.,.,�....,,,...�,w.._�,.._� ,�,e��z License# <br /> rections: �.:,..,.e._.�..:sw�,_� ��� �,,,,�.,...�..,�..._ ..�.,:�xt�rr�'� <br /> Fili out appiication completely. <br /> Owner 8 Contractor sign back of application,notarfzed(Or,copy of slgnad contract with ownar) <br /> If nver 52500,a Notice af Commencement fs required(Mechanica!work over 55000) <br /> Suppfy two(2)sets of drawings with applicable documeritation ' <br /> Allaw 10-14 days for revisw after submittal date. Parcel#-obtained frorn Property Tax Nollce htt lla <br /> ( p: ppreiser.pascogov.com) <br />