Laserfiche WebLink
, s�3-�8aoo2o City of Zephyrhiils Fire Fax-e�3-7so-oo2a <br /> Permit Application <br /> ate Received Phone Contact for Pertnit 3 5 2 7 3 2 5 3 2 6 <br /> wner's Name RT TAMPA FRANCHISE LP ATTN TAX&LIC DEPT ��ers PhonaNumber �� � � <br /> wner's Add�ess 15 0 W CHURCH AVE MARYV I LLE TN 3 7 8 O 1-4 9 3 6 <br /> 3e Simple Titleholder Name NA TiUeholder Phone Number C� � �� <br /> �e Simple Tkleholder Address <br /> �b Address �9 0 9 GALL BLVD Lot t� C� <br /> �bDivision ZEPHYRHILLS COLONY COMPANY pareel# 34-25-21-0010-00100-0000 <br /> a BiaHazard Waste Stora e-ANNUAL --- - <br /> 9 � Fumigatlon Tent <br /> � Comm Exhaust Kitchen Hood/Duct � Hazardais Material(Tier II or acility)ANNUAL <br /> Controlled Bum Hood Installation �� � <br /> a Emergency Generator<30 kw � LP/Naturel Gas-Installatio ��I � <br /> a Emergency Generator>30 kw � LP/Natural Gas-ANNUAL <br /> � Fire ProtecUon Mairrtenance-ANNUAL � Places of Assembly-ANNUAL � ,p� <br /> � em � er � L i <br /> Sprinkler � ❑ ❑ ❑ � � Recreational Bum i f� � <br /> Fire Alartn � p ❑ O � � Sparklers � <br /> Hood Cleaning � O ❑ ❑ � � Sprinkler System Installations <br /> Hood Suppressfon � Q T$ ❑ � � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Installation � Torch Roofingffar Kettle <br /> Fire Pumps � Waste Tire Storege ANNUAL <br /> Fire Works <br /> Flammable Application-ANNUAL <br /> Valuation of Project <br /> Fuel Tanks <br /> Q Other: <br /> �niractor Company AMERICAN FIRE & SAFETY SUPPLY <br /> 9"et�'B Registered Y/N Fee CurteM Y/N <br /> Address 953 NE OSCEOLA AVE STE 100 OCALA FL Licenae# 06461500021985 <br /> .ECTRIClAN NA Company <br /> gnature � Regfstered Y/N Fse Cument Y/N <br /> Address License# <br /> _UMBER NA Company <br /> gr78t� Registered Y/N Fee Current Y/N <br /> Address License# <br /> cCHANICA <br /> NA C°"'pa"y <br /> 3�t�� Registered Y/N Fee Curtent Y!N <br /> Address <br /> License# <br /> �HER NA Company — <br /> �nature Registered Y/N Fee CumeM Y/N <br /> Address <br /> License# <br /> rections: • <br /> Fill out applicaUon completely. <br /> Owner 8 Contractor sign beck oi appiicetion,notanzed(Or,copy of signed cont2ct with owner) <br /> if over E2500,a Notice of Commencement is required(Mechanical work over 55000) <br /> Supply two(2)sets of drawings with applicable dxumentation <br /> Ailow 10.14 days for review after submittai date. Parcel#-obtained from Property Tax NoUce(http://eppraiser.pascogov.com) <br /> c <br />