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*