Laserfiche WebLink
813-780-0020 City of Zephyrhilis Fire Fax-813-780-0021 <br /> Permit Appiication <br /> ate ReceivF� •� Z � - � Phone Contact for Pertnit �� �� � <br /> wners Name S At � —t-vLn p' � Owners Phone Number �� � � <br /> wners Address ��Sg �� � i� � <br /> �e Simple Titleholder Name Titleholder Phone Number � � � <br /> ae Simple Titleholder Address <br /> �b Address Lot!� � <br /> �b Division Parcel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Faciliry)ANNUAL <br /> � Controlled Bum � Hood Installation <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 /> �y emi �n r � �� <br /> Sprinkler � � ❑ ❑ � � Recreational Bum / �� <br /> Fire Alartn � ❑ ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ � ❑ � � Sprinkler System Installations <br /> Hood Suppression � ❑ � ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alartn Installation � Torch Roofing/Tar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> aFire Works <br /> � Flammable Applica6on-ANNUAL Valuation of Project <br /> � Fuel Tanks <br /> Q Other. <br /> mtractor /- Company Q�'l , ' <br /> gnature -�"^ � Registered /N Fee Current Y/N <br /> Address License# <br /> .ECTRICIAN Company <br /> gnature Registared Y/N) Fee Cument Y/N <br /> Address License# <br /> _UMBER Company <br /> gnature Registered Y/N Fee Current Y/N <br /> Address License# <br /> =CHANICA Company <br /> �nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> fHER Company <br /> 3nature Registered Y/N Fee Current Y/N <br /> Address License# <br /> rections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contrect 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 after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) <br />