Laserfiche WebLink
<br />. 813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />City of Zephyrhills Fire <br />Permit Application <br /> <br />1\ 'l~b/2 <br /> <br />Fax-813-780-0021 <br /> <br />Phone Contact for Permit <br /> <br /> <br />I loWE '5 \4o""'-E CE ~T~S " l~ C. Owner's Phone Number 8 l '3 <br />.0 . Box.. I 000 i:k. '854 TAx 'D E'l'T '1..ETA J Mo &l(.e.S V \ L..L E" , kJ (. <br /> <br /> <br />I Titleholder Phone Number <br /> <br />II <br /> <br />II <br /> <br />Fee Simple Titleholder Address <br /> <br />Job Address <br /> <br />f:s-A L-L 'BL-V D I Z6"'Ptt'1l2..1+\ LLS FL '3~54\ <br /> <br />I Lot# <br /> <br />Sub Division <br /> <br /> <br />1-,':t2\ <br /> <br />I <br /> <br />Parcel # <br /> <br /> <br />D <br />D <br />D <br />D <br />D <br />~ <br /> <br />Bic-Hazard Waste Storage - ANNUAL <br />Comm Exhaust Kitchen Hood/Duct <br /> <br />D Fumigation Tent <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 Burn <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 />Controlled Burn <br /> <br />Emergency Generator < 30 kw <br />Emergency Generator> 30 kw <br />Fire Protection Maintenance ~~lJAL <br />Sprinkler ~ <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 Pumps <br /> <br />Fire Works <br /> <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Valuation of Project <br /> <br />Other: <br /> <br />Contractor <br /> <br />Signature <br /> <br />Address I <br /> <br />ELECTRICIANI <br /> <br />Signature <br /> <br />Address I <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Address I <br /> <br />MECHANICAL I <br /> <br />Signature <br /> <br />Address I <br /> <br />OTHER <br />Signature <br /> <br />Address <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Fee Current <br /> <br />Y/N <br /> <br />Company <br />Registered <br /> <br />Y I N Fee Current Y I N I <br />I <br /> <br />I~NE Aum"","",,, fi ~~ sPt2.INlU.ElZ.Sl <br />Y I N I Fee Current I Y I N I <br />o OO~d.OO <br /> <br />License # <br /> <br />J-~ <br /> <br />Company <br /> <br />Registered <br /> <br />License # <br /> <br /> <br /> <br />~A- <br /> <br />Directions: <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 />