Laserfiche WebLink
e13-7so-o02o City of Zephyrhiils Fire <br /> . Fax-813-780-0021 <br /> � Permit Application <br /> ate'ReceiveS � Phone Contact for Pertnit C� � �� <br /> wners Name - ��j Owners Phone Number C� C� �� <br /> wners Address <br /> �e Simple Titleholder Name TiUeholder Phone Number U C� � <br /> �e Simple Titleholder Address <br /> �b Address ^ -�- �� <br /> � Lot# <br /> �b Division Parcel# <br /> � BiaHazard Waste Storage-ANNUAL � Fumigation Tent r <br /> � Comm Exhaust Kitchen Hood/Duct a Hazardous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Bum � Hood InstallaUon <br /> � Emergency Generator<30 kw � LP/Natural Gas-Installation <br /> � Emergency Generator>30 kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> [f3fry emi �n � a `..----."_—_______._,. \.. <br /> /� <br /> Sprinkler p p � � ❑ � J�` <br /> Recreational Bum �,/ � �^f� <br /> Fire Alarm �. ❑ ❑ S arklers !' �� / <br /> ❑ �� � P <br /> Hood Cleaning ❑ p p <br /> Sprinkler System In Ilation�_ <br /> Hood Suppression � ❑ ❑ ❑ C� � Standpipes(Sprinkler Sys <br /> � Fire Alarm Installation � Toroh Roofinglfar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> aFire Works <br /> a Flammable Application-ANNUAL <br /> � �-, Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> �Mractor <br /> Company - <br /> gnature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> _ECTRICIAN � Company <br /> gnature � Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> _UMBER Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> =CHANICA <br /> Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# � <br /> fHER <br /> Company <br />�nature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> rections: <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 /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review aiter submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) <br />