Laserfiche WebLink
�,3�so-oo2o City of.Zephyrhills'Fir:e• FaX-aisaso-oo2� <br /> Permit Application <br /> Date Received p� � - Phone Contactfor Pertnit <br /> Owner's Name j Owners Phone Number [�� ��• � �� <br /> Owner's Address 5 � � <br /> Fee Simple Titieholder Name Titleholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> Job Address ��, � � Lot# � <br /> Sub Division Parcel# <br /> � Bio-Hazard Waste Storage-•ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material�er II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood Installation <br /> � Emergency Generetor<30 kw � LPMatural Gas-Installation � <br /> � � r <br /> Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale � �(� <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUl�L � <br /> �y em� �n er � ;��''. <br /> ! � <br /> Sprinicler � ❑ ❑ � � � Recreabonal Bum _ <br /> Fire Alartn � ❑ � � � � Sparklers � <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installa' ,,,,....----~�"�"� <br /> Hood Suppression � ❑ � ❑ �� � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Toroh RooflnglTar Kattle <br /> Fire Pumps � Waste Tire Storage ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Othe - <br /> Contractor Company " <br /> Signature Ragistered Y/N Fee Current Y/N <br /> Add�ess License# <br /> ELECTRICIAN Company <br /> Signature ' Registered Y/N Fee Current Y/N <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address _ License# <br /> ,d.,a�r� ,,.,n r�o. � rr <br /> Directions: <br /> FII out applicatlon complatefy. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed conVact with ovmer) <br /> If over$2500,a Notice of Commencemerrt is required.(Mechanical work over$5000) <br /> Supply two(2)sets of drawings with applicable documerrtation <br /> Alfow 10-14 days for review afier submittal date. Parcel#-obiained from Property Tax Notice(httpJlappraiser.pascogov.com) <br />