HomeMy WebLinkAbout17-18240 CITY OF ZEPHYRHILLS
5335-8TH STREET
. ' - tss3��so-oazo 18240
LP/NATURAL CAS PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18240 Address: 5221 8TH ST
Permit Type: LP/NATURAL GAS ZEPHYRHIL.LS, FL.
Class of Work: F1RE-LPlNATURAL GA5 Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS "
Est.Value: Parcel Number: 11-26-21-0010-16700-0'E 10
Improv. Cost: 2,400.00 OWNER INFORMATION
Date Issued: 3124l2017 Name: G & R H��DINGS t)F ZEPHYRHILLS
Total Fees: 125.00 Address: 5221 8TH ST/38501 4TH AVE
Amount Paid: '125.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/24/2017 Phone: (813)545-0485
Wark Desc: INSTALLATION GAS LINE FOR CREMATION INCINERATOR
CONTRACTOR S APPLICATiON FEES
G MA ERS,I C. S FE 5 .00 RE P N RE IEW F S 50.00
FIF2E INSPEGTIQfU FEES 25.04
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Ins �ections Re uired
FIRE SIT�-�TION-Final
Chapter 633, Florida Statutes,authorizes the City to charge and callect user fees to pay for the costs of fire
prevention and pratection related activities such as inspectiansj plan review,administcative feesl and ather
costs related to the aforementianed.
Complete Plansr Specifications and Fee Must Accompany Application. Commencement of work without written approval af
the Fire Department's Fire Marshal or required permits or opening up for commercial activity withaut an approved final
inspection shall be charged double permit fee per day af operation or a minimum of$].00.00, whichever is greater. All
work shall be perfarmed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: Yt�UR FAILURE TO RECORD A N4TICE OF
COMMENCEMENT MAY RESULT IN YUUR PAYING TWICE FOR
TMPROVEMENTS Tt� YUUR PRUPERTY, IF YQU INTEND TO QBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN A7TORNEY BEFORE
' RECORDING Yt�UR NCtTICE OF COMME ENT."
CONTRAC OR 5lGNATURE PERMIT C?FFIC
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION -8 HOURS NOTIGE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- $13-780-0041
NOTICE OF QEED RESTRICTI4NS: The undersigned understands that this permit may be subject to"deed" restrictions"
whlch r`nay be rr�o"re restrictive than County regu(ations. `fhe undersigned assumes responsibility for comp#iance with any
appticabte deed res#ricfioins.
UNLICENSEp Ct�NTRACTORS AND CONTRACTOR R�SPC3NSIBILiT1E5: If #he owner has hired a contractor or
contractors to uridertake work> tliey rnay be requ[red to be I�censed in accordance with s#ate and-IocaE regulations. lf the
contracto� is not..licensed as required by law, bo#h the awner and cantractor may be ci#ed for a misdemeanor vi�lation
under state law. if;the,ow�ier or inter�ded con#ractor ar.e uncertain as to what licensing requfrernents may apply fioT the
int�n.ded work,they are advised fo contact the Rasco Courfty Building Inspection �ivision�Licerising Section:af 72'7-8�7-
80�9: Furthermare,, if the owner has hired a cvntractor or contractors, he is advised to have the contractor(s) sign
portlpns>of`the"contractar Sl�ck" of t�iis application for which they will be resporisibl�. lf yau, as khe owner sign as th�:
contractor, that may b,e an ind.r'cation #hat he is nat properiy licensed and is not er�titied to permitting privii�ges in I'asco
County.
CQNSTRUCTtON UEN �.AW(Chapte�713, Florida Sta#u#es,as amendedj: If valuetion ofi work is$2,500,00 or more, (
eertify that P, the applicant, h�ve been provided with � sopy af the "Florida Construction Lisn L:aw—Homeowner's
Pratection �cii��° prepared by khe Fl�rida I�epartment of Agriculture and Consurr�er A�'airs. If the applicant is some�ne
ottier than the�"owner', I c,ertify that I have obtained a copy of the abave described document and promise in good faith ta
deliver it to the"owner"prior fo coinmencement.
- COtVTRAGTQR'S1ClWtVER'S A�'FiDAViT: I ce�tify that ail the in�ormation in this application is accurate and
that`all work �t+�II 6e-done in ctimpliance with all applicable laws regulating construc�ion, zoning and land
developrrient. Application `is hereby made to abtain a pertnit to dd work and instaElafian as indicat�d. 1 ce�tify
thaf no`work or installation has carnmenced prior to issuance.of a permit and that all work will be perforrned to
mee2 standards af afl laws regulating construction, County and Gitp codes> zoning regutati4ns, and land
devetapment �egufations in the jurisdiction. I aiso cerkify that I unde�stand that the regulations of other
govemment agencies may apply to the intended work, and that it is my,responsibility to identify what actions I
mttst�take to be in compliance.
If l am the AGENT FOR 7"HE t�WNER, I promise in goad faith to infarm the awner of the permitt)ng canditions set farth in
;this affidav€t priflr to comrrtencing construction. ( understand that a separate permit.may be required for electricai work,
'plumbing; signs, weils, poals, air conditianing, gas, or other (nstaiiations not speci�caily"included in the. applicafion. �1
permit issued sliall be constnaeci to be a I�cense to proceed with the wark and not as authority to violate, cancel, alter, or
set.�side-any provisions o#tl�e tech�ical codes, nar shall issuance c�#a permit prevent the Buflding Official f�om thersafter
requiring a correction of etrors in plans, construction or vialations of any codes. Eve .ry permit issued shall become invalid
uttless tlie:v+tork authotized by such permit is commenc�d within six manths a€ permit issuanc�, or if work authorized.by
:#he permit is suspended ar.abandoned for a periad of six(6) manths after fhe time the wo,rk is eommeneed: An ext�nsion
' tii�y be requested,.in writing, fram the Building Offcial far a period ncrt ta exceed ninety (90) days and will ctemonst�ate
}ustiftati(e cause for the e�#ensian. Ifi work ceases for ninety(90}consecutiue days, the job is consicJered abandoned.
3
, W�tRMNG TQ C}W[+IER: UR FAIL.URE T4 REGQRD A NOTlCE OF C MMENCEIIClE T NtAY RESU�.T It� Y4t1R
PAYING_TWICE FOR INI dV MENT'S Td OUR RRClPERTY. IF YOU 1 E D TO GIBT tN FINANCiNG,.C(71dSULT
WITN'YOUM��LENGlER A .ATTE) EY �FOF�E RECORdING YC1U l�T C� F G MENCEMENT,
v FLC}RIDA:;Ji1RA't'{E:$.11>7. }
,
OWNER OR AGENT.�:�. �: � G ~�.`°�CONTRACTO�i � w' ��"'"�
5uti&cribed�and Swtirrt t or affr� �}bS a� me this � Subscribed and rn to( af#irr�ed}tiefore-me th s`�`�~��
— —t �b . �..4"" bY
Who istare.persona y nown to me r h2�slliave produced ho is are pe�sana y n wn to me r hasFliaxe produced
idenfi£rc�stion, as€Bent�fication:
...
Notary Public Nvtary Pubtic
ommissian No.. t�'1���7=G/r�,, Corrim�ssion No. d �/aZ�/�2-0/�' ,
W't.l..i..,.r�tr�n i'�_ �'A-,R.K:'F1R... _._111�'�L t,� � b. 6:�A�.I�.E�..
Narrse oi FFatary typed,.pdnted:or stamped IVame of Natary typed„printed ar starrrped
WILLIAM D BARKER
t+tt)TAFtY PUB!»tC WlE.LlAIt�1 D�ARKER
STAT�OF FI.ORIDA NO"'i'ARY PUBL4C
" „ , Gontm#FF�5f55TB ST�1TE OF fit.0i21DA
EXpil'+�S 9I2312417 „ ;�C.n�rtrn#FFC}�357$
Exp�ires 9/2,>!2t11'7
P�rmit Applicatian
�o�t��Rrar�3�ed� �`)'{p�-l7 i'honuGanx�cc#r�r.Perm�t ,�.;�������
c�c ��ra �� �sr . . . c�ar.� .
��:�,�„,g J�aithful.Frientls Pet Gremations bwner's F�hone Numk�ee $�I� �$$ �O��J
t�wrref&:4dcliess ; ��L��. +�t�l.�� ..
.Pe�Simpte-tHi�tiulder NAm� T;ttehatder Pt�oiie Numb�r �� �� �
Fea;Sirripfe:Titfehaidef Aitdress
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aoa�a�5g �2218th'St: Ze h rhills FI. �354� ��# ���
Sub.(?i1t�3i0ri . P3rCei# 11-26-21-0�10-16700-�11.4
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o 8irrti�arii.Waste Storage• ANNUAC. � Fumigation Tont
� ¢Wn1ti�cttBust KitCtspn H�od10u6t Q Nazardous Material{T1c�s!1 ar RQ Fda6ty� qNNUAL
� Cvnti�tCerlBt�rn _ � lfootllnstatl�tiw�
� �enecgency C�en4rator rt 3tt kw � LPtNaiura!C�as�inslaft�iton
� Emergsncyfienerator.>.3g kw Q. LP1Ns�4ural Gas-ANNUAL Sale
� Er'r�Prtli�ction Maintenanse• AHNUAL � Ptaces bf Assemk�fy-ANNUAL
�C y'�. emt _[ r� er
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3pdnWer � C7 L7 CI � R�cr�aGonaM 8um
Fire Ata�m � �;l {� Q � Sparkters
Nood;Cleamng �. Gl [:7 O �_�� � Spnrik�t�'Systent ins,it+itpfians
Mtiod SUpprosston � GJ G7 E:] � � Standpipcas(Spri�kier Sysy
�• Fire Alarm instal(8tip11 � Torch RaofinglTeir K�ktte
� �ire pumps � Waste�ra Storape ANNt3AL
t—� Fieminqbi�AppUcatiori. A�JNUAL �`�"��•�•�•:r
► �I �' 1.�si��10 fl � Valuativn vf Project
� Ftt61•7enks
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S�grtsture Re�isterc�ci �Y/.N F,oe Current V_J N
AddtBSs Cicense#
��L�fiTRlC�tN . Campany f
Stpnc�turfi Rer�istered li'1(V Fee Curnerit �Y/��'
AddrQss . l'+ctrnse#
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PLUMF�E�i Company �
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g�g,�l��. R�gistered Y!N Fee:Current Y(N
Arldt6S5 _ License#
N1CCFlRA#ICi�t . � Gomparsy ��
ga��ju� H�gisteced Y/N Fee Gurronl. . Y/N�J�
Atldt6ss Uc�ense!1
c�-�y��t cam��ny_ Gasmasters,.Inc ��
Signaturo r ' Regisierbd �1�! Fee.Current. ��
att�tr�tss...6424 CSU5eW8 . ` l.ic�nse.tz CFG037165 � �.,�
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--w...a,.;�rur.:a.«:��w,e*W.r.:.c �..,�.wo:.��.��.a�`�!`s"�r`..°",�.�.�:.a"�`-i..s;:�--..a�*�3.w,,:�:i,�..+r,:.-..» �.'S::<:'ta
�?iC+'�UC1t1S: ..�'
�`��rouc���rc�rio„�nRieig�y.
Owner&6ontraclar sigrt baCk of App}icafion,nofarized.{0�.c�py ai Ssgned contrad xitri oNmer)
If.�vtir.$2500,a Notie9 of Cvmmorecr�n�ent is re�uirsd(ivtechenicnl vwark dvar S50tlq)
aop�siy;iwo.{2}sats ot ctre�vings wiEiti�pplicabte documentation
A!#nv 14-14,ds�ys far roview afler subroittei dai�. Parce�#-obtainad trom Propetky Ta�c Notict:{ht€P 1/pPPraiser.pascopov.corn)
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• ZEPHYRH6LLS F'IRE DEPi4RTMENI'
38410 6th Ave 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 N6.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
BSite Plan N/C Annual N/C Sprinkler $50 1stAlarm N/C
Multi-Family/Commercfal .06 sf 1st Re-inspection N/C Standpipes $50 2nd Ptlarm 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 �• P Gas 6th Alarm $200
a0-25 Heads $50 violations corrected) $50 NON COMPLIANCE $150
26 plus Heads $100 SPRIfdKLER SYSTEMS Fuel Tanks- Persank $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 8 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Reqll Acceptance $50 Flammable Application $50 annua�
Wet $50 OTHER Waste Tire Storage $50 Mnual
��Y $50 moke Wall $15 perwall Generator<KW $100
CO2 0 as $25 per tank Generator>30 KW 150
Other $ � as $25 persystem Bio-Hazard Waste $100 Mnual
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 a�nuai
LP Instailatlon pertank $50 Fire Suppression $30
, Fuel Tank Installation $50 System Acceptance
,\ �d $50 � Exhaust Hood/Duct $30
atura� a ation Re-inspection DBL
r ystem) (other than annual)
�Spray Booth $50 � Inspection scheduled DBL B
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle A� $50 FALSE ALARM
PLANS TOTAL� INSPECTION TOTAL��}" PERMIT TOTAL� TOTAL�
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GRAND TOTAL
Comments:
Date:
Inspector:
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � Y
Date Received: �— �— �7
Site: _ i`��?if ���
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Permit Type: G�c� i i� �y C�art2��jy,G(s�, �
Approved w/no comments:L?" 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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Gene Brow —Fire Safety Officer Date Contractor and/or Homeowner
(Required when comments are present)
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fi424 Causewa. Boulevard, Tatnpa, FL 336�9
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State Licanse, #.CFG03T'!65 • LP Llcense #73776
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