HomeMy WebLinkAbout15-16379 „ CITY OF ZEPHYRHILLS
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` 5335-8TH STREEi'
(sis)�so-oo20 163,79
LP/NATURAL GAS PERMIT �'�
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16379 Address: 38145 15TH AVE
Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL.
Class of Work: GAS TANK REMOVAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-00800-0070
Improv. Cost: 250.00 OWNER INFORMATION
Date Issued: 6/23/2015 Name: MEALS ON WHEELS
Total Fees: 75.00 Address: 38145 15TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/23/2015 Phone: (813)782-7859
Work Desc: INSTALL LP GAS TANK FOR NEW SUPPLIER 120 AG
CONTRACTOR S APPLICATION FEES
BAHR' PROPANE GAS& ,INC. GAS FEE 50.00 FIRE INSPECTION FEES 25.00
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Ins ections Re ired
FIRE SITE INSPECTION-Fina
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 COMME ENT ”
.
C RACTO SI NATURE PERMIT OFFIC ,
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION I
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
o,�-,oww�� c;iry ot�ephyrhiits Permit Appiication Fax-813-780-0021
Building Department
M fe Received Phone Contact for Permittfn D�� 8� — �b�-� '`'� 'r�3
mer's Name —.��}5L`l3 �✓ p� ��%'� Owner Phone Num6er ���— !����.�f7
rner's Address .T� S �11�— ����'L'S Ov�►ner Phane Number
a Slmple Titleholder Name �—� � � Owner Phone Number i �
e Simple Titleholder Address
�
B ADDRESS �.81�-�" e- ��l�.1„S ,-�. . ���� �.or#
BDIViS10N �� ^� ���E��� ��' �� �.� aafd �r��aa �a��
(OBTAINED FROM PROPERTY T/AX Nb710E}
)RK PRQPOSED e NEW CON57R� ADblAI.T � SlGN Q Q DEMOLlSH
INSTAI.L REPAIR
.QPOSED USE Q SFR Q COMM [� OTHER
PE OF CONBTRUCTION Q BLOCK Q FRAME � STEEL Q
8CR1PTiON OF WORK �h�RnJfr� � ltef-- ��'� %�G?�. GP,(� 'T�f� c►N,�
91.QlNG SIZE ��� 5Q�OOTAGE�� HEIGHT [��
QBUILDING �6 � VAIUATiON OF TOTAI.CQNSTRUC710N
QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING �� �
OMECNANICAL $ VALUATION OF MECHANICAL INSTALLATION �'� US'' `
QGAS���D, Du [� ROOFiNG [� SPECiALTY C� OTHER
IISNED FLOOR ELEVA710NS �� FLOOD ZONE AREA QYES NO
ILDER COMPANY
iNATURE REGISTEREb Y/ N FEE CURRE� Y/N
Address Llcense# �i �
cCTRICIAN C4MPANY
iNATURE REGISTEREp Y/ N FEE CURRE� Y/N
Address �icense# �� ��
JMBER � � CdMPANY
�NATIIRE REGI57ERED Y I N FEE GURRE� Y/N
Address License# �� �
CHANIGAL CQMPANY
NATURE REGiSTERED Y J RI FEE GURRE� Y J N
Address License#
�ER �filY�,��LQ-!�''��,.+ COMPANY �Jg17�'I�.fS R-y�rG. L'.+�'7g�J' '�f�'fC� ��~�'
NATURE � RECsiSTERED Y 1 N FEE CURRER Y/N
L
Address License# ��L'��� �
iIDENTlAI Attach{2)Plat Pians;(2)sets of Buitding Plans;{1}set of Energy Forms;R-O-W Permit far new cans#ructlon,
Minimum te�(1Q)working days after submittal date. Requlted onsita,ConstrucUon Plans,Stortnwa#er Ptans w!Silt Fence tnstalied,
Santtary Fac1l�Hes&1 dumpster;Site Work Permit for subdivisionsAange projects
AMERCIAL At#ach{3}complete sets of Buitding Plans ptus a Cife Safety Page;(1}set of Energy Fortns.R-O-W Perm(t for new construc8on.
Minimum ten{1Q)working days aRar submCttal date. F2ec#uited onsfte,ConsVucUan Plans,Stormwatar Pians w/Sift Fence_instaHed, -
- - Sanftary Facil(Ues&1 dumpstec Site Work Permit for all new proJects.All commercial requlrements must meet compliance
N PERMtT Attach(2}sets of Engineered Ptans.
•"`PROPERTY SURVEY requ(rec!for all NEW construc#ion.
atEans: --
Fil!out appltca�Hon compietefy, ;
Owner&Contractor sign back of appltcatlon,notarizer! 4 ��+ .
tf ovar�2508,a Natice of Cammencement ts requlred. (AJC upgrades over�7500) __ --�.�----`�•s-, `< <'�.:y';'',- '"
Agent(€or ttre contractor)or Power of Attomey(for the ownerj woutd be someone with natarized letter from owner authorizing same
iR TNE CQUNTER PERMI'T'CING (Front of ApplicaNan Only) , a.. y. . ,w._..�,..-:.. _. ..-•.,�..,:.-=� .
�ofs If shingles Sewens Senrice Upgrades A/C Pences{PlotlSurveytFootage} ., .,�;,;"r•.i'. �;�='_:' , -�.�,�`,:,,� �
Drivaways-Not over Counter if on pubtic roadways..needs ROW � ' _;r�~�.` ::'Y' '
��,,. ,. ...'_.,.�_,��_.,,.� ,.�.x.,., .�_�,�/.m. .�.�..•.6
NOTICE OF DEED RESTRICTIONS: The undersigned und.er�tands°�.that thBs.p�rmit:may.be,sub)ect to"deed"restrictlons"
which may be.�more rest�tctive�th�n County regulatlons. �The undersigned assumes responsibility for compNance with any
appUcable deed rest�ictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI�S: If the owner has hired a contractor or
contractors to undertake work, they may be requlred�to.be:licensed In accordance.with state.and•local regulations. If the
contractor (s not itcensed.as required-by lawr, both the owner and contractor may be clted for a misdemeanor violatlon
under state law. If the owner or Intended>contractor are uncertaln as to what Iicensing.requirements may apply�or the
intended work, they are advised to contact the.Pasco County Bullding Inspection Divlslon—Licensing Sectton at 727-847-
8009. Furthermore, ff the owner has hired a contractor or contractors, he is advlsed to have the contractor(s) s(gn �
portions of the "contrector Block° of thts applicatton for which they wlll be r�sponsible. If you� as.the owner sign as the
contractor, that may be an indication that he is not.properly licensed and is not entftled to permitting privileges in Pasco
County. •
TRANSPORTATIOPI IMPACTlUTILITIES IINPAC7 AND RESOURCE RECOVERY�FEES: The understgned understands
that Transportation Impact Fee.s and.Recourse Recove.ry-.Fees may apply�t�.the construction of new bulldings. change of
use in existing bulidings, or.expan�io��of existin.g`buildings, as specified 1n Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as;may�be�due,.wlll be identified at the time of
permltting. It is further understood that Transportatfon Impact Fees and R�source Recovery Fees must be paid prlor to
rece�ving a "certi�cate of occupancy" or flnal powec release. :If the project�:�oes not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit Issuance. Fu�thermore, if Pasco County Water/Sewer Impact
fees a�e due, they�must be-pald prlor to permit Issuance-In accordance with applicable Pasco�County ordlnances.
CONS7RUCTION LIEN I.AW(Chapter 713� Flor�da Statutea, as amended): If valuatlon of work is$2,500.00 or more, I
certify that I, �he applicant, have•been provided with a copy of the "Florida Constructton� Llen Law—Homeowner's
Protection Guide° prepared by the Florida Department of Agriculture and ConsumerAffa(rs. If the appltcant Is someone
other than the"owne�", I certify that I have obtained a copy,of.the abavs..described�locurr�ent-and p.r.omise in,good fa(th to
delive�It to the"owrner"prior to�commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify.that all.the Infocmation in this application is accurate and that all work
will'be done in compliance with all applicable laws regulating construction, xoning and land development. Applicatlon is
hereby made to obtain .a permit to do work..and installatlon as indtcated. 'I .certify that no work or installatton has
commenced prlor to Issuance of a permlt and that.all work wili be pertorrtaed to meet standards of all laws regulating�
construction, County and City codes, zoning regulations, and land development regulations-in the jurisdiction. I al'so
certify that I ut�derstand that the regulatlons of other government agencies may apply�to the intended work, and that it is
my responsibility to identify�what:act(ons I must take to be>in.cor�lpliance. Such agencles.include but are.not Iim(ted to:
- Depa�tment of Environmental Protection-Cypress. Bayheads, Wetland Areas and Environmentaliy Sensitive
Lands, WatedWastewater Treatment.
- Southwest Fiorida Wate� Management .District-Wells, Cypress. Bayheads; Wetland .Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterway�.
- Department of Health 8 Rehabilltative Services/Environmental Health Unit-Welis� Wastewater Treatment,
Septic Tanks.
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal.Avlatlon Authorlty-Runways.
I understand that the following rest�lctions apply to the use of flll:�
- Use of flll is not allowed in Flood Zone."V°unless expressly permiQted.
- If the fill materlal�is to b.e used In �Flood Zone "A", ft Is und�rstood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting w�ich (s prepared by a professional engineer
licensed by the State of Florlda.
- If the fill material is�-to be used in Flood Zone "A° in�connectfon�with.a�permitted building using stem wall
construction, I certify th.at flil�:will.:b.e used only.to.flll the area wlthin.the stem wall.
- If flll material is to be�used in any area, I certify that use. of such flll wlll not adversely affect adjacent
p�operties. If use of flll is found to adversely..affect adJaeent properties,.the owner may be clted for violating
the condifions of the building.permit Issued under the at�ached permit application, for lots less than one (1)
acre which are elevated�by flll, an engfneered drainage.plan ts requtred. ,
If I am the AGENT FOR THE OWNER, ILpromise in good fatth to Inform the o�nrner of�the permltting condit(ons set forth in
this affidavtt prior to commencing construction. I understand that a�separate permlt may be required for electrical work,
plumbing, signs, wells, pools, air conditloning, .gas, or other install�tions not,spec�ically lncluded�in.the application. .A
permit Issued shall be construed to be a ltcense to proceed wfth the work an� not as:autho�ity to,violate� cancel, alter, or
set aside any provis(ons of the techn(cal codes; nor shall issuance�of a.permlt prevent the Bulldirig Ofificial from thereafter
requiring a cor�ection nf.erro�s In�plans,-constnictlon or vlolaUons of any code�. Every permit Issued shall become invalid
unless the work authorized.by such permit-�(s.commenced�within stx months of permit issuance, or if work authorized by
the permit is suspended or.abandoned�fo�a period of�six(8)months after the ti�e the�work�is commenoed. An extension
may be requested, in writing, from the Building,Officfal for a perlod.not to.exeeed-ninety�(90) days-and•wiil demonstrate
justifiable cause for the extensior�. If work ceases.for ninety�(90)cons.�cutive days,..th�job�is considered abandoned.
WARNING TO OWIVER: YOUR.FAILURE�TQ..REC.ORQ A NOTIGE•OF�COMMENCEME1�tT�illlAY RESULT�IN YOUR
PAYING TWICE FOR IMPROVEIIAEN�S TO YOUR-:PJtO�E�-TY. IF�YOU�INTEND"TO OBTAIN�FII�tANCIPIG;�CONSULT
WIT Y U L D O N TTOR OR �: CO D f� OU A � '-O - � E T�
FLORIDA JURA��(F. .117.0 _ �
� OWNERORAOENT ^ ���� -- - --�—W�6TOR" -- — �-- — - — �- -- - —
Subscribad and swom to r fflrmed)betore me thl Subscrlbed and'swom to(or aflirmed)�before me thts
by •by �•
Who Islare pe►sonally . vm to me or haslhave produced Who Is/are personally known•to me or�hasA�ave produced, •
as IdentlBcatlpn. as Identlflcaqon.
Notery Public � Notary Public
Co sslon o Commisslon No.
Y ei%'•• JOEL E.BACON
:i��"' ��:
Name ot iVo Eyi ,_ Name of Notary typad,p�inted or shamped
, o� xpires une 9,2018
�''��,A;;;����` Bonded Tlw Troy Fein Insurance Bpp3g5.7019
1
City of Zephyrhills
� BUILDIIVG PLAN REVIEW COMMENTS
Contractor/Homeowner: �A H R5 P r o P R N� �A S '�' A /C �
Date Received: �7 ' �� � � S
Site: 3$ 1 `( 5 I S t� A v�
Pemlit Type: V A S �`�� � T
Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑ �
This comment sheet shall be kept with the permit and/or plans.
Bill Burgess—Building Official Date Contractor and/or Homeowner
(Required when comments ate present)
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, SITE PLAN
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PARCEL ID NO. I/ � �� ODID UC�O�.C1 ��/� DATE: �~ l�f l� '
SEC TWP RNG SUBD BLOCK LOT
" S��r�
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`X, °C�
.��';�::�.;� _ � I a� �t �boue w � +
. _ � �
_ ` SSoun� Pcc�ane 5
c��(�nr3e� �
/'I'1c.�--�s o�v lrt>h��E�S . �--
c -2�;s}.;'�� �fa` C��e� ^
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' �011(�QC�-i0n �b �
P�o �,n�. e�l�nde� '�
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i:➢�1'�'��Z����'� .3�,II � ---
• �J����1�1�:���-e�'I;�.d� ?y�`11
-
� 5 �►� �U� .
SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO,
INDICATE ANY BODIES OF WATER, TREES (INCLUDING SIZE, DIAMETER, TYPE), AND ROADWAYS
(INCLUDING NAMES} ADJACENT TO THE PROPERTY. INDICATE THE SIZE, YEAR, AND NAME OF MOBILE;
� SUCH AS 12'X 16', 1981,FLEETWOOD.
� ALL"EASEMENTS,""PROPERTY LINES,""RIGHT-OF-WAY,"and"JURISDICTIONAL LINES"must be shown on all
site plans.
' DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE. _
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II HOU]E CONJTNUGTIOM �ROFO�EU ADDITION NOOILE MONf!ET-Ut
r��r (10') .��� (pp') r�or (160')
w 16' ^ fA'a 10'16' � 60� +0' ^
� O }�
� o � 92.�' � 8 n �� t6' �
• � 7.6' 7. ' • V [.i�r�np �•�' V • fQ�r,; V
� Heus• � _ �w• s � n• Etinlin� e
, o " - �� —_ •e•• —
� =o, -� p.
6O'
II
ROAO MAME ROAO HANE 110A0 NANE
PL=PROPERTY LINE TNV=RiGHT-OF-WAY O=TREES
� .
� APPROVED SITE PLAN MUST BE POSTED AT JOB LOCATION
NO110E OF DEED RESTRICTION
THIS PERMIT may be subject to"Deed Restriction"which are more restrictive than County regulations. The
permit holder assumes responsibility for compliances with any applicable deed restrictions.
IwpdatNbcs/cpfortns/ressiteplanfortn
� ■ . .°
s � � . . Gfas�Service �atnna�
PROPANE`GAS
� AND AIC iNC. _ _ , Tankless Water
Heaters
�7�e�988 8�3•782�5013
SALES•SERVICE•REPAIR•INSTALLATION ����� ���ER#/SFRV IGEMA�I 1�47� DFF
DA7E/TTME TAI'.EN �6/17115 1`0�9
4441 Allen Rd.•Zepfiyrhilis, FL 33541 TAN.E�I L�Y SC �4
- � (813) 782-5013 DATE/TTME F�ROMTS�D
z CUSI"DMER#/LOCf�TI01V �Z�S��•3
NOTES: F'H01�IE# 81�:,-782-785� 0
� -CONTACT - �ETH AFCER
ROt1TE/SEG? OFF
EAST^ �'ASCO I�EALS Ohi WHEELS TIVG �ASl" F�ASCO �iEALS Ohl WHEELS I�iC
3814� 15TN AVE 3814•5 -15TH AVE
ZEf-'I-�YRHTLLS FL �354` � ZEPHYRHILLS' FL3�54`
1��1GflL F'F2ES8 TES7 01�1 F I LE
��hfEW CUST SET CJF���
Start End Time Flow Lock Up System Regulator Regulator Regulator Regulator
Pressure Pressure Meld Pressure Pressure OK Code Condition Manuf. Model
Single Stage ___ Ira,�,�IV C._______ ____ In. C. In W.C. '
------- — ----� ---- -- --- ----- --_—_ ---- ---- -
Two 1st PSIG PSIG PSIG PSIG
Stage
' 2nd In. W.C. - - In.-W C. - In. W.C.
Work Performed:
• Description Amount
Service
Appliance
' Material
, " � Tax
Qty. Part# Description GeS
Hazmat -
Permit
Tank Lease
Total.Due
° - ' AMOUNT RECENED
I haye authorized and have authority to order the work as outlined above.I agree to pay all costs as represented.in this document.If these charges are turned
over for collection, I agree to pay reasonable attorney's fees if this invoice is placed in the hands of an attomey or collection agency for collection.
Customer Signature Date Technician's Signature Tech#
FILE COPY
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l Z�E�HI'F��I�LL� FI�E �EPa4�7`f1��t�1�
6907 Dairy Road, Zephyrhills, FL 33542
FIRE SERVICE USER FEES ,
Occupancy No.:
Plan No.: Contractor:
Business Name: Billing Address:
Business Address:
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES IIdSPECTION FEES PERMIT FEE FALSE ALARM FEE
BSite Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C
Multi-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
� Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100
4th Re-InspecGon $500 F'Ce Alarm `_,.____$50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
8 0-25 Heads $50 violations corrected) $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Per�ank $50
STAtdDPIPE SYSTEIVI Hydro Undergrounds $45 Sparklers , $100
�Per Riser $50 Hydrostatic Test $65 per system Fire Works $500
FIRE PUAAP Acceptance Test $45 persystem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARM_SYSTEM Hood/Duct $50
0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Mnual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammabte Appllcation $50 Mnual
Wet $50 OTHER Waste Tire Storage $50 Mnual
Dry $50 e WalUSmok u Generator<KW $100
CO2 � r Gas $25 per tank Generator>30 KW 150
Other $ 0.� �latural-6a $25 per system BiaHazard Waste $100 nnnuai
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10'or greater $15 per lent Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $100 annuai
�LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 E�aust Hood/Duct $30
�Natural Gas InstallaUon $50 Re-inspection DBL
(Per System) (other than annual)
�Spray Booth $50 � Inspection scheduled DBL �
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle A� $50 • FALSE ALARM
PLANS TOTAL� INSPECTION TOTAL� PERMIT TOTAL� TOTAL�-
GRAND TOTAL � .��
Comments: �J c p
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Date: � � ^(7
Inspector:
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