HomeMy WebLinkAbout08-7361
CITY OF .ZEPHYRHILL.:S
5335 - 8TH STREET
(813)780-0020
LP /NATURAL GAS :PERMIT
7361
Permit Number: 7361
Permit Type: LP/NATURAL GAS
Class of Work: GAS CHANGEOUT
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost: 400.00
Date Issued: 1/07/2008
Total Fees: 52.50
Amount Paid: 52.50
Date Paid: 1/07/2008
Work Desc: RELOIINSTALLATION OF 200 LB TANK
Address:5244 RUNSWICK ST
ZEPHYRHILLS, FL
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0010-09300-0000
Name: McCARTHY, WALLY
Address: 5244 BRUNSWICK ST
ZEPHYRHILLS, FL. 33542
Phone:
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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."
Q~o~QQ
C T TOR SIGNATURE I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
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Date Received:
Site:
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Permit Type:
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Approved wino comments:~ Approved withe below comments: 0 Denied withe below comments: 0
Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Name
I
City of Zephyrhills Fire
Permit IApplication
I
: Phone Contact for Permit
Fax-813c780-0021
Owner's Phone Number
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II
II
I Titleholder Phone Number
Fee Simple Titleholder Address
Job Address
Sub Division
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Parcel #
I Lot#
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Contractor
Signature
Address
ELECTRICIAN
Signature
Address I
PLUMBER
Signature
Address I
MECHANICALI
Signature .
Address I
OTHER
Signature
Address
D Fumigation Tent
D Hazardous Material (Tier II or RQ Facility) ANNUAL
D Hood Installation
~/Natural Gas-Installation
D LP/Natural Gas-ANNUAL Sale
I D Places of Assembly-ANNUAL
D Recreational Bum
D Sparklers
D Sprinkler System Installations
D Standpipes (Sprinkler Sys)
D Torch Roofing
D Waste Tire Storage ANNUAL
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen Hood/Duct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
Sprinkler D
Fire Alarm D
Hood Clean/Suppression D
Fire Alarm Installation
Fire Pumps
Fire Works
Flammable Application- ANNUAL
Fuel Tanks
Valuation of Project
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Other:
Company
Registered
License #
Company
Registered
I I License #
I I Company
Registered
't I
License #
I Company
Registered
I License #
I Company
Registered
License #
(~I~S p(~
I N Fee Current N
Y/N
Y/N
Fee Current
Y / N I Fee Current
Y/N
Y/N I .FeeC~rrent
Y:/N
Y/N
Fee Current
Y/N
Directions:
I
Fill out application completely. I
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechani~1 work over $5000)
Supply two (2) sets of drawings with applicable documentation I
Allow 10-14 days for review after submittal date.
I
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
applicable deed restrictions. I . ,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be Iic,nsed 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 unc~rtain 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 ori contractors, he is advised to have the contractor(s) sign
portions of ,the "contractor Block" of this application for whichl they will be responsible. If you, as the owner sign as the
contractor, .that may be an indication that he is not properly libensed and is not entitled to permitting privileges in Pasco
County. :
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statute!l' as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a cdpy 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 ~he above described document and promise in good faith to
deliver it to the "owner" prior to commencement. 1
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certi~ that all the information in this application is accurate and
that all work will be done in compliance with al! 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 tb issuance of a permit and that all work will be performed to
meet standards of all laws regulating constructipn, County and City codes, zoning regulations, and land
development regulations in the jurisdiction. I also certify that I understand that the regulations of other
I 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. I
If I am the AGENT FOR THE OWNER, I promise in good fait~ 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 vJith the work and not as authority to violate, cancel, alter, or
set aside ary provisions of the technical codes, nor shall issu~nce of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violati~ns 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 AINOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERiTY. .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) . II 0 1J !
OWNER OR AGENT C-J'~"" CONTRACTOR Qh 0 Q SL.-9
Subscribed,{ind s~11ft to (or affirmed)J;1efore m~ tbis :::JAY--- SubsC\;bed and sworn toJ~rtflffirmed) before:..me this~~
d-,~~ by~~o.... ~ ~cicvg- by ['L........<{l....:a.. ~..
~o is/are personally known to me or has/have produced wtW is/are personally ~nQ.v.p;1 to m~ or has/have produced
f2:1QD\ 0' 105 '(-'-/U as identification. ~D" 01 /~ <.....> as identification.
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oml'ss'on o. _ .
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Namelof Notary typed, printed' ,.
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Notary Public
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Notary Public
Commission No. L Miller
&.~~~ Karen. .
- .~
Name of No - 1W&~ 29, 20
...... TIIIV '11II' _,.'"" "-7019
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12/30/2007 13:15
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8137596027
AMERIGAS
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Pasco County Parcel: 10-26-21-0010-09300-0000001
Page 1 of 1
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Other Parcel Cards: 1 I 2. I .3.
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of:
Parcel ID
Classification
Weekly Archive - Saturday, December 29, 2007
10-26-21-0010-09300-0000 (Card: 001 of 003)
28 - Rental MH/RV Park
Mailing Address
GROH MARIA GABRIELA
PO BOX 1931
ZEPHYRHILLS, .~335391931
Physical Address - See A~42 addresses (First Shown)
5232 BRUNSWICK ST
ZEPHYRHILLS, FL 33542-3340
Legal Description (First 4 Lines)
ZEPHYRHILLS COLONY COMPANY
LANDS PB 1 PG 55 SOUTH 1/2
TRACTS 93 & 94 LESS RD
OR 3805 PG 695
Assessment (totals)
Ag Land
Land
Building
Extra Features
$0
$607,803
$0
$0
Total Assessment
Save Our Homes
$607,803
$0
Taxable Value
$607,803
Line U
1 0210
tion
Year
No Extra Features
Value
Line
Sales History
Previous Owner
Year
1997
1988
1987
Month
09
07
07
GOODMAN AUGUSTE A
Book/Page II Type II
3805 / 0695 I
1726 / 1865
1624 / 1723 WD
Amount
$0
$0
$0
Search Again Show Map Building Schematic Unavailable Estimate Taxes Frequently Asked Questions
Other Parcel Cards: 1 I 2. I .3.
Other Agency Data: Tax Collector School Board Supervisor of Elections
http://appraiser.pascogov.comlsearchlparcel.aspx?sec=1 0&twn=26&mg=21 &sbb=OO 1 O&bl... 1/2/2008