HomeMy WebLinkAbout17-18634 ; CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(si3)�so-oozo 18634
LP/NATURAL GAS-ANNUAL SALE PERMIT
PERMIT.INFORMATION � LOCATION INFORMATION
Permit Number: 18634 Address: 7431 GALL BLVD
Permit Type: LP/NATURAL GAS-ANL SALE PER IT ZEPHYRHILLS, FL.
Class of Work: FIRE-LP/NATURAL GAS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0160-00000-0010
Improv. Cost: OWNER INFORMATION
Date Issued: 7/06/2017 Name: TRACTOR SUPPLY COMPANY
Total Fees: 50.00 Address: 7431 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33541
Date Paid: 7/06/2017 Phone: .(615)440-4977
Work Desc: ANNUAL.SALE - TRACTOR SUPPLY 'L — b
CONTRACTOR S APPLICATION FEES
GAS FEE 50.00
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Chapter 633, Florida Statutes,authorizes tt � iy for the costs of fire
prevention and protection related activities ��`t�l° `�.�� rative fees,and other
C.��h: Q.OE+
COSts 1'e Che��t4 SLo�'Ct rk�'�5�'85�5 ��rmt�l8h��;
Complete Plans, Specifications and Fee Must Aca � hout written approval of
the Fire Department's Fire Marshal or required F �t�f��' `t+.�� hout an approved final
inspection shall be charged double permit fee per C3�ar�gee C.�iC! �ever is greater. All work
shall be performed in ����`4j5�E+ T+i'LY�$���8��
"WARNING TO OWNER: Y ` IOTICE OF
COMMENCEMENT MAY I �ta4fi�i�E� �' ��°°°° CE FOR
IMPROVEMENTS TO YOUR 'O OBTAIN
FINANCING, CONSULT WITH 4 NEY BEFORE
RECORDING YOUI ����tzc�e 1_t,���5 r'"
gtativrta �LI�CT� i
i OFFICER
PERMIT EXPIRES IN ONE(1)YEAR FROM DATE OF ISSUAMCE
CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-780-0020 City of Zephyrhills Fire Fax-813-780-0021
Permit Application
Date ReceiGed Phone Contact for Permit � ���
r------•--
Owner's Name Tractor Supply Compan #545 Owner's Phone Number 615 s 440 4746
Owner's Address 5401 Virginia Wa Brentwood,TN 37027
Fee Simple Titleholder Name Jarod Mullins Titleholder Phone Number 615 440 4746
Fee Simple Titleholder Address
rs ----
Job Address 7431 Gall Blvd.Zeph rhills, FL 33541 �ot# �
Sub Division Parcel#
i � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent �
� Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL
� Controlled Bum � Hood Installation �
� Emergency Generator<30 kw . � LP/Natural Gas-Installation
� Emergency Generator>30 kw X� LP/Natural Gas-ANNUAL Sale
� Fire Protection Maintenance-ANNUAL � Places of Assembly-ANNUAL
try emi �n t er
Sprinkler � ❑ ❑ ❑ � � Recreational Bum �j�
l �, ��
Fire Alarm � ❑ ❑ ❑ � � Sparklers �
Hood Cleaning � ❑ ❑ ❑ � � Sprinkler System Installations
Hood Suppression � ❑ ❑ ❑ � � Standpipes(Sprinkler Sys)
� Fire Alarm Installation � Torch Roofing/Tar Kettle
� Fire Pumps � Waste Tire Storage ANNUAL
� Flammable Application-ANNUAL Valuation of Project
� Fuel Tanks
Q Other: i
Contractor Company I�
Signature Registered Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature I Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
', Signature Registered Y/N Fee Current Y/N
�', Address License#
i MECHANICAL Company
Signature Registered Y/N Fee Current Y/N
Address License#
OTHER Company
Signature Registered Y/N Fee Current Y/N
Address License#
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner)
If over$2500,a Notice of Commencement is required(Mechanical work over$5000)
Supply two(2)sets of drawings with applicable documentation
Allow'10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) I
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
' portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Cou nty
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
- CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and
that all work will be done in compliance with all applicable laws regulating construction, zoning and land
development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify
that no work or installation has commenced prior to issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction, County and City codes, zoning regulations, and land
development regulations in the jurisdiction. I also certify that I understand that the regulations of other
government agencies may apply to the intended work, and that it is my responsibility to identify what actions I
must take to be in compliance.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
� permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S 17.03)
OWNER OR AGENT kAYl�� ^ CONTRACTOR
Su4sc j����bsworn t (or affirme )be ore me this Subscribed and sworn to(or affirmed)before me this
(„!/ y �oxod NAu11:v�5 bY
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
c� i s L.t as identification. as identification.
�� o i i� �� .
�� Notary Public Notary Public
� ..e. I�
Commission4sl�.� ��� Commission No.
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Name of Noi�y typ�d� ,nr��q�p,�d� = Name of Notary typed,printed or stamped
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= �"• NOTARY :�-�
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����'•.. PUBLIC .���:
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�.,,MSON1G�,e�°
Jacqueline Boges
From: Eric Toepfer<Etoepfer@TractorSupply.com>
Sent: Friday, June 30, 20171:25 PM
To: Jacqueline Boges
Subject: RE:fire permit application for propane tanks
Jackie,
All I'm being told is that there is a single 1,000 gallon tank at this location.
Eric Toepfer
Licensing Coordinator
5401 Virginia Way
Brentwood, TN 37027
etoepfer(a�tractorsupply.com
Ph (615) 440-4746
Fx (615) 484-4746
� T��� TNE sTUF� YDU
���° NE�D OUT �E��
From: Jacqueline Boges [mailto:jboges@ci.zephyrhills.fl.us]
Sent: Wednesday, June 28, 2017 8:41 AM
To: Eric Toepfer
Subject: RE: fire permit application for propane tanks
Okay thank you ....
From: EricToepfer[mailto:Etoepfer@TractorSupply.com]
Sent:Wednesday,June 28, 2017 9:28 AM
To:Jacqueline Boges<ibo�es@ci.zephyrhills.fl.us>
Subject: RE:fire permit application for propane tanks
Good Morning Jackie,
I just wanted to let you know I'm working on getting the information you requested from me yesterday,which
somehow is more difficult than I thought it would be.
Thanks!
Eric Toepfer
Licensing Coordinator
5401 Virginia Way
Brentwood, TN 37027
etoepfer(a�tractorsupply.com
Ph (615) 440-4746
Fx (615) 484-4746
� � T�E�A�'I�� �H E STU F� Y�U
�Y� � NEED OUT �f��
� ,
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From: Jacqueline Boges [mailto:jbogesC�ci.zephyrhills.fl.us]
Sent: Friday,June 16, 2017 2:58 PM
To: License Dept
, Subject: fire permit application for propane tanks
Please when mailing into dept send to attn.: building dept so we will be sure to receive. Will have fire safety inspector
' take new card to site.
Thank you
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dackie Boges -_ _-;,`�_ `�;, �9
.:.1Y.
813-780-0020 ext 3513
"A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed, a mere doctrine, but it is He
Himself we have." Dwight L. Moody
Florida has a very broad public records law. Electronic communications regarding most City
of Zephyrhills business are public records and available upon request. Your e-mail
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