Laserfiche WebLink
a�3aso-oo2o City of Zephyrhills Fire <br /> Fax-813-780-0021 <br /> Permit Application <br /> Date Recgived � �— � � � <br /> Phone Contact for Pertnit <br /> Owner's Name ,� � � ^� <br /> Owner's Phone Number I <br /> Owner'sAddress � v J?-� u -f— �u � � J <br /> I_ <br /> Fee Simple Titleholder Name �� <br /> TiUeholder Phone Number � � <br /> Fee Simple Titleholder Address <br /> Job Address 7 a- �TC�� 1 U <br /> ' � � 3 �ot# [� <br /> Sub Division ' <br /> Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � <br /> � Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum a Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � <br /> Places of Assembly-ANNUAL <br /> [�Y mi � r <br /> Sprinkler ❑ ❑ ❑ � � R��tional Bum � p{ � <br /> Fire Alarm � ❑ ❑ ❑ S ��ll <br /> C� � Parklers � � � <br /> Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ C� � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Sto <br /> ❑ rage ANNUAL <br /> Fire Works <br /> � Flammable Application-ANNUAL <br /> Fuel Tanks <br /> �--� Valuation of Project <br /> Q Other <br /> Contractor <br /> Signature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# � <br /> ELECTRICIAN <br /> Signature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# �— <br /> PLUMBER <br /> Signature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> MECHANICAL <br /> Signature Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> OTHER - <br /> Signature� �jj�,,,,r��/�—•� Company � <br /> Registered Y/N Fee Current Y/N <br /> Address �, � <br /> Directions: License# <br /> Fill out application completely <br /> Owner&ConVactor sign back of application,notarized(Or,copy of signed conVact 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 irom Property Tax Notice(http://appraiser.pascpypv.p�m� <br />