Laserfiche WebLink
e�3-�so-oo2o Ciry of Zephyrhills Fire <br /> Permit Application Fax-813-780-002� <br /> 3te Received ^ /D �j � L � � <br /> Phone Contact for Permit r�—"1 <br /> �J `-� <br /> �vners Name A �l e �! � � <br /> Owners Phone Number <br /> Yvner's Address ,�S� Q l/�, �(� <br /> ae Simple Titleholder Name �� �� � <br /> Titieholder Phone Number <br /> �e Simpte Titleholder Address <br /> �b Address <br /> �b Division <br /> Lot# � <br /> Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � � <br /> � Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct <br /> � � Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> Controlled Bum <br /> a Hood InstallaUon <br /> Emergency Generator<30 kw a <br /> � LP/Natural Gas-Installation <br /> Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> ,�C Fire Protection Maintenance-ANNUAL a <br /> Places of Assembly-ANNUAL <br /> ❑� emi � er <br /> 5prinkler p ❑ ❑ � ���� <br /> ❑ Recreational Bum j r, � <br /> Fire Alarm � � �� `�� <br /> ❑ Sparklers <br /> Hood Cleaning � � � � � <br /> ❑ � ❑ Sprinkler System Instailations <br /> Hood Suppression p � � <br /> � Standpipes(Spri�kler Sys) <br /> Fire Alarm Installation � <br /> � Torch Roofing/Tar Kettle <br /> Fire Pumps � <br /> � Waste Tire Storage ANNUAL <br /> Fire Works <br /> � Flammable Application-ANNUAL <br /> a Fuel Tanks Valuation of Project <br /> [� Other: <br /> mtrector <br />�nature �� Company SI�M tZ /,JS .1.l�>Cv_S � <br /> Registered /N Fee Current Y/N <br /> Address f'j ' p^ / eiV 1 O A nv Fl 3 � <br /> ECTRICIAN License# <br />�nature Company <br /> Address <br /> Registered Y/N Fee Current Y/N <br /> UMBER <br /> License# <br /> nature Company <br /> Address Registered Y/N Fee Current Y/N <br /> CHANICA License# <br />�ature Company <br /> Address Registered Y/N Fee Cument Y/N <br /> iER <br /> License# <br /> iature Company <br /> Address Registered Y/N Fee Current Y/N <br />�tions: License# <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. Parcel#-obtained from Property Tax Notice h //a reiser.pascogov.com) <br /> � ttP� PP <br />