Laserfiche WebLink
/ <br /> ' a��-�saoozo City ofZephyrhillsFir:e�-.�_. Fax-alsaeo-po2� <br /> / Permit Application <br /> Date Received '� - Phone Contact•for Pertnit � <br /> Ovmers Name t� �—�t1✓� 7('�O Ovmers Phone Number .� � C <br /> Owner's Address ,�� �� /I �1�� � <br /> Fee SimpleTitleholder Name � ?fUeholder Phone Number �� �� C <br /> Fee Simpla lltleholder Address " <br /> Jo6 Address Lot# C <br /> Sub Division Paroel# <br /> � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)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 er � <br /> 5prinkler � ❑ ❑ ❑ � Recreational Bum ( <br /> Fire Alartn � p ❑ ❑ � � 5parklers �•� ` <br /> Hood Cleaning � ❑ ❑ ❑ � � Spnnkler System Installations \ <br /> Hood Suppression � ❑ �' ❑ � � Standpipes(Sprinkler Sys) �,�(,� <br /> � Fire Alartn Installation Toroh Roofingrfar Kettle � ! � � <br /> n Fire Pumps � Waste Tire 5torage ANNUAL �C <br /> � Fire Works <br /> � Flammable Application-ANNUAL ��� Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> Contractor Company r <br /> Signature Registered N Fee C nt Y/N <br /> Add2ss <br /> License# <br /> ELECTRICIAN ��a�Z) / �'L ���j� Company <br /> Signature � Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> PLUMBER Company <br /> Signature Registered Y/N Fee Currertt Y/N <br /> Address <br /> License# <br /> MECHANICAL Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address , <br /> License# <br /> OTHER <br /> Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> _ <br /> Directions: - <br /> FII out application completely. <br /> Owner&Contractor sign back of application,notar¢ed(Or,copy of signed contract with owner) <br /> ff over$2500,a Notice of Commencement is required.(Mechanical work over$50D0) <br /> Supply 1wo(2)sets of drawings with applicable documentation� <br /> Allow�0-�4 days for review afier submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) <br />