Laserfiche WebLink
813480-0020 City of Zephyrhdls Fire <br /> Pertnit Application Fax-8�3-780-0021 <br /> Date Received y6/2013 Phone Contact for Permit 813 313 1611 <br /> Owner's Name Ze h rhills Ci Hall Owner's Phone Number �� � <br /> Owner's Address 5335 8th Street ZEPHYRHILL FL 33542-4312 <br /> Fee Simple Titleholder Name Titleholder Phone Number �� � <br /> Fee Simple Titleholder Address <br /> Job Address � <br /> Sub Division Lot# <br /> Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> ❑ Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> ❑ Controlled Burn Hood Installation <br /> ❑ Emergency Generator<30 kw 0 LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw <br /> �� LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL `� /�,�{�� <br /> ���� -ff�/c (J <br /> Sprinkler � ❑ ❑ x � � Recreational Burn /� <br /> Fire Alarm � ❑ ❑ a � � Sparklers <br /> Hood Cleaning � ❑ c ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> ❑ Fire Alarm Installation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> ❑ Fuel Tanks <br /> ❑ Other <br /> Contractor Wanda Paradis Comp Sim lex Grinnell <br /> Signature Regist Y/N Fee Cw Y/N <br /> Address 4701 Oak Fair Blvd Tam a FL 33610 License# <br /> ELECTRICIAN Company <br /> Signature � Regist� Y/N Fee Cui Y/N <br /> Address License# <br /> PLUMBER <br /> Signature <br /> Company <br /> Registd Y/N Fee Cu Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature � Regist$_Y/N Fee Cu Y/N <br /> Address — — <br /> License# <br /> OTHER <br /> Company <br /> Signature Regist�_Y/N Fee Cu Y/N <br /> Address — — <br /> License# <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 after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />