HomeMy WebLinkAbout15-16494 � CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 16494
LP/NATURAL GAS PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16494 Address: 5048 GALL BLVD
Permit Type: LP/NATURAL GAS 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: 11-26-21-0000-01400-0000
Improv. Cost: 1,338.00 OWNER INFORMATION
Date Issued: 8/06/2015 Name: SHREENA SIYA LLC
Total Fees: 125.00 Address: 10243 COUNTY LINE RD
Amount Paid: 125.00 SPRING HILL FL 34608-7029
Date Paid: 8/06/2015 Phone:
Work Desc: INSTALL SET OF (2) 420 STD LP GAS TANKS A TASTE OF MY ISLAND
CONTRACTOR S APPLICATION FEES
BAHR'S PROPANE GAS& C,INC. GAS FEE 50.00 FIRE INSPECTION FEES 25.00
FIRE PLAN REVIEW FEES 50.00
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Ins ections Re uired
FIRE SITE INSPECTION-Final
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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 suc as inspections, plan review,adeninistrative fees,and other
� costs relate to the aforementioned.
Complete Plans, Specifications and Fee Must Accompar�y 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 da� of operation or a minimum of$100.00, whichever is greater. All
work shall be perFormed in a�cordance with City Codes and Ordinances.
"WARNING TO OWNER: YOU�R FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RE�ULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR P�OPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN A7TORNEY BEFORE
RE ORDING YOUR N;OTICE OF COMME ENT."
CONT OR SIGNATURE PERMIT OFFIC
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
' CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
City of Zephyrhills
BUILDING PLAN REVIEW COlVIIvIENTS �
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Contractor/Homeowner: � v' S f U � -i,�S�G � lc
Date Received: g � — ��
site: SU`� �3 (`�-y9- I� ►�C ��J
Permit Type: � �Gt S `�l��S
Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans. ,
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11 Burgess ilding Official Date Contractor and/or Homeowner
(Required when comments are present)
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��PHYRH�LL� ��F�E DEPA�`f�EI�T
69Q7 Dairy Roa ,Zephyrhills, FL 33542
FIRE SER ICE USER FEE�
Occupancy No.:
Plan No.: Contractor:_ � �
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Business Name: �. �`� I Billing Address:
Business Address: �� c�
Business Phone No.: I Billing Phone No.:
Business Fax No.: � Billing Fax No.:
Cantact: Contact:
PLAN REYlEW FEES lNSPECTtON FE�5 PERMIT FEE FALSE ALARM PEE
� �ite Plan N/C Annual N/� Sprinkler $50 1stAfarm N!C
ulti-Family/Commercial .06 sf " 1st R�inspection N! Standpipes $50 2nd Alarm N!C
(Minimum Charge$25.00 2nd Re-inspection $10 Flre Pump $50 3rd Alarm N!C
�Plan Revisions DBL 3rd Re-inspection $25 Hoods $50 4th Alarm $100
4th Re-Inspection $50 Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business ciosed until Gas $50 6th Alarm $200
8 0-25 Heads $50 violations corrected} � Natural Gas $50 NON COMPLIANCE $150
26 plus Neads $100 SPRtNKIER SYSTENlS Fuei Tanks- per tank $50
STANDPEPE SYSTEM Nydro Undergrounds $45 Sparklers $100
�Per Riser $54 liydrostatic Tesi $65 per system Fire Works $Sp0
FIRE PUIWP Acceptance Test $45 persystem C2titp Fire $25
�Per Pump $100 Hydrant Flow $75 Conlrolled Bum $10Q
FIRE ALARAA SYSTEAA Hood/Duck $50
8 0-25 Devices $50 FIRE ALARNE SYSTEM Piace af Assembiy $50 Mnual
26 ptus Devices $100 System Acceptance $50 Fire Pratecdon $25
SUPPRESStOid SYSTEMS Recall Acceptance $50 Flammabie Application $5p nnnuai
Wet $50 OTHER Waste Tire Storage $50 Mnuai
Dry $50 Fre Wailtsmoke Wail $15 �e�wa» Generator<iCW $100
CQ2 $50 P Gas $25 per�nk Generator>30 KW 'f 50
pther $84 Natural Gas $25 per system B�aHazarc!Waste $10Q a,ns,ai
lCITCHEN EXHAUST Fumigation Ten6ng $54
�Hood/Ducts $50 Tent 10'x10'orgreater $15 pertent Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $700 Mnual
�P Installation pertank $50 Fire 5uppression $30
Fuel Tank Instailatian $50 System Acceptance
� (Per Tank} $5d Eafiaust Hood/Duct $30
❑Naturai�as Instattatian $54 Re-inspection DBL
{Per System) (other than annuai)
❑spray 600th $50 p �nspectaon scneau�ed aB� 8
and cancetled less than
24 hours
ConstrucGan Insp. N/C
Emergency Vehicle A� $50 _d FALSE ALARM
PLANS T�I�� INSPECTION TOTAL�� � PERMIT TOTA1[ TOTAL —
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GRAND TOY `�
Cflmments: �
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Date:
inspector: � _ �
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s�s-zao-aozo City of Zeph�rhills Permit Apptication Fax 813-780-0021
Bu�iding depa�tment
Qa ecelv �
ts R ed ; �� ��-- �� Phone Contact far PermtttEn �1� ��a� . —��f�
Owner's Name °� �-� � L..�` Owner Phoae Number c�/�� ��.� !„P.���
Owner's Address 4� � � iV�� L��� �G !'�n� /l Owner Phone Number ��� �E����
Fee Slmple Titleholder Name ' � Owner Phane Number � �
Fee 8lmple Titleholder Address
JOB ADDRESS ���� /! J� � � /'7 1`L.v' LOT# C� 'I
SUBbIVIS10N �— � PAR�EL ID# /� �� �f �°��� af l_�t'/ � �i
` (OBTAINED FR4M PROPERTY TA7(NOTICE)
WORK PRC?POSED NEW tQNSTR '. ADDI l.T [� SIGN Q C] DEMOLiSH
e INSTALL REPAIR "
PROP4SED USE Q SFR � CQMNI [� OTHER ' -
TYPE OF CONSTRUCTION , Q BLOCK Q FRAfljIE C� STEEL Q -
DESCRIPTION OF WORK ��Z cS ��`�l1 sl 1��! ,G�G".��j-5��3�V2�5 /��/C►�% �'p a`� �Pji9l+�G�4` �Ey2 ¢/�A ' (✓
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BUILDiNG SI2E �_ � SQ FOOTAGE�. HEiGHT �_
����«���'' �"' � VALUATI N QF TOTAL CONSTRUGTION -
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QEI.ECTRICAI � � AMP 5ER CE Q PF2C}GRESS ENERGY Q W.R.E.C.
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PCUMBING � �
OMECHANICAI. � � VAl.UAT! N OF MECHANICAI lNSTAL�ATIOiV
�GAS��,�,, ��} Q- ROOFIPiG Q SPE I1A�TY �� OTHEFt
FINISHED FLQOR ELEVATIONS FLO D�ONE AREA QYES NO
BUII.DER OMPAFIY
SIGNATURE R GISTERED Y/ N FEE CURRE� Y/N
Address � License# � —�
ElECTRiC1AN � C�OMPANY
SIGNATURE R ��sreRe� Y J N FEE CURRE� Y/N
Addrss� I License# � �
P�UMBER COMPANY
SIGNATURE � RECa1STERED Y/ N FEE CURRE� Y/N
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Address I • Lic�nse# �— �
MECHANICA[. COMPANY
SIGNATURE REC,ISTERED Y/ N FEE CURRE� Y/N
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Address � Liaense# ���� �
OTNER � y�¢� � CICINIPANY �/��S'"/!'P �G� �" �/� �E'..
SIGN14TURE /r/Lt.U.prx.2./1:J R GISTERED _ Y/ N _ FEE CURRE� Y/N.
Address '�}'�7�1 �IfBtt� , � RLii/.�5` �.; License# ���1'�J� -�
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RESIDEN'i7A1: At#ach(2)Ptot�Plans,.{2}sets of:Buitding Plans;{1}set of=Energy Farms;R-Q-W Pemtlt far new constructian,
,. Minimum;ten.(10).working days after submittal date. .Required onsite,ConstrucHon Plans;Stormwater Plans w/Silt Fence Installed,
Sanftery FaciliUes.&1..dumpster�Sfte Woi1c•Permit for subdiVisionsAarge projects
COMMERCIAL Attach{3}c�mptete sets of Butiilirig Plans plus a E.Ife afety Page;(1}set of Energy Fonns.R-O W Pennit far new canstruction.
Minimum ten(10)working days after submittal date. Ftequired onslte,Construcdon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facliides&1 dumpstsr.Site Wotk Pamtft for�all new projects.All commercial requlrements must mee!compllance
S1�N PERMlT Attacti{2}sets of Engineer,ed Plans.; � �
""«"PROPERn SURVEY required for all NEW const�ucGon.
Direc#ion�: ` _ �
Fill out applicatlon completely.
Qwner&Gontr<�ctar slgn back of applicatlon,natatized
tf over 52500,a Notice af Commencernent is requlred: (AIC up rades over 5750Q), -
" Agent(for the contractor�or Power of Attomey(for tF'ie awner)would be someone with notarized letter from owner autharizing same
OVER THE COUNTER PERMi1TiFIG {Fronf af Application Only}
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage)
Driveways-Not over Counter if on pubiic roadways..needs ROW
9d0'i'10E OF DEED RE3'�'RICTIONS: The undersigned understands that#hfs.p�rmlt.may be,subject to"deed"restrictions"
whlch may be�mor�-rest�ictive-than Gounty regulations. 'The undersigned assurvies responsibility for compOlance vdith any
applicable deed restrictions.
lJ(VLICElVSED CONTRACTOItS AND C9NTRACTOR RES�OPISIBILITIES: if the owner has hired a contractor or
contractors 4o undertake vvork, they may be required_to be-llcensed in accordance.with state.�nd•local regulatfons. If the
contractor is not Ilcensed as required�by law►, both the owner and con4ractor�may be cited for a misdemeanor vlolatlon
under state law. If the own�r or tntended contractor are unc�rtaln �s to vvh�t Iicensing.requ9rements may �pply•for the
intended work, they are advised to contac@ Yhe Pasco County Bullding Inspect0on Divisfon—Licensing Section at 727-847-
8009. Furthermore, if the owner h�s hired a cont�actor or contractors, he is advised to have the contPactor�s) sign
portions of the "contractor Block" of this application for vbhlch they will be responsibl�. If you, as.fhe owner sign as the
contractor, fhat rnay be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
7'�tAIdSPORTATIOIV IINPACT/UTILITOES IMPAC'P AN�RESOURCE REC01/EYtY FEES; The undersigned understands
that Transportation Impact Fees and.Recourse Recovery Fees may�apply to the constn�ction of new bulldings, change of
� use in existing buildings, or expansion.of ezistirig`•buildings, as speclfled in Pasco County Ordi�ance nurti��r_69-07 and
90-07, as ��ended. The undersigned aiso-undersfands, that such fees,as,may�be�.due,.wlll,tie tdentified at the time of
per�itting. It 9s furthe� understood that Transportatlon 9r�pact Fees and Resource Recovery Fees must be paid prior to
receiving a "cerfificate of occupancy" oP flnal.power release. :If th� project doe� not Envolve � certificate of occupancy or
final power release, the fees rr9ust b� paid prior to perrrift issuance. Furtherrr�ore;�If Pasco County Water/Sewer Impact
fees are due, they.must be-pald prior�o permit-issuance�in accordance vuith applicable Pasco�County ordinances.
COOV�TRUCTIAN LIEN 4AW(ChapteP 713� �lorlda St�tut�s�as arreended): I�valuation of�vork is$2,500.00 or more, I
certify that E, the applicant, h�ve-been provided with a copy �f the "F9orida Constructton Lien Law—Homeowner's
Protection Guide" prepared by the Fsorida Departmenf of Agric.ulture and Con�urraerAffairs. If the appl(can$ is someone
other than th�"owner", I certify that I have.obtained a copy of the above..�escribed docurr�ent and promise in,good falth to
deliver it to the°owner"prior to:comm�ncement.
CONTFtAC`POR'S/OWNER'S AFFIDt�►VET: I certify that all the inf.ormation in�this application is accurate and that all work
will�be doe►e in compliance with all applicabl� laws regulating construction, zoning and land development. Application is
hereby made to obtain .a permit Co do work and installation as Indl�afed: _°I ce�4ify that no work or Installation has
commenced prior to Issuance of a permit and that.all �rork will be pertormed to meet standaeds of ail laws regulating
construction, County and City codes, zoning r�gulatians, and land development regulations-in th� jurisdiction. I also
certify that I uaderst�nd that th� regulations og othe�government agencies m�y�apply�to the intended work, and that it is
my responsibili�y to identify.what.actions I must take to be�in:.compYlance. Such agencies.include but are.not Iimited to:
- Departmenf of Environm�ntal Protec4ion-Cypress. Bayheads, WetEand Areas and Envlronmentally Sensittve
Lands, WaterNVastevvater Treatment.
- Southwrest Florida iNat�r Managemec�Q. District-We91s, Cypress. Bayheads, Wetland Areas, Altering
- Watercourses.
- Army Corps of Engtneers-Seawalls, Docks, Navigabie Waterways.
- Department of Health � Rehabilitative Services/EnvBronmenfal Health Unit-Wells, Wastewater Treatment,
Septic Tanks. _
- US Environmental Protecgio�ro Agency-Asbestos abatement.
- Federal Aviatton Authority-Runways.
I understand that the following restrictions apply to th�us�of flll:�
- Use of fill Is not allowed in Flood Zone"V"unless expressly permltted.
- If the fill mat�rial is to be used in. Flood Zone "A", It. is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of p�rmifting which is prepared by a professional engineer
Ifcensed by the State of Florida.
- If the fill materlal is 4o be u�ed in Flood Zone tlA° In:connection�with.a permitted building using stem wall
c�nstruction, I certify that fi6l�:wlll:b.e used oniy.to..fill 4h�area wlthin the stem�wrall.
- If fill malerial Is to be used In any area, I certify that use. of such'flll wiil not adversely affect adjacent
propertfes. if us� of fill is found to adversely.affect adjacent�=propertie�,.the owner may be ctted for violating
- the condifion� of the building.permit issued und�r the a�tacfied permit application, for lots less than one (1)
acre wrhich are elevated by flil, an engtne�red drainag�plan is required.
' If I am the AGEtd�'FOR THE OWNER, I,:promise In good faith to inform the ovdner of the permitting conditfons set forth in
this a�davit prior to commencing construction. I understand that a-separate permit may be requtred for electrical work,
plumbi�g, signs, wells, pools; afr conditioning, .gas, or other installatlons not speciflcally included-in the application. .A
permf6 Issued shall b� constn,�ed to be a'Hcense to proceed with the work and not as.authority to,violate,cancel, alte�, or
set aside any provisions of the technica9.codes; nor shall Issuance�of a.permit.prevent the Bulidf►ig Officialfrom 4hereafteP
requfring a coPrection af errors in plan�, construction or violations of any codes. Every p�ermit issued shall become invalid
unless the work authorized by such p�rmit Es.comrrrenced with(n six months of permit issuance, or if work authorized by
the permit is suspended or.abandoned for a.period ofsix{6) montfis.after Qh�time the work ts commenced. An extensfon
may be requested, in writing, f�om the Building.Official for � perlod not to exceed ninety(90) days and will demonstraQe
justifiable ca�se for the extension�. If work ceases for ninety(90)consecutive days,..the)ob is conside�ed abandoned.
lAIARNING YO OVYNER: YOUR FAILURE�TO,REC:ORD A,NOTBGE OF�COMIIflENCEMEWT MAY-R@SULT IN YOUR
PAYIIVG TWICE FOR tAAPROVEIQAEN`�S TO YOUR::PfIt�PERTY. BF YO.U�IMTEND`-TO�OBTA9N�Flnt/ANCING; CORISULT
1FYITH YOUR ENDE :O AM ATTORNEY� FORE�R COR�'D �;:� OUR� O � C �O ° -' E CE NT'
FLORIDA JURAT(F.S.1 . ) � _ � '1 ��/ �����
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OWN(E8t OR A(iENT i C�NTFtAC'TO J�/
Subscribed and swom to(�afflrmed)betore me this Subscrlbed and'swro to(or afflrmedpbefore me t�is
by .by .. �
Who Islare personally known to.me or has/Fiave produced Who Is/are p.ersonally known to me or ha�ave�produced
as Identlflcatlon, as idendflpdon. j
Notary Publlc Notary Public
Commisslon No. Commission Plo.
Name of Nolary lyped,printed or siamped fVame of Notary 4yped,pdnted or stamped
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` Ph:813-782�5t?X3 F�xs 813-783-]37� j
i ; , E-mail: bahrs.�cna tampaUay.rr.com �
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'Pro asal Submi�ted To: Date:7/��J15 �
� ;E-mail: tiab 72'a @ ahoo.com � Phane: 813-263-6375 F�: i
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; :Name: 3a Muniz � Gontractar: ;
�� i ;St�eet: 5�48 Gall Blvd � Street; • i
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� `State & 7i State&Zi ;
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':We hereby'submii specificatians and estiinakes far: SETTING TANKS ;
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' � �• Aiping ........................................... .................................... 280A0 i
� ; �• {3)Shut a€f's,{2}comnlei�cial appi con�te `ns,t�ise fittings................ 375.0t} '
, • (4j crash posts................................. ... .t.............................. 65.Qp • �
; � ;• [nt.regulatar.................................. ..,...,............................ 65.00 i
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` � ......., 175.4Q �
• Pennit......................................................................... �
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• Propatte @ I.65ga1 x I96gat................ ................................... �23.40 �
f ' • Tax............................................. .................................. 54.95
j � TOTAL $1338.35 ;
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; All matcrial is guaranteed to be as specified. All wark io be coznpleted in a workman like manner accordin�; tc�
; sta�tdard pract'rces. Any altercation or deviation frt�n� above specific��tions involving extra costs, wzli be executed
' �anly upon vvrikten arders, and will becozne an exta��,ch�Yrge over �nd above the cstimate. All a�reements contingent
� upon strikes,accidents vr delays beyond aur contro�.The graposal subject ta acceptance witlain ciays�incf is
i ;voici theceafter at�he o�stion of ihe undersigned. ;
' ' � . QANIEL KRC7USE ;
� � Authoricecl Signature �� !
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f �The abave prices,S(JCG2�1L'3t10J1S c�Tlt�CCTAC�1110RS r�fL er�by accegted.You are authorized to do the work as specified'
; :Plyments v�!ill be maJc as auttined a6ov�. �
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` ACCEPTED: Signature '
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, :Date: �=�!-" 1� Si�,mature i
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