HomeMy WebLinkAbout09-9442 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780 -0020 442
LP /NATURAL GAS - ANNUAL SALE PERMIT
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Permit Number: 9442 Address: 38509 CR 54 EAST
Permit Type: LP /NATURAL GAS -ANL SALE PERMIT ZEPHYRHILLS, FL.
Class of Work: FIRE -LP /NATURAL GAS Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02- 26 -21- 0010 - 06 -0000
Improv. Cost: Name: ASHVINI INC
Date Issued: 8/18/2009
Total Fees: 50.00 Address: 1537 SHADY OAK DR
Amount Paid: 50.00 KISSIMMEE FL 34744
Date Paid: 8/18/2009 Phone: (407)702 -3760
Work Desc: NATURAL GAS ANNUAL SALE- RIGHTWAY FOODS- 12 CYLINDERS SMALL
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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."
POr/Pw'
• T 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 : ' / `litZ Fax -813- 780 -0021
Permit Application
Date Received j Phone Contact for Permit I SI 3
Owner's Name 3 h• Ci-C•11‘ R L �T4' / 11poy cock Owner's Phone Number S g3 17 g3 1 610_ j
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Owner's Address S -- c R 5it aaPhiyh; PPS F 2 335112- Q
Fee Simple Titleholder Name Titleholder Phone Number 51 7 S3 C1
Fee Simple Titleholder Address
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Job Address 3e50g C'R 5 LI 2t_phy'r X 115 FL, .33 5 it Z-. Lot#
Sub Division Parcel #
.'S aFUNEs.. .z . R ..,+.:: ;: .ZM...ak `i;i...',' g:...d, +:urn'.. :72,4 .. ,._,:..,emu `W d.as .M.,:- ., ..w. ,,:1 .x.,._
I Bio -Hazard Waste Storage - ANNUAL I I Fumigation Tent
El Comm Exhaust Kitchen Hood /Duct I Hazardous Material (Tier II or RQ Facility) ANNUAL
Controlled Bum I] Hood fristallation
I --- i Emergency Generator < 30 kw I LP /Natural Gas - Installation
I Emergency Generator> 30 kw LP /Natural Gas - ANNUAL Sale S•iwtc)11 Alni 12- PC
n Fire Protection Maintenance - ANNUAL Places of Assembly- ANNUAL
(utnyl Semi rA711 other
Sprinkler I I ❑ ❑ ❑ n Recreational Bum
Fire Alarm n ❑ ❑ ❑ I 1 1 1 Sparklers
Hood Cleaning n ❑ ❑ ❑ I I n Sprinkler System Installations
Hood Suppression El ❑ ❑ ❑ 1 1 n Standpipes (Sprinkler Sys)
Fire Alarm Installation In Torch Roofing/Tar Kettle
^I Fire Pumps n Waste Tire Storage ANNUAL
I I Fire Works
n Flammable Application- ANNUAL I ( Valuation of Project
Fuel Tanks
n Other: I
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....Q.. �. �, ° -agaza.�.�� >..�, a . � « Vie ya �. m: . iiimatg ...... ..w .s'. ,:k.._ -:
Contractor ��/� jj��� Company
Signature '- �' �"�A►r Registered Y / N I Fee Current I Y / N
Address 6980 C fL g-t 2ephy y{,i) FL-3354Z- I License #
ELECTRICIAN
Company
Signature Registered Y / N _I Fee Current I Y / N
Address I I License #
PLUMBER Company
Signature Registered Y/ N I Fee Current I Y / N
Address I
I License #
MECHANICAL Company
Signature Registered Y / N I Fee Current I Y / N I
Address I
1 License # I
OTHER Company
Signature Registered Y/ N I Fee Current 1 Y/ N
Address License # I
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)
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