Laserfiche WebLink
<br />OCT/il/2007/THU 01: 11 PM <br /> <br />813-780-0020 <br /> <br />Date ReceIved <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />1t7/fO <br />~~ <br /> <br />Fax-813-780-0021 <br /> <br />P. 001 <br /> <br />City of.Zephyrhllls Fire <br />Permit Application <br /> <br />Phone Contact for PermIt <br /> <br />Fee Simple Titleholder Name <br /> <br />I"(~c rf\l\v ktd- ,-Sql D-v-L \nc <br />I~\?f) r<\Or\(o:\ ~~\o.'(~ <br />I <br />1 ~ <br /> <br />~.!l8--"'1l",,,,,,,,, .J lil ~JI.--AUP.I:ll'lfIII!'i"'" lIIilIIIUJlil1 ]mm Nl ill," _~~ nf ".-=~~-_ ...\~~,lI/l <br /> <br />f~05"t ~Y\o ~ ~ ~AI \x\~. (' P~b~~\l1 ~~L ~~~,. ~ 50 <br />' . Parcel # I 0 ~ k J 2J .. cYJJ ~ - I.ZD <br />i Ufo IV~t-' t=rt ,\,.,I <br />}I' 'lIllfll~!lr~!! ..~ [J!Hf?"~~ill~ rr~~'~l~: tMr-r.o .~~~ <br /> <br />Fee Simple Titleholder Address <br /> <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />l!llIIlillI!i. <br /> <br />oM..li <br />D <br />D <br />o <br />D <br />o <br />'~ <br /> <br />D <br />o <br />.0 <br />D <br />D <br />D <br /> <br />Contractor <br />Signature <br /> <br />ELECTRI I <br />Signature <br /> <br />Address I <br /> <br />I <br /> <br />PLUMBER <br />Signature <br /> <br />Address I <br /> <br />MECHANICALI <br />Signature <br /> <br />Address I <br /> <br />,~~ <br /> <br />Blo-Hazard Waste Storage - ANNUAL <br />Comm Exhaust Kitchen HoodlDuct ' <br />Controlled Bum <br />, Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Malnt9l1ancs - ANNUAL <br /> <br />Sprinkler <br /> <br />D <br />o <br />o <br /> <br />,Fire Alarm <br />Hood Clean/Suppression <br />FJre Alarm Installation <br /> <br />Fire Pumps <br />Fire Works <br />Flammable Appllcatlon- ANNUAL <br /> <br />Fuel Tank.. <br /> <br />I <br />l <br />I <br />I <br />I <br />J <br /> <br />OTHER <br /> <br />Signature <br /> <br />~ddr;:J;l;_:"____\lfi""'1'l1~~_~'rnl1i'''ll'oi___ <br />DIrections: , <br />FIIJ out application completely. <br />owner 8. Contractor sign back of application. 'notarized (Or. copy of signed contract with owner) <br />If OVer $2500. a NotiCe of Commencement Is requIred (Mechanical work over $5000) <br />Supply two (2) sets of drawings with applicable documentatlon <br />Allow 10-14 days for review after submittal date, <br /> <br /> <br />I Owners Phona Numher <br /> <br />7 <lfb~\Y~_l \\~, <br /> <br />I Titleholder Phone Number I <br /> <br />I <br />~L <br /> <br />1'1 ' ' <br />3 oS' 42- <br />II <br /> <br />I J <br /> <br />-II <br /> <br />FumIgation Tent <br />Hazardous Material (Tier II orRQ Facility) ANNUAL <br />Hood Installation <br />LP/Natural Gas-Installation <br />LP/Natural Gas-ANNUAL Sale, <br />Places of Aliisemhly-ANNUAL <br /> <br />Recreational Bum <br />Sparklers <br />Sprinkler System Installations <br />Standpipes (Sprinkler Sys) <br /> <br />.t~ ~ c'1 <br />~G ~S ,~'~ <br />i) <br />I <br /> <br />Torch Rooting <br />, Waste Tire Storage ANNUAL <br /> <br />, <br /> <br />Valuation of Project <br /> <br />Company <br />Registered <br /> <br />Licenoa # <br /> <br />IC~/7N';::~u~D ~Orh1' <br /> <br />I Et=Oo06'~ I <br /> <br />I .y / N Fee Current I Y I N I <br />I I <br /> <br />I, Y I N Fee Current Y I N I <br />'I I <br /> <br />I YlN I' Fee Current Y/N I <br />I I <br /> <br />I <br /> <br />r..u: , <br /> <br />C~mpany <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />LIcense # <br /> <br />Y I N I Fee Current , Y I N I <br /> <br />I. ,Ucen5B '* I , ~ - i <br />__'I~ISliIIIII ~_ --~-'''.'''IiI!II'~~ <br /> <br />Company <br />Registered <br /> <br />-~ <br />