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HomeMy WebLinkAbout08-8403 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8403 LP/NATURAL GAS-ANNUAL SALE PERMIT Permit Number: 8403 Address: 7431 GALL BLVD Permit Type: LP/NATURAL GAS-ANL SALE PER i1IT 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: Improv. Cost: Date Issued: 10/07/2008 Name: TRACTOR SUPPLY COMPANY Total Fees: 50.00 Address: 7431 GALL BLVD Amount Paid: 50.00 ZEPHYRHILLS, FL. 33541 Date Paid: 10/07/2008 Phone: Work Desc: PROPANE-24 -20LB TANK-WELD-4 TYPES-28-SHEILD-4 TYPES-27-OXYEN-5 TYPES 40 GAS FEE 50.00 w C�! FIRE SITE INSPECTION-Final 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." a., IT OFFICER PERMIT EXPIRES IN ONE(1)YEAR FROM DATE OF ISSUANCE CALL FOR INSPECTION -8 HOUR NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT-Fire Marshal Office-813-780-0041 SEP/24/2007/MON 03: 57 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 001 l � Fax-813-780-0021 ' si3 Tat}9a2o City ofzephyttinls fir Permit Application - = Date Recslved I"llorle Contact for Pemtit by , owner's Name [ v& + r Supp tO.A'/ Owners Phone Number 1j .7 r i1 I 4I Owner's Address 20O Powe i t /q� IPIan CP (J 1 102 // Fee Simple Titleholder Name G• W Titleholder Phone Number 01-J Fee Simple Titleholder Address Job Address !� ' ' Lot# L Sub Division Parcel# Bio-Hazard Waste Storage-ANNUAL Fumigation Tent i1 Comm Exhaust Kitchen lioori/Dut t = Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled bum Hood Installation C` r P h } Emergency Generator-4 30 kw LP/Netural Gee-installation ` tl "ly - -J • Emergency Generator 30 kw LPINatural Gas-ANNUAL Bale Fire Protection Maintenance-ANNUAL [ J Places of Assembly-ANNUAL �4(. b if ® emr ® r . \Sprinkler ❑. ❑ p Recreational um , Fire Alarm :❑ ❑ O T El Spenders V 39 • Hoodr,Cleaning ❑ O I I SprinklerSystem installations 1 (1,U Hood Suppression . .� ❑ ❑. Standpipes(Sprinkler Sys) U Fire Alarm Installation Torch Rooflng!Tar Kettle j` Fire Pumps . Waste Tire Storage ANNUAL 1• Fire Works Flammable Application-ANNUAL Valuation of Project Fuel Tanks • Q Other Contractor Company Signature Registered I Y/jJ Fee Current Y/N Address I License# ELECTRICIAN - Company Signature Registered Y L 1 Li1 Fee Current Yi-!LJ Address • License# • PLUMSI=R Company. V • Signature Registered Y/N Fee Current Y I N Address • License# •MECHANICAL . Company Signature Registered YIN Fee Currant Y'/N Address 'License# • • fOTHER, Company • nature tin • • Registered Y/N Fee Currant.' Y/N • • Address ng license# Directions: • Fill out application completely. { Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) if over 52500,a Notice of Commencement Is required.(Mechanlcal 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(ht1p//eppralser.pascogov,com) • -• SEP/24/2007/MON 03: 58 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 002 'NOTICE OF'DEEDRESTRICrIONS. The undersigned understands'.that-thls permit maybe•subjectito-"dedd°:restrictions"" which may be more restrictive than,county regulations. The-undersigned assumes assumes responsibility for'camp iiarcetwith any: applicable deed restrictions. •UNLICENSED CONTRACTORS,.AND"CONTRACTOR'RESP.DNSIIBILITIES: 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 5ection.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 County. CONSTRUCTION-LIEN-LAW(Chapter 713, Statutes,-as-amended): if valuation of work is$2;500.00 or more, I certify that 1, 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 goodiaith 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 FORTHE 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 MAYRESULT 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.1t7.03) OWNER OR AGENT CON7RAGTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this b by Who is/ere personally known to me or has/have produced Who istare personally known to me or has/have produced as identification. as identification.. Notary Public Notary Public Comrnlsslon.No, Cofnmission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Check Date: 09/30/2008 Check No: 1339136 Invoice Number Invoice Date Voucher ID Gross Amount Discount Available Paid Amount DH.0926.03 09/22/2008 4602675 50.00 0.00 50.00 Vendor Number Vendor Name 171827 CITY OF ZEPHYRHILLS Check Number Date Total Amount Discounts Taken Total Paid Amount 1339136 09/30/2008 50.00 0.00 ************50.00*