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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 I ........... • � '�' � �3M1t1K;�X�►V.3�dS 3�i1 ONV3aI� S`)IHWA hM,A0 A110 �p•h �, VO M3lA3V d :r l-11l saw, W-Q GNV s3,00C)V'��N --------------- 8 19 14 G l �� E OQ �� � 1vt 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 . V h"nhj�!�7f7Y1� CON DS f'1 MPLy WIT,, or REVIEWDAM CIiY®F ZRH�,LS FIRE p L9FE SAF�y�Xt�191t��,R�/��r'�j• - . - 11 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) ' t `i • 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