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Home My WebLink About17-18039 � CITY OF ZEPHYRHILLS � i � 5335-8TH STREET � (si3)�sa-oozo 1 g � � LP/NATURAL GAS PERMIT . � � ' - PERMIT INFORMATION - -� � �:��LOCATION INFORMATION � '� Permit f�umber: 18039 Address: 38201 10TH AVE Perrriit Type: LP/NATURAL GAS ZEPHYRHILLS, FL. � Class of Work: GAS TANK/LINES-NEW Township: Range: Book: j Proposed Use: NOT APPLICABLE Lot(s): Block: Section: ' Square Feet: Subdivision: CITY OF ZEPHYRHILLS Esti. Value: Parcel Number: 11-26-21-0010-06500-0130 ; Improv. Cost: 600.00 OWNER IIVFORMATION - Date lssued: 1/04/2017 Name: LIVINGFOODS OASIS LLC Total Fees: 155.00 Address: 12431 DUCK LAKE CANAL RD E4mo�nt Paid: 155.00 DADE CITY FL 33525-7222 ! Date Paid: 1/04/2017 Phone: 917-763-9933 ; Worjk Desc: INSTALLATION GAS LINES FOR ABOVE GROUND TANKS FOR APPLIANCES i CONTfaACTOR S " APPLICATION FEES. AMERIGAS PROPA E LP GAS FEE 50.00 FIRE INSPECTION FEE 25.00 FIRE PLAN REVIEW FEES 50.00 CONTRACTOR CERTIFICATE 30.00 \� � � I / �� , Ins ections Re uired FIRE SITE INSPECTI N-Final i I I i Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fre ' , preven;l ion 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 � inspec�ion shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All � � work shall be performed in accordance with City Codes and Ordinances. ; � `'WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF j COMMENCEMENT MAY RESUL7' IN YOU1� PAYING TWICE FOR ! � IIMPROVEMENTS TO YOUR PROPER�1(. IF YOU INTEND TO OBTAIN ; FI�IANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ; � RECORDING YOUIZ NOTICE OF COMME ENT " ' � I CONTRACTOR SIGNATURE PERMIT OFFIC , PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED � ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 I � � ��;i'�� _ . - �-- �� > , _ '�,V� �f � �� #t`DD��. �r�- .�i� �� q � � = - n n �L1Z i�i1�11)3f'UL� r`, ,� � '� � / . � �-L,� C/�5�' ��''� �i , (�' f Q� � � � �-��,r. �, . � RE�IEW DATE �� ITY OF ZEPHYR IL ��`��51�b�F5 ��F�._.._. .__--� � �N EXAMINERf�U_�� C��t1r�?Q�iK�L C�YlY�QG�'02S � � �PLA �"" ��C.�Ss" �� C',lcL�::zz.. '�� ', � j - �__..__--.� G� BUI�.�D'�vLG Ss�1AIL C�!t�'�.Y lk�I'� � �lLL nf9s�L:1:,A�:L•,�r,�, -�f'iJILaJIPeTf'i, ' �t� E�.E�T'�.IC�ci:,F'LIJIe�EI�3C'i AN� �. � MECHANICAL C(�DES. � I �� 1 �� .-!�l L Ui'}��a�t�i►�t. �� jov�,��o j �� ' � �-.� `� l,e, --- . - � L ._ � �� ' :� � ��ii ' `�+.�a ��Tt�L." q o,a o b � � '�Z�#` � � I ` �j'�a-v rL,$ ' Fru.�e✓� '� ` ,-o�,��h � uu�o� �c � � � / - Fx�t�c�. �-�e�tr•Q 0 �] � S�5y8Db �1t1s15�r r" � �� f �� °��m � I � A7�� t �� s y P � �, �. � � � Wt'it' d35co� � � � � �`A,�� r��r� w(� � � w��. � � _ Ir � M4�LFOt� � (�t C��11.ti �-1 v1.�,C o�L6� � � - � � ' . .. ) � 813-780-0020 City of Zephyrhifls Permit Application Fax-813-780-0021 . ' Building Department iDate Received phone Contact for Permitting 813 716 1414 Tf-rf_ -- Owners Name LlVlflg FOOd Bakery Owner Phane Number 9�7-763-9933 Owners Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 38201 10th Ave. �oT# � SUBDIVISION PARCELID# 11-26-21-0010-06500-0130 (09TAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER LPGas TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIP710N OF WORK set 2-420 above ground tanks,run lines,connect to cooking appliances � � BUILDING SIZE S�FOOTAGE� HEIGHT � I QBUILDING $ �j (�,�()(�� , VALUATION OF TOTAL CONSTRUCTION % �ELECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ � ��IJ � h / IQMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �AS Q ROOFING Q SPECIALTY Q OTHER ��/�� c FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � i..i�r. ;..i�-,.�6-i-�... �:�ti i-:�.... 7-:�....�..-r..-.�-..-��.�.-�.�-.-.-.-�-: C-i�....-...r� BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# I ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# OTHER � ` COMPANY Ameri 8S Pf0 ane SIGNATURE �f REGISTERED Y/ N FEE CURREA Y/N Address 2228 E.Main Street Lakeland,FL 33801 License# 00528 � � � � � 1111111 � 11 � � � � � � � � � 1 � 1111111111 � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsAarge projects � ' COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. � Minimum ten(10)working days after submittal date. Required onsite,Construciion Plans,Stormwater Plans w/Sil[Fence installed, , Sanitary Facilities&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 consWdion. I Directions:• • • • • • • • • • • • • • • • • • • • • Fill out application completely Owner 8 Contractor sign back of application,notarized If over y2500,a Notice of Commencement is required. (AIC upgrades over$7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � i , I i 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 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, 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 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 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 Water/Sewer 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 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 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"owner"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 applicable 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 City 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. i - If fill material is to be used in any area, I certify that use of such fill will not adversely 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 lots 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, welis, pools, air conditioning, gas, or other installations not specifically included in the application. 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 Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid I 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: 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. � FLORIDA JURAT(F.S.117.03) //''�� '/ ' OWNERORAGENT ��` � q � CONTRACTOR �,/ � ' Sub 'be nd swom ro or a� d)before�[ne thy'� Sub cribe and swom to(or ffirmed before�me thi � /� / by �t�Kl�%/II�H L'S��/L /V� 5' � by �1�"�/��/YUfI ��iC�i � i .J(Vho is/are persona�lly kno n t e or haslhave produced o is/arer ersonayll�c noy�n��10 me or hasfiave produced i l��-(C.SL�(�l lU�s identification. (-�(�1j0 10 f705�[�-`Gf✓ as identification. I /��Ly(J(y. /l a;�/54'INbt�ey Public � ' Notary Public Commission No.�'�(.�(�_��i�,� Commission No.�j�7bU�� (%6�/I �,1/a/NE �Cl/�'-��Lc. ��82fJ PL/f"/NE �CJF�E�,�—• I Name of Notary typed,prinled or stamped Name of Notary typed,printed or stamped I i ,Q��:¢q�,,DEBRAELAINE RUFFELL :�,;:��p¢�;I DEBRAELAINE RUFFELL i :�� •.�:Commission#GG 045343 ,: :,:Commission#GG 045343 � '-;,�,�p;:Expires November 7,2020 ;��p,=Expires November 7,2020 ' ,oR,�.•'' gq��TroyFainlnsuranceBD0�385�7019 '�'0�;;4•• BondedTtwTroyFainlnsurance8DD�38S7019 � - -- _ II ' a. � . I ,Y.�+�'1.^ �..r', 4 I ' � ,� �a,„��,��~_ `" ' � �. � �.r' ''-•.- .-...- I City of Zephyrhills ' BUILDING PLAN REVIEW COM1VfENTS � Contractor/Homeowner: ��/ ��-,� P��,C�j�- . Date I�eceived: _ /a ��°j //(� Site: J �a0 / /�fh �-� Permit Type: ��T — /.�� Q.�vl� C1 YCh/�'7� �no�� . Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: ❑ I I � �� I �I I I' I I • I ' This comment sheet sh 1 be kept with the pernut and/or plans. � - . i �c�� ` Kalvin wi ' s Examiner Date Contractor and/or Homeowner (Required when comments are present) I I , � � �EPHYR�(ILL� FIRE DEPART�IENT j 6907 Dairy Road, Zephyrhills, FL 33542 , 'i , I �fRE SERVICE USER FEES I I Occupancy No.: �, Plan N�o.: Contractor: �� Susiness Name: - Billing Address: i Business Address: � Business Phone No.: Billing Phone No.: � Business Fax No.: Billing Fax No.: � Contac : Contact: PLAN REVIEW FEES IIdSPECTiON FEES PERMIT FEE FALSE ALARM FEE , �Site Plan N/C Annual N1C Sprinkier $50 1st Alarm N/C MuKi-FamItly/Commercial .O6 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C ; (MinimLm Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C 'i � Plan R'i visions DBL 3rd Re-inspection $250 Hoods � $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRlNKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 8 0-25 F�eads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus�IHeads $100 SPRINKLER SYSTEMS Fuel Tanks- Per�ank $50 ' STA(�IDPIPE 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 S75 ConVolled 8um $100 i FIRE ALi4RAA SYSTEM7 Hood/Duct $50 8 0-25 Devices $50 FIRE AlARA9 SYSTEAA Piace of Assembly $50 Mnual � 26 plus Devices $100 System Acceptance $50 Fire Protection $25 i SUPPRESSION SYSTERAS 8 Recall Acceptance $50 Flammable Appiication $50 nnnuat �, Wet $50 OTHER � Waste Tire Storage $50 annuai i Dry $50 Fire WalUSmoke Wall $15 perwan Generator<KW $100 - � CO2 $50 nk Generator>30 KW 150 �i Other $50 ural Gas $25 persyste Bio-Hazard Waste $100 i,nnuai 'i KITCHEN EXHAUST � Fumigation Tenting $50 � �Hood/Ducts $50 Tent 10'x10'or greater $15 per tent Torch PoUApplied $50 OTIHER Fire Pump $45 Haz.Materials $100 annua� i �LP Installa�Ian per tank a50 Fire Suppression $30 Fuel Tanl�Installation $5U System Acceptance li �er-�arak�.� $50 �Exhaust Hood/Duct $30 �' Natural as�InstallaUon � Re-inspection DBL ' (other than annual) �Spray Booth $50 �Inspection scheduled DBL 8 and cancelled less than 24 h0urs � � Construction Insp. N/C � � � Emergency Vehicle A� $50 FALSE ALARM i I PL�ANS TOTAL INSPECTION TOTAL� PERMIT TOTAL� TOTkI.� j I � � I , GRAND TOTAL ` �J7 �7j�� I Comments: �e 0 lv ' I r P/� �� I � E �SuG S � Date: I '� i Inspector: I �, nm ' I � f I .,- � i . � � � �#rr�err�a s �'r�,��r�� r��►a�a�r � I � PERMIT AGENT AUTHORIZATION FORM � �I I, Mike Sullivan. License#_(�C)Sa � , Hereby authorize I�' Christina Beall. Florida Driver's License#6400-101-70-584-0 to act as my agent in � obtalining permits in the following counties and municipalities (including but not limited to) � � ; Hillsborough County, Polk County, Pasco County, Polk City, City of Plant City, City of Lakeland, City of , ' Zep yrhills, City of Temple Terrace, City of Tampa and City of Auburndale. ; i This etter supersedes any previously submitted letter(s) of authorization. �, This' uthorization will remain in effect until cancelled in writing by the undersigned license holder. I� �Gl�� Mike'Sullivan I i � �I ; ,I State lof Florida ; County of �I�L-„�IFI-�Y,�-��C�-- � � Swor to (or affirmed) and subscribed before me on this�_day of 20 l �-P , I By � l�r ��.Jc,.--- � I a � OTA� PUBLIC ��- pqTRICIAJ.MCKINNEY � � . =��k`' Commission#EE 828894 �� "-- °*• �'`= tember"l,2U16 �;.�,:\ Expires SeP �.�.,o,s oS gpodedThm7mYFainlnvxac�ca �`�,F1�� My C Immission Expires � ��i Perso ally known or Produced Identification � � -