Laserfiche WebLink
<br />NOY/14/2007/WED 08:46 AM ZEPHYRHILLS ~JILDING <br /> <br />813-780-0020 <br /> <br />Date RtK:eilled . <br />--1 I <br /> <br />Dwner's Name <br /> <br />owners Address <br /> <br />City of.Zephyrhills Fire <br />Permit Appli'catton <br />Phone coo,act for Permit <br /> <br />.1 . 0MIer's POOne NwIber <br /> <br />~-2g--0?,-j'<, . <br /> <br />g-yt/) 4'b~ . <br />;J$69A /:Sf//). <br /> <br />. . Fee Simple liUei)o!der Name <br />. Fee Simple l1Ueholder A!:ldre&$' <br /> <br /> <br />~7JJ~/mf~ i?C~(!~ <br /> <br /> <br />o Fum\(jaton Tent <br />D HazardoUs Matertal (fIei'll or RQ FaclllM ANNUAL <br />.0 HoexnnstallBtlon <br />D LPINeturaI GM-lncllllailon <br />o LPINaturiII GlJs.ANNUAL S'" \.f.)0.eK\.,__. <br />o Places of Assembly~ <br />DRecrelltional Bum . <br />'0 <br />D <br />CJ <br />o <br /> <br />'.0 WlIsteTire StorageANN~AL <br /> <br />, I, <br /> <br />JobA~ <br /> <br />sub Division , <br /> <br />,0 <br />o <br />o <br />o <br />D <br />D <br /> <br />D <br />D <br />:0 <br />o <br />D <br />D <br /> <br />.... <br /> <br />9ontractor <br />, 5ignat\R <br /> <br />Addr8$S <br /> <br />Bio-Hazard waste Stomge - ANNUAL <br /> <br />Com", ElChSust Kitchen HoOdIDuct <br /> <br />Controlled Bum <br /> <br />. Emergency Genenltor < 30 kw <br />Eme.gency GeneralDr > 30 kw <br />Fire Pro~ Mllirn.nance - AIilNUAL, <br />,. , <br /> <br />, Sprinkler 0 ' <br />~ 0 <br />~uppt$lmon, ~ ~Q_ <br /> <br />Fire Alarm Installation ,. <br /> <br />, FIre Pumps <br /> <br />FireWorks, ,,' " <br />Flammable Appllcjdon- ANNUAL <br /> <br />Fuel T~~ <br />Other: <br /> <br />FAX Nc. 813-790-0021 <br /> <br />p, CC3 <br /> <br />Fax.813.180-0OZ1 , <br /> <br />i;: ~~-~~ <br /> <br />II 1'1 <br /> <br />lltIeholderPhone Number I ~ <br /> <br />~,..i&~~:':,"^~? <br /> <br />sparkleR; , <br />Sprinkler System installatiOn5 <br />,SlanclplpeS (Sprinkler Sys) <br />, Torch Roofing <br /> <br />'1 ' Valuation of Project <br /> <br />~ <br />I <br />I <br />I <br />'I <br />I <br />\ <br /> <br />~ I N JFeecuirent <br />Licen.e# l <br /> <br />:::.1 Y/N <br /> <br />License # I <br /> <br />I Y/N ',FeeCurrent I Y/N <br /> <br /> <br />ELEe'I'~CIAN <br />Si~ture <br />, Address I <br /> <br />PLUMBER I <br />Signature' , , <br />AddrBaa I <br /> <br />~~=I' <br /> <br />Address I <br /> <br />OTHER I <br />SIgnature ' <br /> <br />, AlIdreas L <br />lI;~ns: . . <br />FiU out apPllcauon comptetely_ <br />OWner 4< Ccm~c:tor sign back of ~.'no1arlzed (Or. c;opy of signed contract with ~), <br />If over 12!iOO. a NotICe of CommllnC8lllent Is NQUrecl(Mechanical work over $5000) . <br />SuPPly two (2) hIlS af dnlWings with applicable documentlItion ' <br />Allow 10-14 deye fot l'8III_ after submittal date. ' , <br /> <br />I Y IN J <br />3," <br /> <br />Fee CurJ8I1t , Y I N I <br />"I <br /> <br />, <br />I <br /> <br />YIN l <br />'I <br /> <br />Y J N I F"Current I YI N I <br />I <br /> <br />Company <br />Registered <br /> <br />, "License. 'I <br /> <br />'=~'J- <br /> <br />License tI I <br /> <br />I <br />, <br /> <br />Y/N r <br /> <br />F_ ClJITent <br /> <br />ComPl'l'Y <br />Registered <br /> <br />Li~# <br /> <br />, JAN 2 8 2008 <br /> <br />