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Home My WebLink About19-20835 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20835 LP/NATURAL GAS PERMIT PERM14T INFORMATION LOCATIONINFORMATION Permit Number: 20835 Address: 6907 DAIRY RD 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: 02-26-21-0010-01000-0000 Improv. Cost: 1,350.00 OWNER INFORMATION Date Issued: 2/19/2019 Name: CITY OF ZEPHYRHILLS Total Fees: 12 0 Address: 6907 DAIRY RD Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: Work Desc: INSTALLATION GAS LINE FOR GRILL-FEE WAIVED CONTRACTORS APPLICATION FEES HAWKINS SERVICE COMPANY GAS FEE 50.00 FIRE PLAN REVIEW FEES 50.00 FIRE INSPECTION FEES 25.00 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 " �,--4;- Z CONTRA TO 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 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application 7 I -, - Date Received �— Phone Contact for Permit / I F I� Owner's Name ZC1d j=/ f Owner's Phone Number Owner's Address t- , 0 i C(A Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address Q -7 ,T---- Lot# Sub Division F Parcel# Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Q Hazardous Material(Ter II or RQ Facility)ANNUAL Controlled Bum Q Hood Installation 0 Emergency Generator<30 kw LP/Natural Gas-Installation 0 Emergency Generator>30 kw Q I.PINatural Gas-ANNUAL Sate Fire Protection Maintenance-ANNUAL Q Places of Assembly-ANNUAL Pffl_Y1 WWI. ® er Sprinkler ❑ ❑ ❑ ❑ Recreational Bum Fire Alarm ❑ ❑ ❑ Sparklers Hood Cleaning ❑ ❑ ❑ = Sprinkler System installations Hood Suppression ❑ ❑ ❑ I� Standpipes(Sprinkler Sys) Fire Alarm installation Torch Rootingrrar Kettle PumpsF-1 Fire ire Storage ANNUAL - Flammable Application-ANNUAL fr Waste T 1� 1 Valuation of Project QFuel Tanks Other: _Y f Contractor Company Signature Registered Y/N Fee Current Y I N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y I N Address License# PLUMBER Company Signature Registered Y/N Fee Current Y/N Address License# MECHANICAL Company Signature Registered Y/N Fee Current I Y/N Address License# OTHER Company Signature Registered 1 N Fee Current Y/N Address -� .hi ttl`t�.VtFw Z i',r vU-tt,,PjJ +tr 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://approlser.pascogov.com) i. -- !! ?ei � ' / �------'--'-7---------�-------------'---�----------- �------'-'-'-'------'---------------------�----'�- '------- ---�--------- ---- i .� � -' --- ----- '-------- ---' ---- '-------------'--- --' - ---- ------'---------' -' � � a a7I ., E REVIEW { 1 i ` 3 1' S r l Ff �t --Ci'tY-4F ZEFHIGEMILLS._......»_...�...� .. ._. FIRE AND UFE SAFETY EXAtdIIN `s 6 x K_SHALLCQ0PLY_WITH-_. NFFA CODES AND STANDARDS �a { i= I-MC Hawkins Service Co. Office:813-871-6610 ` ` g (;i5�1"L= tn Fax:813.871.6726 a try AlrGoOftaft ftaft PgiWbp* .d9 vrr wwwMawkinsServiceCmcom EC1300438S-CAC1814017 PROPOSAL LP16002-CFCO2S633 Prepared for: ZEPHYRHILLS FIP DEFT./HELEN PERRY 10517 RIVERVIEW DR Site of work:6907 DAIRY RD.ZEPHYRHILLS FL 33542 Riverview FL 33578 Prepared by:Thomas Yates Prepared Date:2/13/19 Proposal Number:#1 *LABOR AND MATERIALS TO RUN A GAS LINE FROM THE METER TO THE GRILL UNDERGROUND AND REMOVE THE OLD L.P.GAS STUB UP AND LINE WITH ALL THE CONNECTIONS AND COMPLETE LEAK AND SAFETY CHECK, *EXCLUSIONS:FOR LINES NOT MARKED DRYWALL REPAIR OR REPLACEMENT STUCCOOR PAINT REPAIR OR REPLACEMENT LANDSCAPE REPAIR OR REPLACEMENT SOD REPAIR OR REPLCEMENT IRRIGATION REPAIR OR REPLACEMENT OR ANYTHING IN THE WAY OF THE PIPING *THE PRICE INCLUDES THE PERMIT ADMIRIISTRATION FEES AND IS BASED ON 2 TRIPS ONLY THE 1 sr IS FOR THE ROUGH-IN AND THE 2ND IS FOR THE FINAL CONNECT ANY ADDITIONAL TRIPS NOT CAUSED BY HAWKINS SERVICE COMPANY'S GAS DEPARTMENT WILL BE CHARGED AT AN$150.00 PER HR RATE PER TRIP. *HAWKINS SERVICE COMPANY'S GAS DEPARTMENT'S SCOPE OF WORK IS GAS PIPING AND THE CONNECTION OF EQUIPMENT ONLY. *ALL WORK IS DONE WITH RESPECT AND CONSIDERATION FOR THE CUSTOMER'S PROPERTY AND WELL BEING. 'TOTAL$1,350.00 x DATE »�11.,q. A-20,1 / Signature Printed Name Please sign,print full name and date and email back this proposal to initiate work. "*By signing the above document confirms you are in agreement of pricing and work to be performed at the address listed on this document. ***By signing customer agrocs that payment is due upon completion of work unless specified in acmal quote atwvo.Any payment chat is not paid within said pwamcterss will result in Notice to Owner rights to be filed for non payment.Lien rights apply on all unpaid work completed. **"*ATTENTION***** ALL BIDS ARE HONORED FOR THIRTY(30)DAYS ONLY.ANY BID OVER THIRTY DAYS MAY BE SUBJECT TO INCREASES DUE TO MATERIAL COSTS OR LABOR INCREASE. Thankyou for the opportunity to bid on your Gas needs and I look forward to hearing back from youl Thomas Yates/Gas Department Supervisor (813)527-7759 Cell Phone (813)871-6610 Office 4) Office: 866.429.5782 1�-A� � Fax: 813.871.6726 L--- .-,: Electrical - HVAC - Pool - Gas www.HawkinsServiceCo.com Hawkins Service Co CAC1817488 EC13004385 CFCO25633 16002 July 7, 2017 To whom it may concern 1, 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 Scott Madison 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 James Staten Sincerely, 1j Eric Haeck EC13004385 16002 Liquefied Petroleum Gas License State of Florida County of Hillsborough Eric Haeck who is personally known to me acknowledged the foregoing instrument before me this day of QC) r LESLIE LYNN ROWE Notary Signature: - 4, Notary Public-State o(Florida Commission 4 GG 117523 t 19,2021 My Comm.Expires Oct 19,2021 My Commission Expires: