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Home My WebLink About18-20360 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20360 LP/NATURAL GAS PERMIT PERMIT INFORMATION LOCATIONINFORMATION Permit Number: 20360 Address: 5883 GALL BLVD 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 10-26-21-0020-00000-0090 Improv. Cost: 2,499.00 OWNER INFORMATION Date Issued: 10/18/2018 Name: ZEPHYR SUNRISE LLC Total Fees: 125.00 Address: 7162 READING RD STE 730 Amount Paid: 125.00 CINCINNATI OH 45237-3845 Date Paid: 10/18/2018 Phone: Work Desc: INSTALL GAS LINE (SUNRISE EATERY) CONTRACTORS APPLICATION FEES SEALA DER CONTRACTOR UUNTRAUTOR SERVICES II` GAS FEE 50.00 FIRE INSPECTION FEES 25.00 FIRE PLAN REVIEW FEES 50.00 r, I FIRE SITE INSPECTION-Final Ins ections Required 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 ENT " CONTRACTOR SIGNATURE PERMIT OFFIC60 PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-700-0020 , City of Z.ephyrhills Fire Fax a13-7s0-0021 Permit Application Date Received Phone Contact for Permit —� _.. . - Ownees Name Owner s Phone Number Owner's Address Tx M Fee Simple Titleholder Name 74 U11Titleholder Phone Number Fee Simple Titleholder Address Job Address - �,1`Yk - Lot# Sub Division J t-.' Parcel# 0 Q Bio-Hazard Waste Storage-ANNUAL Fumigation Tent ; Comm Exhaust Kitchen Hood/Duct Hazardous(Material(Tier 11 or RQ Facility)ANNUAL QControlled Bum Hood Installation Emergency Generator<30 kw LP/Natural Gas-Installation . QEmergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Q Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL V y emi rA75 ter Sprinkler O ❑ . ❑ Recreational Bum �, ❑, ❑ ❑., Sparklers3r?lc? � T.he`r;: Fire Alarm CITY,Or z.EpH�'R J — Hood Cleaning ❑ ❑ ❑ �� Sprinkler System tnstaliations�U� � C' CIttS Hood Suppression ❑ ❑ ❑ Standpipes(Sprinkler Sys) Fire Alarm installation Torch Roofing/Tar Kettle ! _ Fire Pumps Waste Tire Storage ANNUAL �s Flammable Application-ANNUAL Valuation of Project Fuel Tanks Other Y Contractor Company _ — Signature Registered Fee Curr Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y�N �� Address License# PLUMBER Company-•... Signature Registered Y N.. Fee Current Y/N... Address License# b MECHANICAL Wi Company Signature Registered Y/.N Fee Current Y I N Address ,r License# OTHER Company Registered Signature YIN Fee Current Y/N Address License# - r Fill out application completely. _._...., _._...-. a.._._ ,....- _ Owner&Contractor sign`back:of applidation,notarized�(Or,copy of'sigried contract with owner) If over$2500,a Notice of'Cornnienc'ernent is required'(Mechanical workover. $5000) .` } Supply two(2)sets of drawings with appiicabie`docurnentation pascogov.comj' Allow 10-14 days for review after submittal'date: "% ''Parcel#-obtained'from Property Tax Notice`(httpa/a pprai'ser: a .. _ I 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 applioatile deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR.RESPONSIBILITIES: If the owner-,hasl hired a contractor or contractors to undertake work, theymay be reIquired;to`b'e licensed ilh accordar ce'v�th state ar cf local regulations. If the contractor is not licensed as required by law,l 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 w'liat'licensing'requirements may apply for the intended work, they are advised to contact thel 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'respo�risible....lf:you;°as w'&owner sign as the contractor, that maybe an indication that he is not properly licensed and is not entitled'to permitting privileges in Pasco -.Count CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is$2,50.0.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction I 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'SIOWNER'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 musttake 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.co&'s,;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 permifissuance', or if work authorized by the permit is suspended or abandoned for a pe liod of six (6) months after the time the work is commenced. An extension may be requested, :in'Writing„frpm;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 OBTAINI FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER.OR AGENT` i S CQ I�{V1 C.l �r CONTRACTOR. (.G1M' S�'�Pl��fihd e Su6scrilied and sworn to{or afftrmed}before rime this Subscribed and svuom to{ar affirmed}before me.this �- by Who is/are r ona y known tom or has/iiave produced Who Islar�nall nown'To`1TrE7pr'has/have produced .: as identification. as identification. 1 *1• � Notary Publics NYi�e : } ,�.`fltl►►r Notary Public Commission No. F' P -i 9 0 ' $ Commission No. r—P 9,9 t� $tlCet #rS�1'hpX'..F•i'YXt('.IriY�i"OGIL�-i�eR.}21� I. �b$-k�x"G.. WLSxC_�yV1'�eae--IF��.,Jy�, Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped il+ ESTHER F.MCCLINTOCK-SERRY ti ''. ESTHER F.MCCUNTOCK•BERRY '- AMY COMMISSION#FF990889 =•' MY COMMISSION#FF990889 ,c EXPIRES May 10,2020 EXPIRES May 10,2020 {407?398 0153 FiarideNotaryService.com (447)39"153 FtoridaNata service.com I I