Laserfiche WebLink
<br />Owner's Name <br /> <br />Owner's Address <br /> <br />813-780-0020 <br /> <br />11 gll~ <br /> <br />Fax-813-780-0021 <br /> <br />City of Zephyr hills Fire <br />Permit Application <br /> <br />Phone Contact for Permit <br />Owner's Phone Number II ?g-z 1177701 <br />I~ S{-c-e.e... t .. <br />I Titleholder Phone Number I II II <br /> <br />Fee Simple Titleholder Name <br />Fee Simple Titleholder Address <br /> <br /> <br /> <br />Job Address <br /> <br />Sub Division <br /> <br />~ '::PJ <br /> <br />I.!?-t' 5+ <br />I <br /> <br />I Lot# <br /> <br />Parcel # <br /> <br />(Ut:ll AII'I~U rKUM t"'KUt"'l::K I Y I AA I'IU II~~) <br /> <br />D <br />D <br />D <br />D <br />D <br />~ <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br /> <br />Bio-Hazard Waste Storage - ANNUAL <br /> <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />D <br />o <br />o <br />D <br /> <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 />Sprinkler 0 <br />Fire Alarm 0 <br />Hood Clean/Suppression 00 <br />Fire Alarm Installation <br />Fire Pumps <br /> <br />Fire Works <br />Flammable Application- ANNUAL <br /> <br />Fuel Tanks <br /> <br />Fumigation Tent <br />Hazardous Material (Tier II or RQ Facility) ANNUAL <br />Hood Installation <br /> <br />LP/Natural Gas-Installation <br />LP/Natural Gas-ANNUAL Sale <br />Places of Assembly-ANNUAL <br /> <br />Recreational Bum <br /> <br />Sparklers <br />Sprinkler System Installations <br />Standpipes (Sprinkler Sys) <br />Torch Roofing <br />Waste Tire Storage ANNUAL <br /> <br />Valuation of Project <br /> <br />g~~~ <br /> <br />Other: <br /> <br />,w,l'!M~ <br /> <br />I <br /> <br />,.,~~; <br /> <br />I <br /> <br />Contractor <br />Signature <br />Address <br /> <br />ELECTRICIAN <br />Signature I <br /> <br />Address I <br /> <br />PLUMBER <br />Signature <br /> <br />Address I <br /> <br />MECHANICALI <br />Signature . <br /> <br />Address I <br /> <br />OTHER <br />Signature <br /> <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />~5e. ~ ,f/1~ ~- <br />~ N Fee Current I I N <br />01 ~ ~ "'5"<Slee /~ '7 <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y I N I Fee Current <br /> <br />Y/N <br /> <br />Company <br />Registered <br /> <br />License # <br /> <br />Y/N <br /> <br />Y I N 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. <br />