HomeMy WebLinkAbout09-9578 1
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 9578
LP /NATURAL GAS - ANNUAL SALE PERMIT
. -
ft ' x
Permit Number: 9578 Address: 7431 GALL BLVD
Permit Type: LP /NATURAL GAS -ANL SALE PERMIT 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:
�- LY a Z
Im p rov. Cost: � �. y � �� � .,� ��, .��:�•�, °,��_
Date Issued: 9/28/2009 Name: TRACTOR SUPP COMPANY
Total Fees: 50.00 Address: 7431 GALL BLVD
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33541
Date Paid: 9/28/2009 Phone:
Work Desc: FPM - ANNUAL SALE PERMIT- LP GAS FOR TRACTOR SUPPLY 24 -20LB CYLINDERS
•,. .4b 1 : "E? 'i �E • P ., EEF � ,. �` x a 'u ..,
• WN = AS F 50.00
6 (I?
filo
IRE ITE INSPE TI•N -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."
d 1r
4 1 2
`. `,i 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
813 -780 -0020 / � / City of Zephyrhills Fire Fax -813- 780 -0021
/ Permit Application
Date Received ( Phone Contact for Permit
Owners Name r i ra C SUL p pl y l f i n" p4 ( Owner's Phone Number I ( V 7 1 1 990 1 1 y b00
Owner's Address 1 0 PQk /-QLI. P 1 c C-e., t (-e/ I-kA) Doc) , 3M)-
)--)
Fee Simple Titleholder Name 70rv-1a `i.onn ( nQ)Gr .r` 1 Titleholder Phone Number I (n I J - t 4-14.10 .777
7
Fee Simple Titleholder Address 156,' -e as RI- t y € I
------ ,r� ` ` s`'s,..ki
Job Address (� I� � l`l0 7 .e ph1 r hols 1 FL• -- 53 s -4-1 /
Lot
Sub Division 1 Parcel #
n Bio -Hazard Waste Storage - ANNUAL = Hazardous Material (Tier II or RQ Facility) ANNUAL
Comm Exhaust Kitchen Hood /Duct = Hood Installation
Controlled Bum n LP /Natural Gas - Installation p4 4'
Emergency Generator < 30 kw MI LP /Natural Gas - ANNUAL Sale 40 /` ` g d q, c / ai
n Emergency Generator > 30 kw n Places of Assembly- ANNUAL 7 l ` w
Fire Protection Maintenance - ANNUAL i Recreational Burn �/J1 �F ^ N //� I
rafl Ty y I Semi l (� Other /
Sprinkler ❑ ❑ ❑ n Sparklers eg - •
Fire Alarm n ❑ ❑ ❑ I I 1= Sprinkler System Installations
Hood Cleaning D ❑ ❑ ❑ I 1 J Standpipes (Sprinkler Sys) ,Y,,,
Hood Suppression In ❑ ❑ ❑ I 1 n Torch Roofing/Tar Kettle 9
5 ��
n Fire Alarm Installation = Waste Tire Storage ANNU —" �
Fire Pumps
El Fire Works
E l Flammable Application- ANNUAL I ( Valuation of Project
n Fuel Tanks
0 Other: I I
;?t's.;CB} ;& b',;4iv P- ,+ .•>s;;.:y?t- ..,.ew...PY s's: :.;rssl�f.�kh&A.S.�A'',x >w Y>.*R 0::: 9'.'+„s s t <v::'A, r w Hsu , y:.,..w ,`,.53ro.� ` <ss; > s'rs y.. s.'.�t. c ,s +t •',+F tx, .. #
Contractor Company
Signature Registered Y/ N 1 Fee Current I Y/ N I
Address I I License # I I
ELECTRICIAN Company
Signature Registered Y/ N I Fee Current I Y/ N
Address I I License # ( I
PLUMBER Company I
Signature Registered Y/ N ] Fee Current 1 Y/ N I
Address I I License # I I
MECHANICAL Company
Signature Registered Y/ N 3 Fee Current 1 Y/ N
Address I 1 License # I I
[ OTHER Company I
Signature Registered Y / N 1 Fee Current I Y/ N
Address License #
F ¢
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)