Laserfiche WebLink
aisaso-oo2o City of Zephyrhilis Fire Fax-813-780-0021 <br /> ' •- Permit Application <br /> 3te Received — ^ Phone Contact for Permit C� � �—� <br /> �nrner's Name �Y� �� Owners Phone Number �� C� �� <br /> �J <br /> �nmer's Address �j , �� (,(� <br /> :e Simple Titleholder Name Tkleholder Phone Number � �� I I <br /> ae Simple Titleholder Address <br /> L___J <br /> �b Address Lat# �� <br /> �b Division Paroel# <br /> a Bio-Haza►d Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Materia�(Tier II or RQ Facility)ANNUAL <br /> � Controlted Bum � Hood InstallaUon <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Q Piaces of Assembly-ANNUAL <br /> �[f�r emi n er ❑ <br /> Sprinkler O O Recreational Bum <br /> Fire Alartn � ❑ ❑ ❑ � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ C� � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ O C� � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofing/Tar 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 />>ntractor ° " <br />�nature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br />.ECTRICIAN � �mpany <br /> 3nature � Registered Y/N Fee Cument Y/N <br /> Address <br /> License# <br /> UMBER <br />�nature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br />:CHANICA <br /> inature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> HER <br /> nature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> actions: <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(http://appreiser.pascogov.com) <br />