Laserfiche WebLink
<br />Data Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Fire <br />Permit Application <br /> <br />Phone Contact for Permit <br /> <br />Fax-813-780-0021 <br /> <br /> <br />II J-~cf II7'atJ I <br />I <br />II II I <br />I <br /> <br />I f/~ <br />~~? <br />I <br /> <br />I tOa/c:S~ <br />I 'i/g; aI/a <br />I <br />I <br /> <br />I Owner's Phone Number <br /> <br />;Zc.~#y~P/$ 7Z <br /> <br />OL I/f; <br /> <br />I Titleholder Phone Number <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />I Lot# <br /> <br />Parcel # <br /> <br />tUIj I AIN~U rKUM t"'KUt"'~K I Y I AA I'IIU 11\j~) <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br /> <br />o Fumigation Tent <br />o Hazardous Material (Tier" or RQ Facility) ANNUAL <br />o Hood Installation <br />o ).p/Natural Gas-Installation <br />G2f LP/Natural Gas-ANNUAL Sale <br />o Places of Assembly-ANNUAL <br />o Recreational Bum <br />o Sparklers <br />o Sprinkler System Installations <br />o Standpipes (Sprinkler Sys) <br />o Torch Roofing <br />o Waste Tire Storage ANNUAL <br /> <br />iJiI"._ <br /> <br />Contractor <br />Signature <br />Address <br /> <br />ELECTRICIAN <br /> <br />Signature I <br /> <br />Address I <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Address I <br /> <br />MECHANICALI <br /> <br />Signature <br /> <br />Address I <br /> <br />OTHER <br />Signature <br /> <br />Address <br /> <br />Directions: <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Comm Exhaust Kitchen HoodlDuct <br /> <br />Controlled Bum <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ANNUAL <br />Sprinkler D <br />Fire Alarm D <br />Hood Clean/Suppression D <br />Fire Alarm Installation <br /> <br />Fire Pumps <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br /> <br />Valuation of Project <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />. <br /> <br />tOWf'2 - /liJft(l&!. mOl!..... <br />Y I N I Fee Current I Y I N I <br />I <br /> <br />Y I N I Fee Current Y I N I <br />I <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Fill out application completely. <br />Owner & 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 documentation <br />Allow 10-14 days for review after submittal date. <br />