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Home My WebLink About16-17486 CITY OF ZEPHYRHILLS 5335-8TH STREET . - � - (sispso-oo20 17 6 LP/NATURAL GAS PERMIT PERMIT INFORMATION - LOCATION INFORMATION � Permit Number: 17486 Address: 39119 PARK DR Permit Type: LP/NATURAL GAS 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: 12-26-21-0030-00100-0090 Improv. Cost: 980.00 � OWNER INFORMATION Date Issued: 6/21/2016 Name: LUCKEY, SHERMAN &ALISE Total Fees: 125.00 Address: 39119 PARK DR Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/21/2016 Phone: (813)783-2322 Work Desc: INSTALLATION GAS LINE FOR RANGE CONTRACTOR S APPLICATION.FEES GAS MASTERS,IN . GA FEE 50.00 FIRE PLAN REVIEW FEES 50.00 FIRE INSPECTION FEES 25.00 r � �� Ins ections Re uired FIR 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 I 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 " �' CONTRACTOR SIGNATURE PERMIT OFFIC PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED �L�G��/ � ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 e�aaeaoozo City of Zephyrhills Permit Application Fax-s��-�aaoo2t Building Department Date Received phone Contact for Pertnitting - Owners Name � ner hone Num J5z�42Z��'9 j. Ownefs Address 3 �� GL('� �• � Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple TlUeholder Address JOBADDRESS 3 l I� OUr Y` LOT# � SUBDIVISION PARCEL ID# �Z'Zb�z l "0�30 -OD l OQ �D090 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSiR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM Q OTHER 7YPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK ��r'�� ~ � � �� ' � �� BUILDING SIZE SQ FOOTAGE� HEIGHT � QBUILDING S VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ -la D� 0� ��(��- � j � /n�� a�- � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� IXLGAS Q ROOFING Q SPECIALTY Q OTHER '�" (—/' — r�/n �— �n�8i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �� Y� / BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEECURREN Y!N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE ��i{STERED Y/ N FEE CURREN Y/N �� Address License# OTHER COMPANY C�asti-Y,as�ers �-nC • SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address ��rJ �� e. `T 336 o License# C��.3_]�bs IIIIIIIIIIIIIIIIIIIIItllllllllllllllllllltlllllllllllllllllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(7)set of Energy Fortns;R-0.W Permit for new consWction, Minimum ten(10)woricing days after submittal date. Requfred ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisians/large projeds COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(7)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Fadlities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directlons:• Fill out application completely. Owner&ConVactor sign back of applicaGon,notarized If over$2500,a NoUce of Commencement Is requlred. (AIC upgrades over$7500) ' " Agent(far lhe conVactor)or Power of Attomey(far the ovmer)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMIll1NG (copy of wnVact required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter'rf on public roadways..needs ROW , + • NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 u�certain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section 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 Iicensed and is not entitled to permitting privileges in Pasco County TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the appiicant, 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 good faith to deliver it to the"owne�'prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify that all the information in this application is accurate and that all work will be done in compliance with all appiicable 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 Ciry 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. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material 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 permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adverseiy affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for Iots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If i am the AGENT FOR THE 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 appiication. 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 Officiai 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 YO R FAILURE RECORD A NOTICE OF CO ,MENCEMENT RESULT IN YOUR PAYING TWICE FOR PRO EM TS TO OUR PROPERTY. IF YOU IN , ND O OBTAIN NANCING,CONSULT WITH YOUR LENDE R ATT Y FORE RECORDING YOUR OTIC O MME aEEMENT. FLORIDA JURAT(F.S.1 .03) OWNERORAGENT ONTRACTOR /I? Subscribed and swo o(or afiirtn )befo e rne is Subsc'bed and o a( af rme before m lhis 6-� - b by ra,�K L• bV�n e� -��-16 by I`ar� L. tntQr o i are own o m or has/have produced o i a e a y nown me r has/have produced as ide tification. as' enCrfication. ry Public Notary Public mmission No. y/is��/a�l � C missfon No. e��7 7 a�R�- ILLIAM D BARKER Name of Not te Name of No ri or st m �j1b�PPUBLIC STAT OF FLORIDA STATE OF FLORIDA . Conm#FF056578 � . Ca�vtt#FF056578 1 Expires 9/2:312017 t Expires 9/23J2017 , • .�-fi=yw� ' ,{ �:ik:;y.;�;t;e?;$�-,,�, �:r.t?•'�: �+`�"'- a.��r��.�� ",;� ��'��'� � °�;.� �°��" - rc,';�'.�:�'�;,.?;:�u.'.�c _• ��.�t?�:�„✓•- .s 4 S�a-^.�,. =z'u, �i5�:�� ✓;�r�_ � � 9� �� vq�� C� �� -��-t� 1 �)'�,� �t' �.� �F� . �� `� �� ,�:� �.��-�� 1 � � ,� �� =`_�.--��`� ! � -�""�" �! `_�`-•b..-�-��" i j S � ��N ��i� � � � �;>f��-� > �'°s� ��q�� T��t q �}� t..); i��i ��l<"�y� V� , `°�+V� �'� �-,` V 1� � �� { ,�5��1��..C�'�'"'?�dr ;..�'��'w1:..j�}�� 3 .��;,��¢�,�'� " S� �``��a�L;� � �► p �'�� i..� A<< �, PRFV �RK SN ��a� �� E,.,.�`J��'�1� � ' � 3 ,�- . Nq�R O� NU�CDOaL�C�Mp I��TH � �.:.�� v��. �.�.,�� o q e oFs cr �� 1�.,� �� a� �c�''C�� CI�•�F EpyYR RIc 0�� ;^� � �,��i.�„ �..-��`�`� �� ;"� �� '`� �-� H,�S�R��FS � �� hF�jE� �N��2 PH\�6 ��MINFR H��S � 2615 E. 7"'Avenue, Tampa, FL 33605 Office (813) 241-0258 • Fax (813) 248-4571 State License #CFC037165 • LP License #13176 www.GasmastersTampa.com - � � ZEP�iI'RHILLS FIRE DEP/�Rl'IVIENT 38410 6th Ave Zephyrhills, FL 33542 FIRE SERVICE USER FEES � Occupancy No.: /� , �,/� Plan No.: Contractor: ( �6¢�f'1�(G�4t�- Business Name:_�t Billing Address: Business Address: 3�i �`� f �- Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE aSitePlan N/C Annual N/C Sprinkler $50 1stAlarm N/C Multi-Famfly/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-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 0-25 Heads $50 violations corrected) atural Gas 50 N COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS uel Tanks- pertank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test ,$65 per system Fire Works $500 � FIRE PUMP 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 Flammable Applicatlon $50 annuai Wet $50 OTHER Waste Tire Storage $50 ann�a� � Dry $50 Fire WaIl/Smoke Wall $15 perwau Generator<KW $100 CO2 $50 LP G k Generator>30 KW 150 Other $50 Natural Gas 25 persystem Bio-Hazard Waste $100 �nuai KITCHEN EXHAUST Fumigation Tenting $50 �Hood/Ducts $50 Tent 10'x10'or greater $15 Per tent Torch PoUApplied $50 OTHER Fire Pump $45 Haz.Materials $100 nr,nuai LP Installation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance ' er�a $50 8 6chaust Hood/Duct $30 Natural Gas Instal i $50 Re-inspection DBL er System) (other than annual) �Spray Booth $50 � Inspection scheduled DBL and cancelled less than � 24 hours Construction Insp. N/C Emergency Vehicle Ai $50 FALSE ALARM ' PL4NS TOTAL� INSPECTION TOTAL� PERMITTOTAL� TOTAL� GRAND TOTAL , Comments: _• � Date: � � Inspector: nm . � . Q _ - ` ��. - �� s- :..,,,,�, r . ,�„ City of Zephyrhills BUILI�ING PI,AIV REVIEW,COMI�[ENTS Contractor/Homeowner: �/�G��L!1 L Date Received: /„ ,� '�.J�'�,� , Site: c�7�� C,—� � � Permit Type: - 14pproved w/no comments: Approved w/the below comments: ❑ I�enied w/the below comments: O � � . , J This comment sheet shall be kept with the pemut and/or plans. __. . �`�� Kal n S —Plans Examiner Date Contractor•andlor I�offieowner (Required when comments aze present) � � 6/21/16 03:42PM Gasmasters Inc.8132.484.571 Page 1 II 1 � i � . Aut�carizataan t.etter To v�harn tt may canc�m: �le;�c;�liur�v this��tt�ar kc�se�rve as pawer o£atEaz�ey£or��ol�ow�zt��radiv�du�s ta r��res��tt Cw�.�mas�;rs, Inc.in a�l neces��ry as�ec��x;rmitt�r��a�c�liceasi�in the Caunty of.:,,,,,�'i�i,�as ,,,�� Cit�uf:A,..,�af�t�r Hartwr This at�thorization noti�e will r�m�in i��ff�ct ind��ini��l�'li11YC•''SS IL"VQ�Ct:C��?��I3c"r I.tritl�r5l�t�d 1�WL?tlrig. �`.ra,�L. 1Nin��r k'�,lll.#W53�z72-6�-1b�p0 �'tob�rt W.Cinq-ivars FLDL# C52S-779�6-U13-0 St�vaII k'.Barl��r �`L�'L�Bd2�-7'$6�S�w417-0 'Vi��tcec 37.Cvbb FL,DL#f �;10(J-9Q4-6�-�45-U nich�i r�'.ru�rlow �L�L'�#r640-748-57-464�1� , �ur��af�'lorida License n�nber i�C�C037I6S and £'�,�ei��Caun�iy I-C'�"C037�6� ��y�u b�ve�.ny qu�stic��.s, pl�f�l fr��to cc�nt�aGt us at 813-24�-OZS$or'127`-89G- 727�. 'I"�k you . �rank�. VV'int�r � d �, �..t...�y:°w�� i .�" • •'�6'�`uu'�^�� ider�t{G��.�i�ast�s;Tno.� �-� �#ate o�: �lo�:da CQun�y af Hillsborc�u„��► Tt►e fore�oir�g instrwment was acl�,r��wled�e befor�rn�c#�is.,_ Sll i12(�1G , � �y D�t� ' � .�°r�n.�L. '�Vinte� ,w1�o�s�.rsta��lI�kt�ow�to tnc. Liccn�Holdar My wmniissi��;xpires o�i, 09/23/20 k 7 t�iotary�� • vy�a�ac�� '�Jillia�».1�. �3arl.er t�QTARYP118L�G Yrint�l'o�tary�Tame; �A'fE A�Fi,��I.QR`ipA q � ��r��f �xpir8�s/�.�Zof 7 GQSli'I�51�/'S, 1nC, 26�5 E. 7`h Avenu�, Tampa, FL �380� Uffice��E�� 24�-0258• �ax(813)248��571� Lic. # C,��4379G5 atat��,P Lic. #MG 939�&