HomeMy WebLinkAbout07-7269
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
LP /NATURAL GAS-ANNUAL SALE PERMIT
7269
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total "Fees:
Amount Paid:
Date Paid:
Work Desc:
7269
LP/NATURAL GAS-ANL SALE PER
FIRE-LP/NATURAL GAS
NOT APPLICABLE
Address: 7431 GALL BLVD
IT ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
12/04/2007
50.00
50.00
12/04/2007 Phone:
ANNUAL SALE PERMIT-LP/NATURAL GAS
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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 COMMENCEMENT."
PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
NOV/~1/20G7/THu 09:47 AM ZEPHYRHILLS BUILDING
Date Received
...
Owner's Name
FAX N
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813.780-0020
City of-Zephyrhil/s Fil
Permit Application
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l-rAPtCroR ~tJPPt.'t c..o~ ~~ I owru
l~ ~\).')€LL f>LACE J ~a>"1woot>/..,.t..J J ~>'1od1
I'DA\I \0 L. LewiS I Titleht
J~~~
liIl rJ n llllf
bAu.. PDJI E\)~ )Z.EPtt~M\l.L5 I
I . Parcel #
OWner's Address
Fee Simple TItleholder Name
Fee Simple Titleholder Address
-I;?n I
L '14; \
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Job. Addres5
Sub Divl$lon
-
11111I
Contractor
Signature
PLUMBER
Signature .
Address
1I T
_D Bio-Hazard Waste Storage - ANNUAL
o Cornm Exhaust Kitchen Hood/Duct
D Contrulled Bum
o ,Emergency Generator <: 30 kw
o Emergency Gsnerator > 30 kw
D Fire Protection Maintenance - ANNUAL
Sprinkler D
Fire Alarm 0
Hood Clean/Suppression 0
o Fire Ali;:um Installation
D Fire Pumps
. D Fire Works
o . Flammable Application- ANNUAL
c=:J Fuel Tanks
~ Other:
Poor
IIIl-
=
"
.-
o Fumigation Tent
D HazardoU9 Material (Tier II or RQ Facility) ANNUAL
..0 Hood Installation ~ .. ~ ~ ,.< J-6~ [./I.
D LP/Natural Ga&-lnstaUation &;,~ I (f~ I.<f~: ' ~ . Of1j
~. LPlNaWnill Gas-ANNUAL sal:! ~fY.j)~1. ,rr j~ - t,qe-I/ c9
D Places of Assembly-ANNUAL ~#l)~p? .V,-
DO Recreational Bum e(/tf." ,!~I,(fj
Sparklers I
D Sprinkler System Installations
D Standpipes (Sprinkler Syst
o Torch Rooftng
D Waste Tire Storage ANNUAL
l
'] Valuation of Project
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-
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Company
. Registered
License #
.~Y/N_I
I
I YfN .1
,
L Y/N. I
Fee Current
I
Company
Reglsterlld
License #
Company
. Registered
. LIcense # -I
.I Company I.
.Regl&tered -. Y f N 1
- Lioonse # I
C!)m~1tiny .,
Registered r--Y7r,rl---F;;ecun:~~t
L-iCElnse #
FiJI out <1ppllcation completely.
Ownor & Contractor_ sIgn back of appllC<lGon,notarll:ed (Or, copy of signGd oont1<lct with owner)
If over $2600, a Noltel;! of Commencement is required (Mechanical wort< over :paooo)
:3upply two (2) sets of drawings with appllcabie cDcumentation
A:!('./10-14 days for mvlew attar submittal dato.
NOV/PI/2007/THU 09:48 AM ZEPHYRHILLS BUILDING
FAX No. 813-780-2021
p, 003
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,.NO:r.JCE.G)l;,~eED.RESTRICTIONS: Th~ undersigned understands :that this .permit mi!Y.be 5\:1bjact to ~deed. restricti~ns'
.WhloA may 'De-.mOI'S .~.estrictlve ,than 'County regulations. .Tl:Ie underslQned .assumes 'fasponslbllity.fur compJlancewIth BI1Y.
applicable deed restrictlans. ... ,. ...
'UNLlCENSeD CONTRACTORS AND .CONTRAC:r.OR RESPONSlSIUTlES: If the owner has hired.a contractor or
contractofS to undertake work,., they ~ay be. require9 to' bJillicensed in accordanm~ with 'state and local:reSlilations. If the
.cont;ractor lsnct licensed as required by law, both : the owner and contraotorn,ay' De .cited. for' a '.mlsdemeanor- violation' .., --
. under state law. If the owner or intended 1;ontractor are -uncertain as to.what licensing .requlrements may apply.fer the
intended wo~, 1hey are .advised to contaclthe Pasco :County B.uildlng.lnspeetion Divisjcn--~icensing Section at 727-847-
8009. . Furthermore, If the owner has hired a con,tractor or .contractors,. he is advised to have the contractor(s) sign
portions.QHhe "oontmctor Blook". of this .applicati6n fQr which they will b~ responsible. If you. as the owner 51go a~ the
contractor;. that may be an Indication that he Is not properly licensed am;! is not: entitled to per:mitting privileges. In Pasco
. : County. .. . . . .. .. , . .
.CONSTRUCTJON'L:JEN'LAW.(Chapter713, Florida statutes:; as amendl3Cl): If.valuation.ofwork is $2,500..00 or more;"
. . certify Ulat.l, fhe applicant, have been. provided 'with a copy of the "Florida COnstruction Lien Law-Homeowner's
Protectlon,Guide" prepared by the Florida Department of Agriculture :and Consumer Affairs. If the applicant is someone
othertharrthe .owner", LcertIfy that! have obtained.-a copy of the above described dOCllmBnt.and promise In good f~1th to .
.deliver it to the "owner" prfor to ,cdmmencemant .' . . .. .~
_ '. ,. CONTRACTOR'S/bWNER'S AFFIDAVIT: I c.ertify that all: the information in tt)is appllcatiol) .ts.aceurate and..
... ,...' m ~'thatn aU.work -will, be ..EJ.;lne.ln" eomp"ance"wlth-a1~-applioabla..laws .feQulatiAg.-GOFlst!1:iotiOFl.,...:zor-lir-Jg.:anrlHamj.....--_.
development. Application is hereby made to obtain a permltto do work and installation as indicated. I certify
that -no work- or Installation has commenced prior to Issua.nc8'of a pennit and that all worlcwIlf be perfQrmEtd to
meet standards of all I~ regulating .construction, County and City codes, zoning' regulations, and .Iand
developmf'nt regulations in the JUri,sdlcilon. I also certffy .that I und~tandthat the regulations Of other
govemment agencies may apply to the"lnteilded work, and that it is my resrmnslbJlity to. i!ientlfy what actions I
.. must'take to be In ccimpllancB.. .
, If I ,am the AG~NT f0~ T:HE OWNER; I promise.ln g~:)Od faith to Infonn the owner of the pemilttfng conditions set forth ,in
thiS affldavit prior .~p, comr:l1l~ncing construction., , understand that a separate pennit may be required for: eleetricar work,
plumbing; signs; wells, :pools, air Conditioning, gas, or other installations not ~pecificaILy. included in the applicatlor:1. A
p.e.r.mit;iaeq~d.sti~ll:b.ecp"sJrued to be a 'license to. proceed with 'the work and not as aUthority to violate, oancei, alter; or.
seLI;isl<'4e' any ~p..rOvi~iQn13 of tml technical codes, nor shall issuance of a permit prev!3nt the. BuDding OffIcial .from tj1ereafter ..
. .requirhi!g,a.correct!on of errors II') pl~nsf constnictlon or viqlations of any codes. Every permit Issued shall become Invalid
.', .iinJ~~~~~.~gt~'_~utDp'rlzad:.bY such .permit is" commenced W1thin six month~ oy permit i~~uance, or If~ork authorized by
. ,tl1e';~~o:IS $u~Pf'ndf'ld or abandoned for a period of six (El) months after tAB time the work Is commenced. ,An exteflslon
. ' 'n:"ay:;be ~l:;lested, ~n ,writing, from the Building Officlal.for a period not to exceed ninety (90) -days and.will demonstrate'
. . jiistJfi~le caLIS';. for the extension. If work ceaseS for ninety (90) consecutive days, the Job Is conslder8d abandoned.
...... .,,-. . ~ .. .
W~RNING TO OWNER: YOURFAlLURS.TO.JtECORO A NonCE.OF COMMENCEMENT. MAY RESULT. IN YOUR
!:f'.!~N~ TYV"!CE fOR JM.PRA. OVE?NiENT!.!RYO~~ r.!!q~~r(l Jr. y. l.uN.ToJ~t~Jgl:B;9IJ~~E~!~~CJNG~ CONSU~ T
_. Y~NiJ - R . R". ,.A I NC",.lmi ~l. ..' if:ffcj . ICe v ,-,0 M CEMENT . .
1i;.:::;"1: -. .~.., -. : iitoorH..~. ,., , r
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.OWNEROR AG~T ' .
. Subsprib$d and sworn .to {or la1llnned) belora me this
,..~ .
Who is/Eire per,oonally known to me (lr ha5/have produaed
as ldenlilicatkm.
. .jwtary Public
,..... U' .. ..... ...._......."..--.~.
Notary Public
Commission No.
.Cornmhlslon No.
Name of Notary typed. printed or stamped
Check'Date: 11128/2007
Invoice Number
Gross Amount
Check No: 1228092
I Discount Available _I
Paid Amount
BEK,<\ NOES
~ Invoice Date
Voucher ID -t
11/27/2007
4442262
50_00
0.00
50.00
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Vendor Nwnber Vendor Name
171827 CITY OF ZEPHYRHILLS
Check Number Date Total Amount Discounts Taken Total Paid Amount
1228092 11/28/2007 50_00 0.00 ************50,00*
NOV/Cl/2007/THU 09:47 AM ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
p, 001
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: TO: Becka . FROM: Bobbie5uJ~ :
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:FAX#: 615-484-4267PAX#: 813~780-0021 .:
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: DATE: 11/1/07 # OF PAGES: 3 incI f.e. :
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: MESSAGE: Our inailing address is: City Building Department, 5335 - 8th St., Zephyrhills~ :
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: FL 33542. Check would be J?ayable to: City of Zephyrhills for $50.00.. We'll work with :
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: each other and please don'1 hesitate to call if you have any further questions -:- as I :
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: mentioned - we're learning these NEW Fire pernrits as well!! Hope you have a great day in :
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: everyway! I . :
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\11 @2-7
Citr :of,Zep~yrhins:
Phone: (813)~780-0020
FAX: (813)-780-0021
Building Dept.