|
<br />813-780-0020
<br />
<br />Date Received
<br />
<br />, './--
<br />
<br />Owner's Name
<br />
<br />Owner's Address
<br />
<br />."..J";o:v::-;:;;,c::~,_,,,;';
<br />
<br />City of Zephyrhills Fire
<br />Permit Application
<br />
<br />_~JJ I) I
<br />II ?tz.. II q~~01
<br />
<br />.:J
<br />
<br />Fax-813-780-0021
<br />
<br />J
<br />I ~J5
<br />
<br />Phone Contact for Pennit
<br />
<br />',' "'~".:i;'v'._,~,,,~", s::-:!,'::,~;,}~::'~S:::7'.~:2:f'i',~:~;t;';;;"~i)';;;:\8"'t,,~~-;.::,;::';~~,,;":'S~-;::::S';':'!:~11':::'~~:;;::~::';;;':,':_~:~;:~~::~;":'
<br />
<br />
<br />5 2: 1,-/
<br />
<br />--;s: Co. U 0
<br />
<br />Fee Simple Titleholder Name
<br />Fee Simple Titleholder Address
<br />
<br />Owner's Phone Number
<br />
<br />I Titleholder Phone Number I
<br />
<br />II
<br />
<br />II
<br />
<br />"::}?>1 .''',;_,_~
<br />
<br />D
<br />D
<br />D
<br />D
<br />D
<br />D
<br />
<br />Bic-Hazard Waste Storage - ANNUAL
<br />Comm Exhaust Kitchen Hood/Duct
<br />Controlled Bum
<br />
<br />Emergency Generator < 30 kw
<br />Emergency Generator> 30 kw
<br />Fire Protection Maintenance - ANNUAL
<br />~~~~
<br />Sprinkler D 0 0 0 L-J
<br />Do ooc=J
<br />Do ooc=J
<br />G 0 ~o c=J
<br />
<br />I
<br />
<br />>--~'~>~~::~:"'~'.'''-'l": .::7J.;r;;,:r.gl;",?:"";:'::2-:;!;:~:b;j.2J;j03;':EJ;~iiL:~_::.,;g,~n~'5:;r:;:;.*r:::c~;'?;';~;~iQ;.~!Z:;.:Z'i';.1:~;;~;:^;';~i.1';~;;.:';:S:':k3:;~i!~:i;:;";';2\:::?;::ci;;;p:;:r;::.;~;:_)}t:~:Y1..;tD!;s~;;;l::7:'~;;:;:~::;;Z;~$J:'i.:Ci~~:i; :-:1~,:~~L:W~J':"?~2~::~t~-Z;,-}X::~,:::,
<br />
<br />D Fire Alann Installation
<br />
<br />
<br />B
<br />
<br />
<br />D Fuel Tanks
<br />
<br />D
<br />.,. ':::E~iS~iDj2~;:;'~,:f;;::z:.~:g~:1'~lY;'~r,-i~@1~~t1f;,\i.~..:::I12t7;;'~j2~i.:IE~1iE~1~%f.:1'llilErS&!.&.\f~iB~~~~~!?}~*.E1~~[g:11?N~~'lk5;~lzjy]G;;~~2~;:d:};;r~1f~t.J;~i;:&li:;;2.tBi;:~~a;BiliS?i:&::i::~r.~~2iEl%Et:;~1~;::::;~;'.;':':5'J:i;lrl.I~'D~I;S-J;ba:..Lt~2:-;2~;~:iL.
<br />
<br />I
<br />
<br />Sub Division
<br />
<br />Contractor
<br />Signature
<br />
<br />Address I
<br />
<br />ELECTRICIANI
<br />
<br />Signature
<br />
<br />Address I
<br />
<br />PLUMBER
<br />
<br />Signature
<br />Address I
<br />MECHANICALj
<br />Signature
<br />
<br />Fire Alann
<br />
<br />Hood Cleaning
<br />
<br />Hood Suppression
<br />
<br />Fire Pumps
<br />
<br />Fire Works
<br />
<br />Flammable Application- ANNUAL
<br />
<br />'.>C. ';";!,';-;:;.:;:i..<
<br />
<br />r'^~~t:"
<br />
<br />Parcel #
<br />
<br />.0,;';",-X.':,~_",<;~;;,;..,<.-:; __.
<br />
<br />.Z:;::;;':;;';~;::;5::jii::S
<br />
<br />D
<br />D
<br />D
<br />D
<br />D
<br />D
<br />o
<br />o
<br />o
<br />o
<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 />LP/Natural Gas-ANNUAL Sale
<br />Places of Assembly-ANNUAL
<br />
<br />Recreational Bum
<br />Sparklers
<br />Sprinkler System Installations
<br />Standpipes (Sprinkler Sys)
<br />
<br />Torch RoofingfTar Kettle
<br />Waste Tire Storage ANNUAL
<br />
<br />Valuation of Project
<br />
<br />Other:
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />Address I I License # I I
<br />
<br />
<br />lfu 6 "" , "-"oy I ir'j~4' T7"
<br />::"7;~_ ..,].~_ :f-::;:~~L~".,_~"__~~_~~~;;::,L2~~~;:~~~~'_N__l,=,,"~
<br />
<br />Directions:
<br />
<br />OTHER
<br />
<br />Company
<br />Registered
<br />
<br />Y/N
<br />
<br />Fee Current
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />Company
<br />Registered
<br />
<br />Y/N
<br />
<br />Fee Current
<br />
<br />Y/N
<br />
<br />License #
<br />
<br />Company
<br />Registered
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Fee Current
<br />
<br />License #
<br />
<br />Company
<br />Registered
<br />
<br />Y/N
<br />
<br />Y/N
<br />
<br />Fee Current
<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. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com)
<br />
|