Laserfiche WebLink
<br />Date Rect:ived <br /> <br />I I (----1!j,o 1 <br /> <br />Owner Name <br /> <br />Village Inn Restaurant <br /> <br />Owner Address <br /> <br />5214 Gall Blvd, <br /> <br />Fee Simple Title Holder <br /> <br />City of Zephyrhills Fire <br />Permit Application <br /> <br />..$. 1'J "Ztf 6 <br /> <br />I <br />I I 7R2 I I 9556 <br /> <br />I <br />I <br /> <br />Contact Phone Nbr <br /> <br />Owner Phone <br /> <br />R13 <br /> <br />I Titleholder Phone Nbr <br /> <br />II <br /> <br />II <br /> <br />Fee Simple Titleholder Address <br /> <br />Job Address <br /> <br />5214 Gall Blvd., Zephyrhills, Fl <br /> <br /> <br />Subdivision <br /> <br />ParcellD <br /> <br />f"i Bio-Hazard Waste Storage - ANNUAL <br />D Corom Exhaust Kitchen Hood - Duct <br />D Controlled Bum <br />D Emergency Generator <30 KW <br />D Emergency Generator> 30KW <br />o Fm: Protection Maintenance - Annual <br />Sprinkler D <br />Fire Alarm D <br />Hood Clean - Suppression D <br />Fire alarm Installation <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Fire Pums <br />Fire Works <br />Flammable Application - Annual <br />Fuel Tanks <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Fumigation Tent <br />Hazardous Material (Tier II or RQ Facility) Annual <br />Hood Installation <br />LP -- Natural Gas Installation <br /> <br />LP -- Natural Gas Annual Sale <br />Places of Assembly - Annual <br /> <br />B <br />B <br />B <br /> <br />Recreational Bum <br /> <br />Sparklers <br />Sprinkler System Installations <br />Standpipes ( Sprinkler System) <br />Torch Roofing <br />Waste Tire Storage Annual <br /> <br />Value of Project <br /> <br />$ I I <br /> <br />Other: I <br /> <br />Contractor Sign <br /> <br />Directions,: <br />Fill out application completely. Company <br />Owner & Contractor sign back of application, notorize ( Or signed <br />Copy of contract with owner) Registered <br />If over $2500,00, a Notice of Commencement is required <br />Mechanical wort( of ( $5000,00 ) requires a Notice of Commencent <br />Supply two (2) sets of drawings with applicable documentation <br />Allow 10 -- 14 days for review after submittal date. <br /> <br />Address <br /> <br />Electrician Sign, <br /> <br />Address <br /> <br />Plumber Sign <br /> <br />Address <br /> <br />Mechanical <br /> <br />Address <br /> <br />Other Sign <br /> <br /> <br />Address <br /> <br />18330 Lawrence Rd. Dade City, FI <br /> <br />Company <br />Registered <br /> <br />y <br /> <br />N I Fee Current I <br /> <br />License <br />Company <br /> <br />Registered <br /> <br />y <br /> <br />N I Fee Current I <br /> <br />License <br /> <br />Company <br />Registered <br /> <br />y <br /> <br />N I Fee Current I <br /> <br />License <br /> <br />Company <br />Registered <br /> <br />N <br /> <br /> <br />y <br /> <br />License <br /> <br />Security Fire Equipment, LLC <br /> <br /> <br />502552000220004 <br />