Laserfiche WebLink
913-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> ate Received Phone Contact for Permit �� � � <br /> tivner's Name �.p,�S�c'r4�S f.'�.Jy�c��S/f7 • ��Y�/�. Owners Phone Number � � � <br /> rovner's Address ,jLc.��f ��� �� � {� y h�,//S / � ,��d <br /> ee Simple Titlehoider Name Titleholder Phone Number �� � � <br /> ee Simple Titleholder Address <br /> - -- -- - - ° _ •• - - � - - .;'�'"«�� ,_ w.c�%.'s?^v?�°�.n:.,'; °'�e�".. - rr - — - . <br /> /,� "' - -- - � <br />�b Address Lot# <br /> ub Division Parcel# <br /> ,_ ,..�-w. �..,,,..,m .,..._..-,m .,�,.. ,.,f, ..M•�._ „ _ <br /> _ . . . . a�- _.4` m. - ,_ �;- ' ' � �'.P"t�+i* 3�--r�M�++is'YX Yw . a-. .m .k <br /> __ _ _ • .. ,"YST,.sr.. ��w;:d.:.:z.--15�.'Mw..�ffiJ��R 4AS'9 . . a. � � � � .ri.-F{^ , , � <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/Naturel Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> ry emi � er <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ O ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Spri�kler Sys) <br /> � Fire Alarm installation � Torch Roofing/Tar Kettle <br /> a Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL r Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br />-- - �-- .u. ,e.�. _. ,.,p ���___ , ..���;:�< ��� � . �,,. . .�- ; <br /> - , -, . '^°:b.*,i.'u,_ "'-�^-°•A,"R`.`F^SS'Y'iT6?tY"^�e,!ahd,.'* �,7•'^S.T.'?'z'Bx:t�U;"o,r;ey"'" x..� <br /> ontractor Company ,�s c�r <br /> � <br /> ignature �� � � Registered Y/N Fee Current Y/N <br /> Address License# <br /> LECTRICIAN Company <br /> ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> LUMBER <br /> Company <br /> ignature Registered Y/N Fee Cunent Y/N <br /> Address <br /> License# <br /> IECHANICAL Company • <br /> ignature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> THER <br /> Company <br /> ignature Registered Y/N Fee Current Y/N <br /> Address License# <br /> irections: <br /> Fill out application completely <br /> Owner 8 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 after submittal date Parcei#-obtained from Property Tax Notice(http:!/appraiser.pascogov.com) <br />