Laserfiche WebLink
<br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />.. -5-~&- <br />:0 [dJ-eped.c. <br /> <br />City of Zephyr hills Fire <br />Permit Application <br /> <br />/ <br />1St6 <br />if. <br /> <br />Phone Contact for Permit I. <br /> <br />ODc.rk" .~ <br /> <br />GJdcy <br />f <br /> <br />Owner's Phone Number <br /> <br />Fax-813-780-0021 <br /> <br /> <br />II <br /> <br />II <br /> <br />Fee SimplEl Titleholder Name <br /> <br />I Titleholder Phone Number I <br /> <br />I <br />I <br />137 &'39 fVJ..ec I LCc-1 <br />I <br /> <br />Fee Simple Titleholder Address <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />II <br /> <br />IJr-d J cr <br />I Parcel # <br /> <br />I Lot# <br /> <br />I <br /> <br />tUl> I AINt:U t"KUIVII"'KUI"'t:K I Y I JV. l'lU 11l-l::) <br /> <br />--0 <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 />!:SID-Hazard waste Storage - ANNUAL <br /> <br />Comm Exhaust Kitchen HoodlDuct <br /> <br />Controlled Bum <br />. Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance - ~~ <br />Sprinkler D <br />Fire Alarm r:zr <br />Hood Clean/Suppression 0 <br />Fire Alarm Installation <br />Fire Pumps <br />Fire Works <br />Flammable Appfication- ANNUAL <br /> <br />Fuel Tanks <br /> <br /> <br />Other: <br /> <br />EJ FUllliYi:lliulI T tlllt <br />o Hazardous Material (Tier II or RQ Facility) ANNUAL <br />o Hood Installation <br />o LP/Natural Gas-Installation <br />o LP/Natural Gas-ANNUAL Sale <br />o Places of Assembly-ANNUAL <br />c==J RecreationalBum <br />o Sparklers <br />o Sprinkler System Installations <br />o Standpipes (Sprinkler Sys) <br />D Torch Roofing <br />o Waste Tire Storage ANNUAL <br /> <br />Valuation of Project <br /> <br />~~j rn-(() I~ b-t-I or= H <br />Y IN r Fee Current Y IN <br /> <br />Y/N <br /> <br />Contractor Company <br />Signature Registered <br />Address I '-I7eJr CX&k... Pc-cr f!t~ -r~ Pi- ,,,,It License # <br />ELECTRICIAN I Company <br />Signature I Registered <br />Address I I License # <br />PLUMBER I Company <br />Signature Registered <br />Address I I License # <br />~ECHANIC4 I Company I <br />Signature Registered <br />Address I I License # I <br />OTHER I Company I <br />Signature Registered <br />Address I I License # I <br /> - <br />Directions: <br /> <br />Y I N I Fee Current <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 I N I Fee Current <br /> <br />Y/N <br /> <br />Fill out application completely. <br />owner&CotltractofsignDaCk-Qf applicati6h;nofanzea{Ot;copy.ofsigned contract WitI1 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 />