Laserfiche WebLink
8�3-780-002o Ciiy afZephyttiills'Fit�e.::=�_;::� r-ax-at3-7so-oo2� <br /> ' Permit Applk�fion <br /> Dete Received - Phone Cor�ctfor PertNt <br /> Owners Name l.t� �bi �S�Q. -e S Owner's Phorie Ntanber ��3 �O j 1 i <br /> Owner'sAddress ��p�,�_ �1'1`�J1 rl V�Ir11�t�. " }� f 1 FL-. 33Sµdt <br /> Fee SimpleTitleholder Name Tideholder Phor�e Number �� �� � <br /> Fee SimpfellUeholderAdd�ess <br /> i,�c�-�,°�5 �va �4 CR �5 E . -e. 1� i FL 33S Z Cs� �ll��: ��� � <br /> Sub Division p�# - <br /> � Bio-Hazard Waste 5torage-ANNUAL � Fumigafl�Tent <br /> � Comm Exhaust labchen HoodlDuct •- � Hazardous lAatefial(Tler!1 or RCl Facllity)ANNUAL <br /> Controtled Bum � Hood Iru�Uation <br /> � EmerHen�Y Ganerator<30 kw . � LPMatural C,as-Instatlation <br /> n EmenBancY Generator>30 kw � LPMahual Gas-ANNUAL Safe �.. <br /> l._.1 �PtobecHon Mairrtenance-ANNUAL � -Plaws of As�ANNUAL <br /> ' t� o� � �� <br /> SpriNder D p p ❑ � � R�nel B�an � <br /> F���, [� o 0 0 �] o �S�� I <br /> lioad Cleanfng � ❑ O D C� a 5�xinlderSysbem 1 <br /> Hood SuPP�sien � 0 � O -�_J Q y���SP����SYS) ` <br /> � Fire Alartn Instaliafion - � Taeh Roofing/Tar Ketlle <br /> �ire Pum s � <br /> P Waste Tire Storage/iNNUAL <br /> Fire Works <br /> Flammable ApptkaHoo-ANNUAL ���, � <br /> Valuation of Pro ect <br /> Wel Tanks <br /> Q Other. <br /> �w� <br /> Coniractor <br /> • . Company <br /> S'9"a��B � Registeied Y/N Fee Cunent Y/N <br /> Address • li��# <br /> EIECTRICIAN !.��rn <br /> 5igrreture Reyietered Y/N Fee CuRent Y/N <br /> Address License# <br /> PLUII�ER ���y <br /> S�� Regismred Y/N• Fee Cwrent Y/N <br /> Address ' Ucense# <br /> MECtiANI �� <br /> signature " Regissbeted Y/N Fee Currerrt Y-/N <br /> Address <br /> -u�# <br /> orH� �- ��, �— <br /> Signature Registe�ed Y/N , Fee Curern Y/N <br /> Address ! Lk�nae# <br /> Di�adions: - <br /> F'ili out appiication compietely. � . <br /> O+nmer&Ca�bacbr sign badc of applk�fiori,noaar¢ed(Or,coPY of s19r�d contract wkh owmer) <br /> if over S250D,a Mot�ce of C�ert�entis raquired.(N�d�dcal work over 55000) <br /> S�PP�Y two(2)sets of drawingS wiUt app0eable doctanerdation <br /> Aliow�0-14 days for review ai�r s�i da6e. Part�l#-ob�from Property Tax Notice(h1tP��aPP��-P�9ov.com) - <br />