HomeMy WebLinkAbout18-19607 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19607
LP/NATURAL GAS PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19607 Address: 37125 CULLENS TRL
Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL.
Class of Work: FIRE-LP/NATURAL GAS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: STEPHENS GLEN PHASE TWO
Est. Value: Parcel Number: 03-26-21-0180-00000-0610
Improv. Cost: 650.00 OWNER INFORMATION
Date Issued: 4/27/2018 Name: WELLS CARLTON & CABRERA YVONNE
Total Fees: 125.00 Address: 37125 CULLENS TRL
Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/27/2018 Phone:
Work Desc: INSTALLATION LP GAS TANK FOR SWIMMING POOL
CONTRACTORS APPLICATION FEES
HAWKINS SERVICE COMPANY GAS FEE 50.00 FIRE PLAN REVIEW FEES 50.00
FIRE INSPECTION FEES 25.00
Ins ections Re r d
FIRE SITE INSPECTION-Final
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review, administrative fees,and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work-without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"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 COMME MENT "
/ V
CONTRACPERIGNA URE PERMIT OFFIC60
MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
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CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner:
Job Location/Address:
Parcel I.D. #:
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DIMENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION INFORMATION
I I
8 9
ALL WORK SHALL COMPLY WI TH
NFFA CODES AND STANDARDS
1
—� REVIEW DATE 2- 'V-1,9
CITY OF ZEPHYRHILLS
FRONT PROPERTY LINE FIRE AND LIFE SAFETY EXAMINER X5—
STREET - - - - - - - - - - -
(NOTE EXAMPLES 1&2)..
Example 1. Setbacks for RI &R2 Zoning Example 2. Setbacks for R3 Zoning
I
60'
� I
60'
10'
10'
P E
R X
0 I 1V EXISTING IG
P 10 S,0 T 10 19
S I 140'
E N
D 0
PROPOSED
20' 29-SINGLEFAMILY/ 39DUPLEX
FRONT PROPERTY LINE FRONT PROPERTY LINE
-- STREET -- - - - - - - - - - - -- STREET -- - - - - - - - - -
813-780-0020 City of Zepnyrnills Fire Fax-813a8U-UU21
Permit Application
Date Received J — Phone Contact for Permit YY, s®M 6&16 1
Owner's Name �GJ�I �J�(/ /�/Z Owner's Phone Number (J
Owner's Address 7
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address Lot#
Sub Division Parcel#
Bio-Hazard Waste Storage-ANNUAL Fumigation Tent
Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RO Facility)ANNUAL
Controlled Bum =zKood Installation
0 Emergency Generator<30 kw F7_1 LP/Natural Gas-Installation
Emergency Generator>30 kw F-1 LP/Natural Gas-ANNUAL Sale
Fire Protection Maintenance-ANNUAL = Places of Assembly-ANNUAL
®y emi ®nFffg
Sprinkler + ❑ ❑ ❑ Recreational Bum
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
j Flammable Application-ANNUAL j0 Valuation.of Project
Fuel Tanks
Q Other:
Contractor ' Company
Signature Registered. Y/N Fee Current Y/N
Address License#
ELECTRICIAN Company
Signature aQ Registered Y/N Fee Current Y/N
Address License#
PLUMBER Company
Signature Registered Y/N Fee Current Y/N
Address License#
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
j Allow,10-14 days for review,after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pds6ogov:co*m).
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. It 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 foi 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
County.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work.is$2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—HomeovVner'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'i 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, andl 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 f8rth 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 spedifically 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
get 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 authoriz6d 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 demoni's'trate
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.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this
by by
Who 0—ar—epersonally known to me or hasthave produced Who is/are personally known to me or has/have produced
as Identification. as identification.
Notary Public —Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped 'Name of Notary typed,printed or stamped
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � !,
Date Received: ' "" l
Site: 37j L ��
Permit Type: `'' d EGG*C - r�S he , C,g P
Approved w/no comments:ED/ . Approved w/the below comments: ❑ Denied w/the below comments:
tStil 1�2 SI�--], ..n�:�' /��1Y1 s�'•*2 F�•�--�'�c a ""' ��rP�! l�. c'".`�':�►�
This comment sheet shall be kept with the permit and/or plans.
Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner
(Required when comments are present)
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• ZEPHYRHILLS FIRE DEPARTMENT
38410 6th Ave Zephyrhills, FL 33542
FIRE SERVICE USER FEES increase 1/1/2018
Occupancy No.:
Plan No..: Contractor:
Business Name: Billing Address:
Business Address: 3712� � .
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
Annual-
Education,healthcare,De
tention&Correctional Public
Assembly,Business, schools,
Storage,Mercantile and Churches
i Site Plan N/C Industrial. no charge Sprinkler $50
Multi-Family/Commercial .03 sf up to 800 sq ft $ 24.00 Standpipes $50
(Minimum Charge$24.00 801 -1,500 sq ft $ 34.52 Fire Pump $50
❑ Plan Revisions DBL 1,501 -2,500 sq ft $ 60.02 Hoods $50
2,501-3,500 sq ft $ 90.02 Fire Alarm $50
SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP Gas $50
8 0-25 Heads $50 5,501-7,500 sq ft $ 187.52 Natural Gas $50
26 plus Heads $100 7,501-10,000.sq ft $ 262.52 Fuel Tanks- pertank $50
STANDPIPE SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100
0;Per Riser $50 15,001-20,000 sq ft $ 525.02 Fire Works $500
FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation' $25
❑ Per Pump $100 30,001-40,000 sq ft $ 1,050.02 Controlled Bum(15da; $100
FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 Hood/Duct $50
0-25 Devices $50 60,001-80,000 sq ft $ 2,100.02 Place of Assembly $50 Annual
80,001-($2,100.02)per
,26 plus Devices $100 ea add 1,000sq ft $ 0.06 Fire Protection $25
SUPPRESSION SYSTEMS (Business closed until Flammable Application $50 Annual
Wet $50 violations corrected) Waste Tire Storage $50 Annual
Dry $50 SPRINKLER SYSTEMS Generator<KW $100
CO2 $50 Hydro Undergrounds $45 Generator>30 KW $100
Other $50 Hydrostatic Test $65 per system Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Acceptance Test $45 per system Fumigation Tenting $50-
Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied $50
OTHER Haz.Materials $50 •Annual
LP Installation per tank FIRE ALARM SYSTEM
uel Tank Installation . $5 System Acceptance $50
(Per Tank) 50 Recall Acceptance $50
Natural Gas Installation $50 - OTHER
(Per System) F're WaI erwau
l/Smoke Wall
Spray Booth $56 P Gas pertank
Natural Gas $25 persystem
Tent 10'xl0'or greater $15 per tent
Fire Pump $45
Fire Suppression $30
System Acceptance
Exhaust Hood/Duct $30
Re-inspection DBL
(other than annual)
Inspection scheduled DBL
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle Acce $50
PLANS TOTAL INSPECTION TOTAL PERMIT TOT /Oa
GRAND TOTAL 0 0
Comments:
Date: o4c_ - 1Y Inspector:
nih
Y
FALSE ALARM FEE
1st Alarm WC
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $100
5th Alarm $150
6th Alarm $200
[ANON COMPLIANCE $150
Cont.Annual Inspection Fees
3-11 Units price per unit $ 5.36
12-25 Units price per unit $ 4.82
26-50 Units price per unit $ 4.29
51-100 Units price per unit $ 3.75
100 or more Units price per unit $ 2.68
Fire Safety re-inspection types -
First Re-Inspectioi N/C
Second re-inspect $75
Third re-inspectior $ 125.00
Inspection scheduled but cancelled 24 hrs $ 50.00
TOTAL
mh
Florida Department of AgriCUltt.lre and Consumer Services
P.O. Box 6700
• Tallahassee, Florida 32399-6700
License Number: 16002
Business Nlailing,Address, Licensed Location Address
HAWKINS SERVICE COMPANY HAWKINS SERVICE COMPANY
PO BOX 89489 '3203 US HIGHWAY,301 S -
TAMPA,FL 33689-0408 RIVERVIEW,FL 33578-3515
The-ligk efied,petrpl.um gas-liconse at the bottom of thin fc-or. valid ONLY:for the company,located at the addrots_.,..
on the license:`Each business 16cation of_a c6mpany inuat be licensed:.Ail.LP' as licenses must be renewed
annually: Any license,allowed to expire`shall become inoperative because Of-faikire to renewv. The fee for-
restoration of a license is equal to the origlnal license fee and must be paid before the licensee may resume
operations.
IN THE EVENT OF AN OWNERSHIP CHANGEAT THIS BUSINESS LOCATION- This license maybe
transferred to any,person,fift"or corporation for the remainder of the current licerise.year,upon writtemrequest to
the department.by the original license holder..`License transfers must be approved by the::department, All licensing.
requirements must be met.by the transferee acid a'transfer,fee of$50 will.apply: To apply for a transfer,;contact the
Bureau:o€LP Gas.lnspections at(850)921-1600.
Pursuant to Chapter 57_7,Florida Statutes,,LP Gas licensees must,present proof of iicensure to'any consumer,
owner,or-end-user upon request when engaged in the business of servicing;testing,repair"`ing,maintaining or "
installing t_P.Gas systems.and/or equipment.
For future correspondence,please make any,needed corrections or changes to your business:mailing address .
:andlor.youuticerised location'address and return the UPPER POR`FION;with-Corrections to;
'Florida Department of Agriculture and.Gonsutner services .
P.O..Box' 6700
Tallahassee, Florida 32399�'6700
Cut Here
:. StApi_'W F I or�d
De'pa ment of A�l"icc�ltll.�°e and Got�t�ur�er: e�-vVices
Division of Consumer Services - License Number: 16002
{ Bureau,of.Liquefied Petroleum.Gas."Inspection Expiration Date: Augiist31,2018
Date of.Issue: September 1�,2017
50 „921-1600.
�a. .. License Fee.'u200:00'.
POST LICENSE Tallahassee, Florida Type and'class:. 0408,
CONSPICUOUSLY ■ c ' .
! censer"
SPECIALTY.INSTALLER C. - APPLIANCES, EQUIPMENT AND PIPINQ
GOOD.FOR ONE LOCATION ONLY
ANY CHANGE OF OWNERSHIP OR SALE OF THIS BUSINESS RENDERS THIS LICENSE
-INVALID
This:license is issued under authority of Section 527.02,.Florida Statutes,to:
HAWKINS SERVICE COiV.11PANY
3203 US HIGHWAY.30tS ADAM H,PUTN M
RIVER VIEW FL 33 7s=351 5: COMMISSIONER OF AGRICULTURE
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
a, plicable 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
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
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. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone W"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
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 ••;;��p.;
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
h N FLORIDA JURAT(F.S.117.03)
LL
LL L c OWNER OR AGENT CONTRACTOR v ��
sa p Subs ribed and sworn to or affirme f ore me this Subscribed and sworn to(or affirm d)before me this
a Z € 2�`` by &MaS s 2,?n by xjeClS
4 t Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced m n
} 0 b� _�y as identification. �/707Mt_ as identification. +� X
= N W / . /►/ /7 RE M'
LU ZOO ` ( C / U�� ` t�r� N =
u
U Notary Public ✓ Notary Public
Y W / // / v, Z
o m fission N om ission No. / N X
J` Name of Notary typed,prin ed or st pod Name of Notary lyped,printed or tamped o W 0
Office: 866.429.5782
Electrical _ HVAC ^ Pool _ Gas Fax: 813.871.6726
www.Hawl<insSei-vicc,Co.com
Dawkins Service Co Service/Repair
CAC1817488
EC13004385
CFCO25633
16002
August 17, 2017
To whom it may concern
I, Eric Haeck, hereby authorize the following persons to Register my License,pull, reinstate,PAY-
for, sign onto, and pick up permits on my behalf for Hawkins Service Company. Please remove any
others not on this list.
Adrian Higgins Joanne Klien
Adam Washburn Philip Klein
Thomas Yates Sarah Baker
Patrick Strickland John Holloway
Mark D. Madison Christian Hernandez
Jennifer Madison John Perello
Dennis Powers Dennis Peyton
Steven Bell Doug Cancellara
Gail Potter Laura Davis
Darrell Curts Courtney Filipanszisz
Paul Sweeny Andrew Filipanszisz
Karen Sheen Rob Christy
Brendon Martin Raymond Martin
Dennis Powers Bart O'Connell
Juan Valdez Brad Fisk
Anastasia M. Spittle
Sincerely,•
A
Eric Haeck
EC13004385
16002 Liquefied Petroleum Gas License
State of Florida
County of Hillsborough
ric Haeck who is personally known to me acknowledged the foregoing instrument before me this
day ofQrck
Notary Signature:nature:
My Commission E i'res:
YINETH Y ARROYO
�= MY COMMISSION#FF971147
EXPIRES April 05,2020
�4C/iJ9B-0tb9 f:WW8NM,ySawc0.cOW