Laserfiche WebLink
<br />1\ \./ ~ / J l' L U '_' i:' fi L 1/ '_: ~'_ ' _ 't i n: Gf...r fl J no 1 L.....,.) fr,) i 1.....') J ["~I-..: <br /> <br />CIty' ofZephyrhll1s Fire -* '1 ~V Fax~13-7g0-0Q21 <br />Permit Applicertion ' <br />~Cejvrt__~[~:.~."~<?.~:-~~~~~LiIft--. rnr-- rr ,_.~ PDon6r~~.;~r_~(Jrm~r~~.l~~l+~~ <br />r~S~ Gd::'U ^ ":. J owner's Phone Numb!!! I L.\ Vi ' II dBC} 'I r ~5b). <br />Co . p..Q~ \f"~' \l '5 Fe 3> 4 }- <br /> <br />L ' <br /> <br />Fee Simple Titleholder Addre$S l... ' <br /> <br />7:'::;'~~:1~:~^";;_-';~Jh\l},~K '~-S~y~;-T-- ~ <br /> <br />. S"" _'00 . .<J.J-.\-ii' . . P..",. I \u.,.-u '== 020"" !"^ ~~";'.:!;: <br /> <br />ELECTRIClANI <br />Signature ,'_ <br /> <br />Addre8s [ <br /> <br />PLUMBER. . [ <br />Signature' _ <br /> <br />Mdl'ElSS r <br /> <br />MECHANtCAL./ <br />Si9iUtule ' .1 <br /> <br />Mdr$SS r <br /> <br />OTHER I <br />Signature <br /> <br />~~dre:s-..~,."..,~~'",.~''''''..r'~_~;_o_,_ - ~ ! <br />Ol.-acllons: -:- - -- -- -all"-'~"""""" "1 ~,.:~~et# ilO -- <br />Fill Ol.l! "pplbatlon complet~I)'. ' <br />, Owner & contractor, sign back of Eppljcatior..nota~ed (Or, ::opy of $lgned contract wtth owner) <br />;t over $2500, is Notic$ of Commencement is raQl.lir..:! (MIJc,...anlcai \'VOrl( over $5000) . <br />SUpply tw::> (2) sets of, dmwin~~ with applIcable dacumenmlion <br />All",^, 10-14 days for rellj,ew after lliubtn!ttal date. <br /> <br />813-780-0020 <br /> <br />OWnSr'5 Name <br /> <br />Owners Addr~5 <br /> <br />Fee Simple Titlwh9Ider N;lme <br /> <br />.0 <br />o <br />o <br />D <br />D <br />D <br /> <br />o <br />D <br />.D <br />o <br />D <br />D <br /> <br />Conncbr <br />SignatUre , <br /> <br />Addrea5 <br /> <br /> <br />Ellr>-~ Waste Storagl) M ANNUAL <br />, Comm Exhaust rQto."len Hood/Duct <br />ControllillQ Burn' <br />. Emtlrgenoy Generalor < 30 lew <br />Emlirgeric;t Gcn<<atcr ;> 30 k\v, <br />Fir~ Prateolion Mlllntenance ~ ANNUAL <br /> <br />o <br />o <br />o <br />o <br />"0 <br />' . <br /> <br />o <br />o <br />o <br />D <br />, , <br /> <br />.0 <br />.0 <br />D <br /> <br />Sl1l1nkler <br />Flfe.A1arm ' <br />Hood Cl.anlSUppr~iI!Qr; <br />.FlrQ AImm 'lnllta.:a1ioll <br />FIre pumps <br />Are Works <br />Flammable AppU~t1on- ANNUAL <br /> <br />, Fuel i al'lk1> <br /> <br />other: <br /> <br /> <br />or' <br /> <br />~ <br /> <br />\. <br />.J <br />,~ <br />J <br />J <br />I <br />I <br /> <br />- <br /> <br />r ,-<,/'. !'\ '.', (I ~ :1-- i ::)i.:-:...11j L 1 <br /> <br />Tltiel10lder Phone Nu-nber <br /> <br />[ <br /> <br />JI <br /> <br />I" <br /> <br /> <br />Fumigation Tent <br />Hatal'OOUS Matertal.(TIer II or RQ FBoiI~) ANNUAl.. <br />, 0 . Hood Installation <br /> <br />LP/Naturlll, Gas-lnslallalion <br />LP/NatLiraI GaB-ANNUAL. Sale <br />PlaO<:5 of Assembly-ANNUAL <br />Reaeal.ionaJ Bull <br /> <br />SparlderS <br />s~ar SY5lem Installations <br />standplpo$ (Sprinld~ Sys) <br />Torch Roollng <br />Wa$le Tire .Stprage ANNUAL. , <br /> <br />. , Valuation t;lf Project <br /> <br />Company <br />Registered <br /> <br />Ucensc /# <br /> <br />I~r <br />IjbLJ4~' <br /> <br />[~/NI <br />,I <br /> <br />1 V/N 1- <br /> <br />ITJ"- !lid <br /> <br />(~~ C~ ' <br />FccCrJl'l'$nt 'LY I N I <br />I <br /> <br />Fee Currcnt 1 Y I N :l . <br />I <br /> <br />Fee current Y ! N I <br />I <br /> <br />Company <br />Reglsterec1 <br /> <br />Ucense #- <br /> <br />Company <br />Registered <br /> <br />UCSOSfl #- '1 <br /> <br />CompW'IY' E <br />'.' Rsglstere:i . <br /> <br />Ucens6 #- I <br /> <br />Company I <br />~8Qistered <br /> <br />"'IN r <br /> <br />FeB Current <br /> <br />Y INj <br />~ <br /> <br />Y/N <br /> <br />" '~ <br />F$$ Curreni I y (N I <br /> <br /> <br />OJ li/l .G:.-...~..r'" 'i"~~l~....tix.~ <br />