Laserfiche WebLink
<br />813-780-0020 <br /> <br />D~te Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />I <br />""ft ~~-,~., . 'N <br /> <br />I :Zef~i' t,,/l-> <br /> <br />.~1~$D <br /> <br /> <br />Phone Contact for Permit "1__.. .~,._ <br /> <br />I <br /> <br />City of.Zephyrhills Fire <br />Permit Application <br /> <br />Fax-813-780-0021 <br /> <br />I <br />Y7w~"r J-1o~ -' <br /> <br />LL u <br />II I J <br /> <br />Owner's Phone Number <br /> <br />Fee Simple Titleholder Name <br /> <br />I <br />I <br />I 3&-~50 <br />I <br /> <br />Fee Simple Titleholder Address <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />I Titleholder Phone Number I <br /> <br />II <br /> <br />, I <br /> <br />A- j)~ <br /> <br />I Lot# <br /> <br />Parcel # <br /> <br />I <br /> <br />tUtll f\11'lt:U r-t(UM t"t(ut"t:t( I Y I f\A I'IU 111."t:) <br /> <br /> <br />'----0 <br />o <br />o <br />D <br />D <br />o <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Contractor <br />Signature <br /> <br />Address <br /> <br />tile-Hazard Waste Storage - ANNUAL <br /> <br />Comm Exhaust Kitchen Hood/Duct <br /> <br />Controlled Bum <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />F;m Pmle,;;o" Ma;"'''''"le~~ <br />Sprinkler <br />Fire Alarm D <br />Hood Clean/Suppression D <br />Fire Alarm Installation <br /> <br />Fire Pumps <br /> <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Other: <br /> <br />EI FUllliYdliulI T Cllt <br />D Hazardous Material (Tier II or RQ Facility) ANNUAL <br />D Hood Installation <br />D LP/Natural Gas-Installation <br />D LP/Natural Gas-ANNUAL Sale <br />D Places of Assembly-ANNUAL <br />D Recreational Bum <br />D Sparklers <br />D Sprinkler System Installations <br />D Standpipes (Sprinkler Sys) <br />D Torch Roofing <br />D Waste Tire Storage ANNUAL <br /> <br />., Valuation of Project <br /> <br /> Company I <br /> Registered <br /> License # I <br />I Company I <br />Registered <br />I License # I <br />I Company I <br />Registered <br />I License # I <br />I Company I <br />Registered <br />I License # I <br />I Company t <br />Registered <br />, License # <br /> <br />:s I"" P k'l' ~ Illfl<e I ( <br />Y/N I Fee Current I Y/N I <br />I <br /> <br />Y/N I Fee Current I Y/N I <br />I <br /> <br />ELECTRICIAN <br />Signature I <br /> <br />Address I <br /> <br />PLUMBER <br />Signature <br /> <br />Address I <br /> <br />MECHANICALj <br />Signature ' I <br /> <br />Address I <br /> <br />OTHER <br />Signature <br /> <br />Address I. '. <br />Directions: <br /> <br />" <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Y/N Fee Current I Y/N <br />=-- - .1 ~M~, <br /> <br />_~m.~""" <br /> <br />....~- . <br /> <br />Fill out application completely. <br />Owner & Contractor sigh back of application. notarized (Or, copy of sighed 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 />