Laserfiche WebLink
a�a-�so-�o2o City of Zephyrhills Fire <br /> Fax-813-780-0021 <br /> Permit Application <br /> Date Received Phone Contact tor Permit 813 621 1357 <br /> owners Name TOWNVIEW RETAIL LLC <br /> Owner's Phone Number �� �� � <br /> Owners Address 725 CONSHOHOCKEN STATE ROAD, BALA CYNWYD, r/4 19004-2102 <br /> Fee Simple TiUeholder Name � �� (�� � <br /> Titfeholder Phone Number I <br /> Fee Simple TiLeholder Address �--• <br /> Job Address 7340 GALL.BIVD,ZEPHYRHILLS, FL � <br /> � Lot 1t C� <br /> sub Division CITY OF ZEPHYRHILLS Parcel tt 35-25-21-0010-0880-0006 <br /> � Bio-Hezard Weste Storage-ANNUAL � Fumigation Tant <br /> � Comm Exhaust Kitchen HoodlDuct � Hazarclous Material(Tier II or RQ Facility)ANNUAL <br /> � Controlled Burn � Hood Installation <br /> � Emergency Generator<3D kw a LPMatural Gas-Instellation <br /> O Emergency Generator>30 kw � Lp/Natural Gas-ANNUAL Sale ` / <br /> � Fire Proteclion Maintenance-ANNUAL O Places of Assembly-ANNUAL ��f / �� <br /> ��(t y emi �n er ❑ <br /> Sprinkler � ❑ G Recreational8urn <br /> Fire Alarm � O ❑ ❑ � � Sparklers <br /> Hood Cleaning � ❑ ❑ ❑ Sprinkler System Installations <br /> Hood Suppression � p �7 ❑ C] � Standpipes(Sprinkler Sys) <br /> � Fire Alarm Mstailation � Torch RoofinglTar Kettle <br /> � Fire Pumps � Waste Tire Storage ANNUAL <br /> � Fire Worlcs <br /> � Flammable Application-ANNUAL <br /> o $25.00 Valuation of Project <br /> Fuei Tanks <br /> QOther: <br /> Contractor _ +, <br /> Signature <br /> Company <br /> Registered 1�/N Fee Current Y/N <br /> Address <br /> License t1 <br /> ELECTRICIAN <br /> Signature <br /> Company <br /> Registered Y/N Fee Curcent Y/N <br /> Address <br /> License# �� <br /> PLUMBER � <br /> Signature <br /> Company <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> MECHANICAL ,_„ <br /> Signature <br /> Company -- <br /> Registered Y/N Fee Current Y/N <br /> Address <br /> License# <br /> OTHER JEFFERY D. BURNHAM v RODAN FIRE SPRINKLERS, INC. <br /> Signature <br /> Compan <br /> Registered I Y�N I Fee Current Y!N <br /> Address <br /> Directions: — License# �1 531 0001 20�6 <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> It 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 iS-obtained irom Property Tax Notice htt //a <br /> ( p: ppraisecpascogov.com) <br />