Laserfiche WebLink
. � ��3-�ao-oo2o City of Zephyrhilfs Fire Fax-813-78Q-0021 <br /> PermitApphcation <br /> Date Recetved Phone Co�rtact for Permit 13 �] ( <br /> ra,�,.„.�,.,�,w.,�+..�,.:;�n.s,yaai.�+�.,�..,.-�_. , ��� .._. .. .... .. _.vsua.. ._.��.� aw��:�.:�+�v r;xa:���wr���:.�:�m:Ra:���r:a,+.�. . .. .. . . _ ..� . r.�,.�,�. �._ ... <br /> owners Name l. owners P1wne Wumber � C� � <br /> o,�ers naa�55 � �I Z �l '-) <br /> Fee Simple TiUehoider Neme Title�Ptbne►�mber <br /> Fee$impte Titreholder Addnass <br /> x�a€�« ���,r�; � ��, , � <br /> Job Address Lot# � <br /> Sub Division Parcel# <br /> �aa�_ ._ .. - <br /> _. <br /> � Bio-Hazard Waste Srorege-ANNUAL � Fumigatlon Tent <br /> � Comm Exhaust Kitchan Hood/Duct � Hazardous Material(Tler II or RQ Facility)ANNUAL <br /> QControlled Bum � Hood Instailation <br /> aEmergency Generator<3p�v � LP/Natural Gas-Installadon <br /> � Emerge�y Generetor>3Q kw � LP/Natural Gas-ANNUAL Sale <br /> � Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL <br /> � em � r ,{�.'�y ' / i j(?� G'� <br /> Sprinkler � O ❑ � � RecreaUonal Bum /T ( �f �J � <br /> ( <br /> Fre Alarrn ❑ ❑ ❑ � a Sparklers <br /> Hood Cleaning � ❑ ❑ 0 � � Sprinicier System Installatbns <br /> Hood Su�ression � O O ❑ � � Sta�dpipes(Sprinkler Sys) <br /> � Fire Alarm InsfellaUon � Torch Roofing/Ter Keide <br /> � Fre Pumps a Waste Tire Storage ANNUAL <br /> Rre Works <br /> Flammable Application-ANNUAL Valuation of PrOject <br /> Fuel Tanks <br /> Q Ot#1@r: <br /> �� <br /> CoMracior Company - <br /> Signature Registered Y 1 N Fee Curtent Y/IV <br /> Address License# <br /> ELECTRICIAN Company <br /> Signature Registered Y/N Fee Current Y/N <br /> Address Licensse# <br /> PLUMBER ComQany <br /> Signature Registered Y/N Fee Gurrent Y/N <br /> Address license# <br /> MECHANICAL Company r- <br /> Signature Registered Y/N Fee Current Y/N <br /> Address License# <br /> OTHER Company <br /> S;9nature Re9�stered Y/N Fse CurreM Y t N <br /> Address lic�se iF <br /> :�,� . .. .. .. . .. . .... , . .. . .. _. ... .. ...t.h�'"�"r.� ..!�4Rrr'YS�'�: v _z�'ea�&+x�,a��..�.=��a+�wm �a.^x�x3�r:ka;�- <br /> �f9CV0(iS: <br /> Fili cut appiication cornplotely. <br /> Owner�Contractor sign back of apPlication,no�rized(Or,copy oi signed coMract with owner) <br /> 1f over$2500,a Notice of Commer�cemeM is required(Mechanical work over 55000) <br /> Supply Nvo(2)sets of drawings wHh appiic�le documentetion <br /> Aliow 10-14 days for review aftef submittal date. F'�arcel#-obtained from Property Tax Notioa(http:llappraiser.pascogov.com) <br />