HomeMy WebLinkAbout21-3203F'Fewitct
5335 Eighth Street
Zephythills, FL 33542
Phone�(813) 780-0020
Fax: (813) 780-0021
t Ott
FIRE-003203-2021
Issue Date: 11/15/2021
REINSPECTION FEES: (c) With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c) the
local government shall impose a fee of four times the amount of the fee imposed for the inal inspection or
first reinspection, whichever is greater, for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
'MITTIM 1 11 THEM III � 11!1111 11 11 1 111 1 1111111
&HAVIVI .11, - 1-11 1 =A-T=Mrloer or an Marne-,
orK snan De perTormea in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIREJ
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date, Received
Phone Contact for Permit
Owner's Name I I )r i
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Job Address
EJ
Bio-Hazard Waste Storage - ANNUAL
ElComm
Exhaust Kitchen Hood/Duct
El
Controlled Bum
ElEmergency
Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
M
� E] they
Sprinkler El 0
0 0
Fire Alarm ❑
0 0
Hood Cleaning ❑
0 El
Hood Suppression ❑
0 0
ElFire
Alarm Installation
ED
Fire Pumps
Flammable Application- ANNUAL
Fuel Tanks
Other:
Lot #
Parcel #
Im
Fumigation Tent
Hazardous Material (Tier 11 or RQ Facility) ANNUAL
Hood Installation
LP/Natural Gas-Installatior
LP/Natural Gas -ANNUAL Sale
Places of Assembly -ANNUAL
Wti
Torch Roofingfrar Kettle
Waste Tire Storage ANNUAL
E:==Valuation
Recreational Burn
Sparklers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
Contractor
Signature
Company
Registered
Y/N
Fee Current
Fee Current I==N
Y/N
Address
License #
ELECTRICIAN
Company
Signature
Registered
Y l N�Fe.
Fee
Y/ N�
Address
License #
PLUMBER
Company
Signature
Registered
Y f N�Fe,
Current
Address
License #
MECHANICAL
Company
Signature
Registered
e Current
Y hN_T
Address
License#
OTHER
Company
Signature
RegisteredY
1 N�Fee
Fee
Y/ N��
Address, F-
.iceri�e Tv A�
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date, Parcel # - obtained from Property Tax Notice (hftp://appraiser.pascogov.com)