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Home My WebLink About16-17700 _� I i I CITY OF ZEPHYRHILLS % � ; �� 5335—8TH STREEf �' (813)780-0020 1770� � LP/NATURAL GAS PERMIT � � � . PERMIT INFORMATION , � - � - `LOCATION INFORMATION: - . � Permit Number: 17700 • Address: 7616 JENO ST � � Perm�t Type: LP/NATURAL GAS ZEPHYRHILLS, FL. Class o'f Work: FIRE-LP/NATURAL GAS Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CRESTVIEW HILLS Est� Value: Parcel Number: 35-25-21-0120-00000-1260 Improd. Cost: 9,204.95 OWNER INFORMATION � Date �ssued: 9/08/2016 Name: BAKER RICHARD Tot�l Fees: 75.00 Address: PO BOX 2265 Amou�e�t Paid: 75.00 ZEPHYRHILLS FL 33539-2265 Date Paid: 9/08/2016 Phone: Wor�C Desc: INSTALLATION GAS LINE FOR GENERATOR � ,CONTRACTOR S � APPLICATION.FEES - GENERX GENERATORS IN GAS FEE 50.00 FIRE PLAN REVIEW FEES 25.00 � � _ � P I bl �C � /C � � - l � � - li � - . Ins ections Re uir' d ' FIRE SITE INSPECTION-Final i � i , � i Chapte"r 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 reviewi,administrative fees,and other � b'� costs related to the aforementioned. _ Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of I .- the Fir"e 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 pertormed 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 � !I FINANCING, CONSULT WITH YOUR LENDER OR AN ATi'ORNEY BEFORE � � ECORDING YOUR NOTICE OF COMME ENT " { � � � � � , CON T SIGNATURE PERMIT OFFIC ! �I ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION � CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED � I ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-A041 � i ; �, � � , � . � � ' I ;o._ - :i_ '��"t"�, '�s.,=,-R;;�rF' .r a'� --'�; � _ �l' I City of Zephyrhills i BUILDING PLAN IZEVIEW COMMENTS �, Contractor/Homeowner: � � �9 �l �l s . , � �-/� � Date Received: � Site: _ ?(o �� i�t7! V/ T Permit T , e: �� (�/�'I� ' —/ �� I Approved w/no comments:L�" Approved w/the below comments: ❑ Denied w/the ! below comments: ❑ � ; � , I � � i �i � � c�� o�Q,�� - _ ; � � :��' ; � � � . � � � This comment sheet shall be kept with the permit and/or plans. � � � i i r''' �' � � , Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner �� (Required when comments are present) � �� 1 Ric�hard Baker 7616 Jeno St. Zephryhills, FL 33540 - 2"a Stage Regulator 10psi to 11"WC 15' '/" Copper pipe on Reg wall. IFCS Table 402.4 (9) 1,480,000 BTU capable 120 LP 22KW Generator 285,000 BTU full load (1) 120 Gallon LP Tank with 1 st Stage Regulator above ground 250psi to 10 psi Generx Generators Lic.#34094 Dale Jarosz 1116 DunbarAve. Oldsmar, FL. 34677 727-239-3358 --- �----- ---'----_ ----_--_—_� - -� W = - -- -- -- - '� _ i � v � 'i� os.... i� � � � i� �I i � ! � � = � CENERX � . . �. ,, :� �s: GENERATORS I '`,•.ri �� . Jrli ly 7, 2016 � To Whom This May Concern: RE: GAS LICENSE NUMBER 34094 , �ear Sir/Madam: � I��hereby authorize the following to apply for, pay for, sign on behalf of, and/or pick up permits under the above-referenced license number FOR ALL CONSTRUCTION PROJECTS: � , GEORGE(MARK) COSTIS,DL#C232-313-72-185-0 " DALE JAROSZ,DL#J620-176-63-251-0 �� ' SUZANNE FERRO, DL#F600-793-70-762-0 ' � KENNETH SOLMONSON, DL#5455-508-60-340-0 I �� I Should you have any questions or if you require any additional information, please give me a ' call. � ' � �y�u' I �) � �� Lucas J Hoerner i � � ' S�TATE OF FLORIDA � GOUNTY OF PINELLAS �, � ' SWORN TO AND SUBSCRIBED before me on this��day of July, 2016 by Lucas J Hoerner who is personally known to me. � � � y DIAM.PRESTON Notary ublic—State of Florida ; I 04�Y'P¢. ' , ';' x= MY COMMISSION fl FF 241539 � ��:a= EXPIRES:July 5,2019 ':'�••"�`' Bonded Thtu No�N Pubfic Underwriters � P,F�•'� r � 111-B Dunbar Ave, Oldsmar, FL 34677 ' (813) 814-5900 Telephone (727)213-9073 Facsimile p� www.FixMyGen.com G i � \ I' ' � ;' � y v �I ZEP9�YRHILLS FIRE DEPl�RTIVIENT 38410 6th Ave Zephyrhills, FL 33542 I� FIRE SERdICE 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.: � Contactti�� Contact: ' PLAN�REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE � Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C ' p'I ity/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C mim��m Charge$ 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C ' �Plan R�w ons 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 P Gas $50 6th Alarm $200 , �0-25 �eads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 ; 26 plus�Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Per�snk $50 I STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 , �Per Ri�r $50 Hydrostatic Test $65 per syslem Fire Works $500 � FIRE PUMP Acceptance Test $45 persystem Camp Fire $25 � Per Pupmp $100 Hydrant Flow $75 Controlled Bum $100 FIRE VALARM 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 8 Recall Acceptance $50 Flammable Application $50 nnnuai � �'�� Wet $50 OTHER Waste Tire Storage $50 Mnual �� Dry $50 Fire Wall/Smoke Wall $15 perwau Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 i Other $50 Natural Gas $25 Pe�system Bio-Hazard Waste $100 au,nuai ! KITCF�EN EXHAUST Fumigation Tenting $50 �Hood/D�ucts $50 Tent 10k10'or greater $15 per tent Torch Pot/Applied $50 OTHER Fire Pump $45 Haz.Materials $100 annuai �LP Instai�ation per tank $50 Fire Suppression $30 I Fuel Ta�k Installation $50 System Acceptance I (Pler Tank) $50 Exhaust Hood/Duct $30 � �Natural Gas Installation $50 Re-inspection DBL (Pe�r System) (other than annual) �Spray B��oth $50 �.Inspection scheduled DBL � and cancelled less than - 24 hours , Construction Insp. N/C Emergency Vehicle A� $50 FALSE ALARM LANS TOTAL INSPECTION TOTAL� PERMIT TOT� TOTAL� � i � GRAND TOTAL t' � i Comments,, � PgI , f� Date: i ' � , � � i Inspectol�: . nm i'� - ; - - - - - --- s�s-78o-002o City of Zephyrhi3ls Fire F�-a�3-7�o�aQz� ' Permit Application Qate R��ce�ved ' �'-' � �"f{ic� Phone Contact far Permif �a� ,3� _ �jo� c,�__- _.�.___ _._�.__...1__.,..._._______..�..,�..._,..._. _..___...._...__...�__,�..�,-.:.�__. ._...._._�_.._.__._a..._.�....�.._�,.�. - - ._� ._. ��______.�_, ��,i= �.�.�.._.. �. - �� Owner's Name �' (,�,�..Q� Owner's Phone h7umber I Owner's Address ,, �-eNl O ' Fee Simple Titlehold;er Name 7itleholder Phone Number �� C� Fee Simple Titleholder Address f."`�"�."".w:...,_u""''� ----�,�.�_"�".E:.;`,�"."'�:".:.�>"_` �,�^a _ .�,� -.�a-�,r-.�;-..--.�t•-:y::W. -_ - - - """�,r:�""""`. . ._..._.:� a:..:.'I_�. Job Addcess� T �t(��;� �.�i.1 u� µ�-�- `.�.�,..�-�-.�;:;:� �'�� ,S Lot#.M �� Sub Division Parcel# �;..•:_�._.....o- -____...._,._�.__��_d.r.w�.....�__�,.�»�_�__y�--_-^-__:.._e�.:wr�:��._.._,�.._..�,._.__�___:_...__.._..._:�,__�_...—�.,�.-_�.�.,..�..�..._..�.__�.�-.<.,.-_.__..:_�'._ � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Gomm Eachaust Kitohen HoodlDuct � Hazardous WEaterial(Tier 11 or RG2 Facility}ANNUA�. � Controlled Bum Hood Installation • Q Emergency�eneratar<30 kw �P1Natural�as-installation � � Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale � Fire Proteotioc�NFaintenance-ANNUAL � Places o#Assembly-ANNUAL ry emi � t er Sptinkler � O ❑ 0 . � Recreationa!Burn �+ � Fire Alarm � ❑ ❑ ❑ ,� � Sparklers /� „ j�C/ �� J ! , /��Jv ' ^ Haod Gieaning � O D O �� Sprinkler System Instaitations ��U , � ' �,�z��i��I� � Haod Suppression � ❑ Q � � � Standpipes(Sprinkler Sys) G , > � � QFire A{arm Insta{lation � Torch RaofinglTar Ke#tle , � Fire Pumps � Waste Tire Storage ANNUAL � �j Flammable App3ication-ANidUAL �_�—� Valuation of Praject . i ; Fuel Tanks Pl OtFi@r: � �w�.-�:._.,,�'.�....�..».„``.��'"�.',�=_ _.-.....�„�,»....._.�.,.�_..«.�..,.._.....r.»..,...y._.....::'w".��'Ku.._...,-..«.....=a..sm....v�,...,�.-,_.... r.`._.��..�,.-..�» .._..�....�.........». � ...<._....a.,. ..,,. - ...:�.��,,� Contracfor �� Gampany �r'� ��'Y't�/cL +'S, � Signature i Registered Y/N Fee Current Y/N Address � 1 � (,t! � (} SYF1Rt' � �P� �icense# Q � � ELECTRICIAN � Company � Signature Registered Y/N Fee Current Y/N Address � License# PLUMBER � Company I Signature Registered Y/N Fee Current Y/N I Address � �icense# MECHANICAL � Company � Signature Registered Y 1 N Fee Gurrerrt Y/N Address f�. License# s QTHER � Company Signature Registered Y/N Fee Current Y/N Address � License# _ r De tions_.._...�..pi_ -_._,�._=�...w.=__._...._,..._...._�.�.�_-�.._..�._.��._._....�_...,.�._�__._._.__...�..._._.�.�...w_.__.�_v___.v.�..._�_.��._�_..�....�.�.w_�a_:.�...�.�_.�.�..�=,�.k..w _�:7 Fill out application compietely. Oyvner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) if over$25Q0,a Notice af Commencement is required{Mechanica{work over$500�) S�upply two(2}sets of drawings with appticable documentatian A�low 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) i „ . , , (li ' � � . ,.,.r .. . , - . ._ .. . .. �_� �� y� � NOTICE OF DEED RESTRICTIONS: The underslgned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibllity for compliance with any " � applicable deed restrictlons. , URILICEMSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be Iicensed in accordance with state and local regulations. If the contraotor 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 uncertain 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, ff the owner has hired a contractor or contractors, he is advised to have the contractbr(s) sign portions of the"contractor Block°of this application for which they will be responsible. If you, as the owner s(gn as the contractor, that may be an indication that he Is not properly licensed 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 I permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to � receiving a'certificate of occupancy"or flnal power release. If the project does not invoive a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore,ff Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with appllcabie Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation df work is$2,500.00 or more,I certify that I, the applicant, 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 v other than the"owner",I ce�tify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOit'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance wfth all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and instaliation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work wlll be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I Understand that the regulations of otfier govemment agencies may apply to the intended work, and that it is my responsibility to identffy what actions I must take to be in compliance. Such agencies inciude but are not limited to: - Department of Environmental Protection-Cypress Bayheads, VUeUand Areas and Environmentally Sensitive Lands,WaterNVastewater Treatment. ' - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Area's, Aitering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health 8� Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protectlon Agency-Asbestas abatement. - Federal Aviation Authority-Runways. I understand that the following restrictlons apply to the use of flll:� - Use of flll is not aliowed in Flood Zone"V°unless expressly permltted. - If the flll material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submltted at time of permitting which is prepared by a professional engineer licensed by the State.of Florida. - If the iill 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 flll material is ta be used in any area, I certify that use of such fill will not adversely affect adjacent propertfes. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building pertnit issued under the attached pertnit application,for lots less than one(1) acre which are elevated by flll,an engineered dralnage plan is required. If i am the AGENT FOR THE O{MMER,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 eleotrical work, piumbing, signs,wells, pools, air conditioning, gas, or other Installations not specificaliy included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authorfty to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Buildirig Official 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 ff 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,th�job is considered abandoned. VVARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IPI YOUR PAYING TWICE FOR IAflPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCIMG,CONSULT WITH YOUR LENDER OR AN A ORtdEY BEFORE RECORDING YOIDR Id0 E OF COMMENCEMENT. FLORIDA JURAT(F:S.11 .03 ` , OWNER OR AGENT CONTRACTOR � b alb and swpm r affirtned)be e m b-s�b:e�-d.end swom to(or rtned)b ' re me thls �G, — by/� H R1' ��' by � GL2LC rl2 lare rso Ily kn �rn,to me or ha ave produced S15(are�rso ally Rn wn to me or has/have prnduced - •l�as identlfiptlon. P"C l�G%Lc's�—. as Iden'6f'ica0on. 1 � '�` Notary Public .l' n t — J Notary Public �Comrp ssio o. Commis/sion o. L�� l Name ,�� +vd,P�f11��1 Name of Notary e��1 or s .� �sw�, JACQ�ELIN ,�; �� Commission#FF 150422 ;.; . E BOGES Expires December 12,2018 �: �•= Commission#FF 150422 ;�,••,�'o= �a,a -r,�.P;�oP:' Expires Decemb ".;;o��g.` Bonded Tluu T�oy Fein Inwrence BOa3B5• 8 er 12,2018 °^�TMu hoy faln Insurar�ce gpp3B5,7019 �_ I