Laserfiche WebLink
MAR�`28/2007/WED 07:20 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 001 <br /> a��-7so-oazo City ofZephyrhllls'Fidd= � Fax-s�aaso-oo2t �t; <br /> permlt AppllCetion ._. <br /> Data Ftecelved '� •Phone Co'�ior Permft � <br /> Owne�e Name • • Owner'�Phone Number � �� <br /> Ownera Addresa ' � ' <br /> Fea simple TiUeholder Name � � ' ' • ' 7ltleholder Phone Numbar � L� � <br /> KeeSimpleTltlehaldcrAddreas ' ' ' � � ' <br /> JobAddreas j ..Lot# • � <br /> 5ub Divislon Paroel# <br /> ' � 610-Hazard Weate Storaee–�'1NUAL • � '" � Fumlgetlon 7ent , • <br /> � Comm Exhaust K�lchen Ho0dlDUCt: .' �• Hamrdous Metedal(Tier II or RQ Fecltlty)ANNUAL . <br /> � Controiled Bum Q Hood tnstailaUon � <br /> � �mergency Generator<30 kw • � LPINaturel Gas-fnetalladai� ' � ' <br /> � 'Emergency Generator>3o kw , � ,I.PMatur�l Gas-ANNUAL Sale . <br /> Flre Protac6on Melntenence=ANNUAL . � Places s�f Assembly-ANN�AL - <br /> `�°�' �y ' emi �t_..—J � . .�.,`y� �/.�� � <br /> Sprinkler C7 ' O ReoreaUonal Bum • • • 1 j� � t'�li� �+-�� <br /> � F�eAlarm . ❑ Q' ❑ �� � SP�ars . , •�-1•l I�:�,k–�--'1�-i 1 <br /> Hood Cteaning d� O D� � � Sprinkler'Syslam installa6ons : •,��.,/ ' Q I (�I � <br /> Hood Suppresslon � {7 0 �� . � 5(endpipes(Spdnkler5ys) �u� " <br /> ' O R�a Nartn Inst6�ation � . . , � ToICY1 Roafing�a�Keltle; , <br /> Flre pumpr ' ' ' ' � Weste Tlre Storage ANNUAL . ' ' _ <br /> Flro Wotke ' • � • ' • <br /> , � FlenvnableAppiicatlon-ANNUAL • • •� �� • Valuation o�P[oject . <br /> Fuel Tanke � � ' ' ' ' <br /> Q Other: ' ' � <br /> canvactor �y .�t � ' � • Company ' <br /> Signawro / '�`� �' �'�°�""�`� ' Regist�red Fee Curtent Y N • <br /> Address � License# • <br /> �l.EC7RICIAN � . . . Comparry . <br /> Sig�ature � Reglstared• Y/N • Fee CurtenG Y I N <br /> Addreee License�! • ' � <br /> PIUMeER • . C,ompany <br /> Slgnalure � ' Reptstered Y!N Fea Cuirent Y/N <br /> Addross ' Llcanae# • • <br /> MECHANICAL Company <br /> signature ' Rtgistared Y/N Fea current Y/N <br /> Address •Licaqse#. � <br /> OTH�R ' Cpmpeny ' <br /> s�9nature � � Reeietared - Y/N Fse Current Y/N <br /> Addrees � • � • Llcanea iF <br /> �irecfiona: <br /> . FlII out apqicsGvn tompletely. � <br /> Owner&Cbntractor eign 6aok of applicetion,notarized(Or,copy of aigned contract wlth owner) . . <br /> If over 52500,a Notice of Commencemar�t is reqwred.(Meohenical work over 35000) • <br /> Supply two(2}ee�of drawlnpe wiih appllcable doc�nnentatlon <br /> Allow 10-14 daye for�evloW ahar submiflai date. Percel#.obtel�ad irom Ptoperty TaX NoUce(httpJ/eppreiaer.pasc�ogov.cam) <br />