Laserfiche WebLink
s�saso-o320 ' C'ity ofZephyrhiilsFir�:-�:':,-� F��i�� <br /> Pennit Application <br /> Date Received .- Phone Ca�ctfor Permk <br /> Owners Name Lt� �b� �S"1Q .�S Owners Phone Number �� 3 7�$ � � , <br /> Ownets Address ���, �_ �.[�115 i rl V-Q.l1 Lt.Q., � }t f i�� F Z- 33Sµa <br /> Fse SimpleTiUeholder Nama T�leholder Phone Numher � �� � <br /> Fee SimpleTitiehotderAddrass <br /> �`��°n 38 dt.0 �ot.n S i� - h�1 FL / ��# C <br /> Sub Division Parael# <br /> � Bio-Hazard Waste 5torage-•ANNUAL Q Furtdgafl�Tr.nt <br /> � Comm Exhaust F�tchen Hood/Duct • � H�artio�s Maberial(Tier II or RQ FacilUy)ANNUAL <br /> � CoMrolled Bum a Hood InsfaUation <br /> � Emerge�y Generator<30 kw � lPMah�ral Gas-insfallation <br /> QEmergency Generator>30 kw � LP/Natural Gas-ANNUAL Safe <br /> � Fire Protsction Mairdenance-ANNUAL • � P�ces of Assernbly-ANNUAL <br /> ` � emi � r <br /> SpriNder � ❑ ❑ ❑ � Reaeational Bum / �7� <br /> Rre Alarm � o p p � � .g��e� � �J <br /> Hood Cleaning ❑ ❑ ❑ � 5prinkler 5y�em InstaUations � <br /> Hood Suppression � O ❑ O � � Standpipes(SprinklerSys) <br /> � Fre Alartn lnstallatlon � Tot�h RooflngrTar Kettie I <br /> ���� <br /> �ire Pumps � Waste Tire Storags ANNUAL � <br /> Fire Works <br /> Flammable Application-ANNUAL Valuation of Project <br /> Fuel Tanks <br /> Q Other. <br /> Contractar Cpm��y <br /> S�9^�� Recjistered Y/N Fee CuRent Y/N <br /> Address License# <br /> ELECTRICIAN . -- ��nY <br /> SignaW2 Registered Y/N Fee Cucrerrt Y/�1 <br /> Address License# <br /> PLUMBER Company <br /> Signature Registered Y/N� Fee Currerrt Y/N <br /> Address ' License# <br /> MECHANICAL ��m <br /> signature ' Registered � Y/N Fee Curretrt Y/I�I <br /> Address License# • - <br /> OTHER �mPa�Y <br /> S'9^at"re Regisstieered Y/N � Fee Curtertt Y/N <br /> Addre4s License# <br /> D�rections. � "� <br /> Fill out aPpication eompletey <br /> Owner 8�Co�"actor sign badc a#applic�fion.twmrized(Or.copy of signad coMract wiTh ovvner) <br /> !f ovor 52500.a Atoti�of Corturienc:emertt�is req�dred.(Me�anical work ove�55000) <br /> S�PP�Y�(2)sets af drawings wtth applicabie documerrtation - <br /> Allow 1 Q14 days ior review aRer submittal date. Paroel#-obhain�i from Property Tax Notice(ttttpJ/appraiser.pascogov.com) <br />