Laserfiche WebLink
s�saso-oozo �� Ciry of Zephyrhills Fire Fax-813-780-0021 <br /> �� Permit Application <br /> Date Received � �� Phone Contact for Permit � � � <br /> Owner's Name ' � Owner's Phone Number � � ( V <br /> Owner's Address "1 � ' �o�-�- <br /> Fee Simple Titleholder Name Titieholder Phone Number � � � <br /> Fee Simple Titleholder Address <br /> . " .�s :<-::1 �zk;4 ' R �z_ 'a3 <br /> ' �Job Address � � � � � � � Lot# <br /> Sub Division Parcel# <br /> . . , � 3:'3°?F. , , .. ;:�e.w-.��§'%r��:�.�. ' - -. � - _. -, .. x,;;.r. . .._. .��a - ., , ,. _ <aN'C�' . <br /> ;.}:';' 2c sw� r <br /> � Bio-Hazard Waste Storage-APINUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw Q LPlNatural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> ry emi (�nT ther <br /> � � i <br /> Sprinkler � ❑ ❑ ❑ � Recreational Bum � <br /> Fire Alarm � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � � � � � � Sprinkler System Installations <br /> Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch RoofinglTar Kettle ••- <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Works <br /> � Flammable Application-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other� <br /> � ��: .r . _ .. 4. . ;�=z�� �,s: .- .,�. � --� T - � . <br /> Contractor � Company � <br /> Signature � Registered /N Fee Current Y/N <br /> Address 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 /> Directions. <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Suppiy two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />