Laserfiche WebLink
813•780-0020 City of Zephyfiills Fire Fax-8�3-780-0021 <br /> Permit ApplicaGon <br /> Date Received � ' � Phone Con�ad tor Permit 813 621 1357 <br /> owner�s Name FLORIDA MEDICAI CLINIC Owners PAOne Number 813 780 8440 <br /> owners/+ddress 38135 MARKET SQUARE DR.,ZEPHYRHILLS, FL 33540 <br /> Fee Simple Titieholder Name TiUehdder Phone Number � � �� <br /> Fee Simpie Titleholder Address <br /> Job Address 38135 MARKET SQUARE DR.,ZEPHYRHILLS,FL 33540 �o�p � <br /> sue oivision CITY OF ZEPHYRNILLS pe��q 02-26-21-0010-03900-0030 <br /> aBio-He�rd Waste Storage-ANNUAL Q Fumigation Tent <br /> � Comm Exhaust Kitchen HoodlDucl o Hazardous Matarial(Tier II a RQ Fecility)ANNUAL <br /> aControlled 8um � Hood InstallaUon <br /> aEmergency Generalor<3p kw � LPMatural Gas-installation � � <br /> oEmergency Genaralor>30 kw � IP/Naturai Gas-ANNUAI.Sai� <br /> QFire Protection Maintanance-ANNUAI a Places of Assembly-ANNU /��/�� <br /> � em � er � <br /> Sprinkler � ❑ O � � � RecreaUonal Bum <br /> Fire Alarm � D ❑ � � � Sparklers <br /> Hood Cieaning � ❑ ❑ ❑ � � Sptinkler System installatlons - <br /> Hood Suppression � C� Q O � � Standpipes(Sprinkier Sya) <br /> aFire Alartn Instailation � Torch Roofingffar Ketlle <br /> QFire Pumps a Waste Tirc Slorage ANNUAI <br /> Fire Works <br /> FlammaDle Apptication-ANNUAL $25.00 _� Valuation of Project <br /> aFuel Tanks <br /> QOther: <br /> ConVactor Company <br /> Signature Regislered Y/N Fee Current Y/N <br /> Address License l� <br /> EIECTRICIAN Company ^_� <br /> SignaWre Registered Y(N�Fee Current Y/N <br /> Address �Icense# <br /> PlUMBER Company � <br /> Signature Registered Y I N Fee CuRent Y/N�'� <br /> Address License# <br /> MECHANICAL C�p�y � <br /> - - <br /> Signature Registered Y J N fee Cu�reM Y!N <br /> Address License tl <br /> OTHER JEFFERY D. BURNHAM ��+ae�v RODAN FIRE SPRINKLERS, INC. � <br /> Signature Registered �Y/N Fee Curcem Y/N <br /> Address 1 H F License# <br /> Directions: <br /> Fiii out appiication compietety. <br /> Owner 8 ConVaclor sign baqk of application,notarized{Or,copy of signed contract wlth owner) <br /> If over 52500,a Notiee of Commencement is required(Mechanicai wo�ic over 55000) <br /> Supply Mro�2�sets of drewings with appNcabla dxumentation <br /> Allow 10-74 deys for review after submittel date. Paroe1#•obtained irom Property Tax Notice(h(tp:tlappreiser.pascogov.comj <br />