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Home My WebLink About20-180 0 City of Zephyrhills PERMIT NUMBER -� 5335 Eighth Street Zephyrhills, FL 33542 FIRE-000180-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 07/17/2020 Permit Type: Fire Property Number Street Address 14 26 210010 00800 0120 4932 Gall Boulevard Owner Information _ Permit Information Contractor Information Name: VINCENT&EMINA HERNANDEZ Permit Type:Fire Contractor: TRI-CARE SERVICES INC Class of Work:LP/Natural Gas Address: 4932 Gall Blvd Building Valuation: ZEPHYRHILLS,FL 33542 Electrical Valuation: Phone: (813)610-7181 Mechanical Valuation: Plumbing Valuation: Total Valuation: 0.00 Total Fees:$100.00 Amount Paid:$100.00 Date Paid:7/17/2020 9:15:49AM Project Description. INSTALLATION GAS LINE 1.99 CLEANERS Application Fees Natural Gas Installation Plan Review $50.00 Natural Gas Permit Fee $50.00 REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "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." Complete Plans, Specifications add fee Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. C NTRAC IG TURE PE IT OFFICE PERMIT EXPIRES N-6 MONTHS WITHOUT APPROVED INSPECTION CALL FO INSPECTION -_ 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of ZephyrhillS Fire V` 'Eax7813-780-0021 Permit Application Ix Date Received Phone Contact for Permit Owner's Name e. Owner's Phone Number Owner's Address Fii.�oZ S Cs/Lrb C. L£ C,WA PC,L L -3� ,�{=. .7•�. �+ ; Fee Simple Titleholder Name Titleholder Phone Number . � Fee Simple Titleholder Address Job Address Lot Sub Division Parcel# 1gJ t17LYC��ecwvi�icin�g�girarmxmi VilzlCrr) 0 Bio-Hazard Waste Storage-ANNUAL Fumigation Tent 0 Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL 0 Controlled Bum Hood Installation 0 Emergency Generator<30 kw LP/ atu ' Gas-Installatior 71 Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale 0 Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL m rNe-m—il AN Other Sprinkler ❑ ❑ ❑ El 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 HFlammable Application-ANNUAL Valuation of Project Fuel Tanks o 0 Other: ll)I1 '' Contractor Company Signature Registered Y/N Fee Current 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 r' tJ G L S License# c, D S 7 /b �-- 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) 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. t. 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 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'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 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.117.03) OWNER OR AGENT CONTRACTO Subscribed and sworn to(or affirmed)before me this $u ribed ana sworn to(or affirmed) this by Who is/are personally known to me or has/have produced Who i re pars n Ily known to me or has/have produced as�identification. as identification. Notary Public Notary Public Commission No. m ssion Name of Notary typed,printed or stamped Name of Notary e o stambed ; vnr i JACQUEt NE BOGES _`•: ;,;Commission#GG 276457 eaExpires pir sD December 12,2022 y Fain insurance 800.3d5,701! l REVIEW DATE 6 t aD CITY OF ZEP, FIRE AND LIFE SAFETY EXAMINER,,,�� "I"WORK SHALL COIVINLY WITH NFFA CODES AND STANDARDS . t IjL Et�of��p -TY5 it C 5"tk G£g