HomeMy WebLinkAbout17-18278 CITY OF ZEPHYRHILLS ,
� 5335-8TH STREET
-� . (813)780-0020 1827 �
FUEL TANK PERMIT �
1
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18278 Address: 37130 EILAND BLVD
Permit Type: FUEL TANKS ZEPHYRHILLS, FL.
! Class of Work: GAS TANK/LINES-NEW Township: Range: Book:
i Propo�ed Use: NOT APPLICABLE Lot(s): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0010-12200-0020
Improv. Cost: 184,900.00 OWNER INFORMATION I
Date Issued: 3/16/2017 Name: THE RADIANT GROUP LLC
Total Fees: 360.00 Address: 1320 E 9TH AVE 2ND FL �
Amount Paid: 360.00 TAMPA , FL. 33605 I
Date Paid: 4/10/2017 Phone: (813)782-8353
Work Desc: REPLACE CURRENT FUEL TANK LINES AND PUMPS W/ ELECTRIC ADDED
CONTRACTOR S APPLICATION FEES
AE ERVICES FIRE PERMIT FEES 50.00 F RE P N REVIEW FEES 50.00
K&K ELECTRIC INC FIRE INSPECTION FEES 50.00 ELECTRICAL FEE 210.00
IV� �
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Ins ections Re uired
FIRE DEPT.F NA
ELECTRICAL 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
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 ATrORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
�
ONTRACTOR SI� ATURE PERMIT OFFICER
PERMIT EXPIRES IIV 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
,
• Iilill�Illtli�lililillll�lllflllllllllilllllllllllilllllll � �-
� 2017045221 �
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Pertnll No. {. � �� � Pa�cel ID No �3 ` a C�-a � ^�01 D - �a.a 0 c� - o O a 0
NOTICE OF COMMENCEMENT
Slale ot 1 . � D r� l!�Ch. Counry at ��A S C �
THE UNDERSIGNED heraby p'rvcs notice Ihet imptnvement xnro be made fo mrtaln reai property,and in aaortlanca wNh Chapter713,Florida 5latulos,
tha follawing Infortnefion Is provfded in thfs Nolfrs of CommencemenL , + c y e
i. Desuiplion of Properiy:Parcet IdentificaUon No.. b-C� J -�
svoa�nda�: 3? I 3 0 C i 10�:n r� B I v � Z P�� v r+ �►i��5 F L 33 sy a
2, General OescApllon of Impmvement_,(�P iM(� v a- �Ca Y�i!�� (�-���iL/�(x'�� (�_�_
.Q� (' s O 1 � �
3. Oxmer InfonnaGon or Lessee infortnelion if Ihe Lessee contraded for Ihe impm�emen:
7 h c 'R a,�.��a ti;-)- ('.,r o ��.n L L (�
J'� � �� "���s� 9-1-1, �4.i p !�-rn ocs. �L
Address City 7— Slate I
Interesl in PropeAy: C' c�rn m e r e i � � C c� ���p., � e�,t+a :� �r'� f"e��_ ,
Name at Fee Slmple Tftlehaldet:
(II diffemnt hom Ovmer listod above)
Slete
a. Contreractor. �R4 N �Q I R ('�� l� ^C 5�R�I IP�ty� JN�'
� �n 1 /.��eA-�f I G nr, i/ll c��r�� j ah� _�� 'DU .L�
Address �j O�ry — - - -- Stete_ _ --- - --
CoMractors Talophone No.:�I-'! `�� y-����/ Rcp t:1849991 Ree: 10.00 �l
DS: 0.0P� IT: 0.00 i
s. su�ery: �N� � QJ3/29/2017 L, K. , Dpty Clerk �
�a�s cny - s�ac� - - - -
�
Amount ol8ond:S Telephone No.: PAULfl S 0'MEI L,Ph D FRSCO CLERK & COFiPTROLLEi,
� 03/29/2017 11:07am 1 of 1 �
6. Lendar Na� OR BK ��,1�6 PG ��,�'� j
Address Ciry State - - ---- —
Lendefs Telephone No.:
7. Petsons wtlhtn the Stele ol Flodda designaled hy tha owner upon wham natices or other docianenls may be served as provided 6y
Section 713.13(1)(a)(7),Florida Statules:
Nama
Addresa City Slale
Talephone Number n}Deslgnaled Petson:
8. In edd�ion lo hirttseif,Ihe ovmer designates �i—
lo receive a copy of lhe Uenors Notice as pravidad in Sedien 713.13(1)@),Florida Slatutes.
Telephone Number oi Person arEntlty Designaled by Ouvner. _
9. E�fralion dale ot Nolice of Commencement(tha e�iration dele mey nat bo befote the eompletlon of consUudiun and final paymeM to fhe
eonitaelor,but wlll be one yearfrom Iha dale af recardinp unless e d�lferenl date Is spedfie�:
WARMN�TO OWNER: AN1!PAYMEN75 MADE BY THE OWNER AFfER THE EXPIRA770N OF THE NOTICE OF COMM�NCEMENT
ARE COIJSIDERED IMPROPER PAYMEiJiS UNDER CHAPTER7'13, PART1, SECl70N7i3.73. FLORIDA STATViES,AND CAN
RESULT IN YOUR PAYING lWICE FOR lMPROVEMEIJrS TO YOUR PROPERTY: A NOTICE OF.COMMENCEAIEN'f MUST BE
RECORDED AND POSTED ON THE JOB SI7E BEFORE TliE FlRST INSPECTION:IF YOU INTEND TO OBTAIN FINADtCING,CONSULT
WITH YOUR LENDER OR ANATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penafty o(perjury,l dedare lhal I heve read Iha fore8oing no8ce of cartimeocemerd end Ihnl tha fads staf¢d lhe�ein are We to the best
oi my knm�Aedge and be6ef.
3TATE OF FLOE2IDA��,n,; �; ,
COUNTY OF P�15C.O�pYPp;`. I�o
�'P.�IQEE E.��/�1TI,E� c s�enature ot wner or�essae,o ers or Lessee's Aulhatized
r���` �i QtficerlDtredorlPartriedMeneger
�� �� hiY C01iltISSlO?1 t1 FPOi6G46�
�...• �;, �/��) /] JJ
p.::�.:J T �" Ll�//1'L.�\
,�aF�� EJQ'1RE•S:Deccmhec 15,2017
�������„rc,�q��1.�,r Slgnato�+s Titie/Ot6co ,
The Ta�epoln8 insV��nenl was adcnowled0ed before me this�1'day af �L11,20�by. tr�t�� �7 .������`��
v[' �f � �r Qype o(euthority,c.g.,o(�cer,tnutno,altamey in fad)for
i}1(� (A� ��{��' v��OLI�� L�-�-- (namaofpaAyonbehaNafwhomtnsWmentw�;ezeculed).
Persanaly Knam❑�Prodixed Identificatron❑ Notary SiBneture L�W�� � =�•1 J""-�L
Type of Idenl'ficalion Produced Name(Prinl)
(��i1 c'�(�.. L��1/0<-1-1.�.c`.
wpdelelbcs/noUcecommoncamont�53048
; 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ��2���
. Building Department �
Date Received Phone Contact for Pertnitting — ` ����
Owner's Name Owner Phone Number C�X/��.��
3�d —J �
Owner's Address �� 1� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
/,/��p� �Fee S��Titleholder Address
ff� �f �f._
JOBADDRESS � � LOT# �
SUBDIVISION PARCEL ID# - G���a I�'�� -r �
! (OBTAINEDFROMPROPERTYTA%NOTIC�
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR a� COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK � i� i � L�'TJ '
BUILDING SIZE SQ FOOTAGE HEIGHT ��KS�'�S�tl/1�
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �" �����w
�,�ELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. /g���
��
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY �_ (1
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N I
Address r7 V��\ �—f'(AIT� at: ��i �L3��L�ense# �V��/ �� 'i
PLUMBER COMPANY I,
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
Address License�!
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
Illlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllltlll
RESIDENTIAL Attach(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 afler submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Wark Permit for subdivisionsAarge projects
�COMMERCIAL Attach(2)camplete 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,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMR Attach(2)sets of Engineered Plans.
•'••PROPERTY SURVEY required for all NEW construction.
' Directions.• ,
Fill out application completely.
Owner&Contractar sign back of application,notarized
If over 52500,a Notice of Commencement is requlred. (AIC upgrades over b7500)
•' Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI771NG (capy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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ORDERED BY: ; �� � �
AEC Services, Inc.
1616 Allison Woods Lane
�I Tampa,FL 33619 Purchase Order No.: 9178
Date Issued: 4/5/17
Voioe: 813.684.1234
Fax: 813.684.2660
N�' �` :x.s'1.�'�..+� ' �'>:s'�-a�• �,�?a� �-�. - : ck- =�c`. � =,;r�,"t +;.;�'.•�7,-., _ . _ _ �
tx, ��` =';;,,�!,`o��•"_'�.�;�.�::t.-„"�.� �t�����.�'. Vz�k�-���-�L�'��?''� ';��"`�.�i'?�',a'.;�:�`�'�-�,'�e+ "+*�`t �h-�
ar. u��°" ';w:�r_'�dr 2�,:.�3t�� >,.i.. ..t .:eiCt:".'ti w.,..�ti., i.• ;d'r� ,��='z,.' - FcL'z,...a...s. ,7+-�:'E �:w;.'�?�,i.t�� �'S'�.`;.�+J_.;��-
',€�"-'� �`` ���� s:�.,
K& K Electric RadiaM#438
2517 Country Club Road 37130 Eiland Blvd.
Sanford, FL 32771 Zephryhills,FL 33542
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'.�e`A�r,d?'+�' �a`'.�•y'.- <�.J_ ��r:a�._ t z� �E.- `��+�-%r�:"+'� _.�1� ��.�f' %�,. ��'t;�'�-:�
5/5/17 Courier Net 30 Days
�,- �-� - -- ,-,� $.� r . .� �,, _ � . ..
..�. a =,,s„�.�.. -`�r•* �r, ��lr�rw� '".�'�-¢;`".�- a� �'� .��:e�,'.�.J1� _�;` ,r.:.�„ ��� - .�
Electrical work provided per attached quote. 34,900.00
I
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1. ALL PURCHASE ORDERS MUST BE SIGNED AND RETURNED
A d Signatur 2. ANY ADDITIONAL WORK RE UIRES PR
Q IOR WRITTEN APPROVAL.
3. PAYMENT TERMS ARE SPECIFIED ABOVE.
� 4. FOR PAYMENT FROM AEC, PLEASE SUBMIT A SIGNED COPY OF
THE PURCHASE ORDER ALONG WITH AN ORIGINAL INVOfCE.
5. PURCFBASE ORDERS AS PER ATTACHED QUOTE DATED
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��:��q Electric, Inc. .
J�� PRC3POSAL. '�dQ��j'�$ �
25'#7 Country Club Rd
Sanfard,FL 3277'I-4058
(407)323-6300
{487}323-6206 fax
construction(a�kkelectric.com
To AEC Services,inc. a'rfnt Ronald Fair t�az� 4/512017
ADORESS JOB NAME Radiant#438
tocAT�or� 37130 Eiland Blvd
PHONE 813-684-1234 F�vc 813-6842660 Ze herhitis,FL 33542
WE HEREBY PROPOSE T4 FURNISH MATERIALS AND LABOR NECESSARY FOR THE COMPLETION OF
Fue# Svstem
Buildin s .ft: N!A Area Lights: NfA
Buifding Service Size: NJA Arahitecturai Lights: N/A
Dispensers: 6 STP's: 3
Tanks: 2 Ca�op iights: NiA
Drawing 5heet Numbers: Engineer
'This bid does nat include any wark dicta#ed in spec booic,pre bid notes or addendums becaitse none have t3een provided.
Sheet G0,G0.1,G0.3,G9,G10,G11,G12
i Fuel System
2 K&K tp provide labor and material necessary to elecVically comptete the fallowing:
3 K 8 K ta Provide&Install Nema3r Trcugh on Fxte�io�of Building at Elec#rica!Room
4 (1)3/4"'PVC Coated GRC/PVC conduit(s)per dispenser for Power-New Wire Use Existing Canduk
5 (9)314"GRCIPVC candui#{s}per dispenser for Data-New Conduit$New Wire,
6 (1)3/4"GRC/PVC conduit(s)per dispenser for Sump-New Conduit 8 New Wire
7 (1}3!4"PVC Gaated GRC canduit{s)per S'TF-Use Existing Gonduit&Nsw Wire
S (1}3/4"GRGPVC conduit(s)per Tank far 7LS-Use fxisting Conduit&New Wire
9 (0)3/4"Loop for Tank Probes(100°�PVC Coated GRC)
i0
11 Fuel Panel is Priced as Adequate for New System-No Allowance for Upgrade(If Required)
12 K&K to Disconnect Electrical8ystern for Fus!System an 1st Trip
13
14 Canopy
15 Conduit&Wlre for.Ganopy Branch Circuits are Existing to F2emain
1S
17 Site Elec#ricat
18 No Allawance for Air Vac,Monumental Sign ar Site Light Scope of Work
19
ZO General Canditions
24 Atl appticable taxes are included in our submission.
22 The Eledrical contractar shall not be held liabfe for errors or omissions in the design of others,nar inadequacies of materials and
equipment specified or supplied by athers_
23 Equipmetrt and material supplied by Electrical cantractar are warrarrted only to the extent that the same are warranted by the
manufacturer.
24 The Elecfical contractar shal!not be liable for indirect toss or damage.
, 25 Unless included in this proposal,bonding and/or special insurance requirements are suppfied at additional cost.
Page 1 of 2
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'�S. Electric, Inc.
��� PROPOSAL: 104518
26 Any inspection fees incurred due to acceleration of this project are not covered in this base bid and will be billable as additional
contract change order(s)/extra(s).
27 if a formal contract is required,it's conditions must not deviate from this proposal without our prior approval.
28
29 Exclusions /�
30 Fuel Panel Upgrade(If Required) \�
31 E-Stop Upgrade(If Required) / (� ,
32 Site Scope of Work � �,
33 Canopy Scope of Work I
CONDITIONS IN VIOLATION OF NEC OUTSIDE OF THIS SCOPE FOUND DURING ELECTRICAL INSPECTIO ARE NOT I
COVERED IN THIS BID PRICE AND WILL BE REPAIRED ON A"TIME AND MATERIAL"BASI
II WE PROPOSE hereby to fumish material and labor-complete in axordance with above specifications tor the sum of: I�cludes Tax:
Thirty FourThousand, Nine Hundred, and 00/100 do„� $34,900.00
Payment to be made as foltows: A Finance Charge of�.5°.6 Per onth Will Be
AS PER CONTRACT AND I OR PURCHASE ORDER � qdded to Any Unpaid Balanee ver 30 Days
NOTE: Due to sudden fluctuatlons In prices of Copper 8 Steel-the bid price is valld for 15
� days. Subsequently it will be honored for an additional 30,but with any material price awrized
increases impacting our offered 6id price. i9n�
Any alteration or deviation(rom above specifications involv�ng extra costs will be executed only upon wntlen orders,an will become an e ra charge er and e e the
esUmate.All agreements coritinger�upon strikes,aecidents or delays beyond aur eontrol.Owner to carty all necessary insurance.Our workers ar vered by Wwkmen's
Compensatfon Insurance.The paAfes to this conlrad agree that any aclion brought to construe ar enforee ihis contraet ahatl be brougM in a court of eompetent juri�dion with
venue lying solely and exclusively in Seminde County,flodda.The prevai7fng party In any adion broughl to construe or enforce the tertns oi this egreement shall be entitled to
reeover its attomeys fees,costs and expenses.
ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are
satisFaetory and are hereby accepted.You are authorized to do the work as spedfied. Printed NameJT'Ale:
Payment will be made as ouUined above.
Date oi Acceptance: Signature:
Page 2 of 2
Fram: 04/Q6C2017 12:30 #355 P.004/006
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a�a��sv: �
AEG Services, Inc. �
1616 Ait�on Woods Lane �
Tampa,Fi. 33619 PEmchase Order Na.: 8178 �
Uate lssued: 4l5t'17 �
�
Vaioe: 813.684.1234 �
Fax: $13.�i84.2660
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;
K 8�K Eledtic Radatrt#438 '
2517 Country Club Road 37130 E[tand�Ivd. j
Sar�fard,FL 32771 Zephryhiys,F� 39542
St5l17 C�rier Ne#30 i3ays ,
Etec�ricat waric provided per attached quate. 34,900.Q0
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9.ALL PURCHASE ORQERS MUST BE SlGNED AND RETURNEQ �
a d s�gnatu .ANY ADD11'lONAL WORK REClUlRES PRIOR WRIi'TEN APPRQVAL.
� . pAYMEHT T�RMS ARE SPECIFIED ABOVE. �
4.�OR PAYMENT PRaM AEG,PLEASE SUBMIT A StGNELf COPY��
! THE PURCHASE ORDER A,LC>NG W'itH AN ORtGINAL iNV0�10E. �
6. PURCHASE ORDERS AS P�R A7TAGHED QU41'E t3A'�ED �
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From: 04/0612q17 12:31 #355 P.005l006
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Page 1 oi 2 �
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E�CC�2'IC, �11C. PR�PO�AI.: '�UArr'J'�� y
�
25'17 Covr�tty Ch�b Rd j
Sanford,FL 32771-Afl58 �
S
(40�323-630t3
{40�323-�206 fayt —
Gottstntctian�kkefecttic.cotn
Ya AEC Services �nc. n-czr� Ronafid Fair DATE d/5120i� ;
ADDRESS JOE3 tdA�1E R2tdFant#�t3$ �
LOCATlOA1 3713Q�lBDd BIVd
Pt�on� 613�84-4234 FAx 813-684-2660 herhllis fl.33642 �
WE H�258Y PROPOSE T8 FU12HiSH MR'i�R1AlS ANA LABOR AF�CESSARY FOR 7HE COMPLETION OF
Fuet Svstem
8uiltqn e .ft WA Area Ligbts: IWA
Btnldng SeNice Si�e: T�!/A AtcMifet�ut�ai Lights: NJA
Dis ets: 6 S7P's: 3
Tenks: 2 Ce Ms: N!A
Drawing Sheet Nu»►becs: Eagtneer
This bid does not(ndude any wcrk dictated in apec book,pre bfd potes or addendums because narie have beet�provided. �
SheetC�O,G0.1,G0.3,G9,G90,G11,G12
F
�{
i+
1
�
� �U@�S�1ftt01f1
2 KBfC te provlde labar and matedai necessary to eiectrlaaiiy campfete the fioilowing:
3 K&K to Amvide&tnstail Nema3r Troagh on EMerioc ot Buildir�at Etecbicai Room
4 (1}314"PVC C.oated iiRCIF'VC cnnduii{s)per disper►ser for Power•New Wire Use Extsti�g Co»dnit �
5 (1}314"�RClPVC canduit(s}per disper�ser fo�Data-Now Cartdu[t&NeKr Wira
6 (1)3!4"GRC/PVC conduit(s)per dispenser for Sump-New Canduit�New Wire �
7 (1}3/4"I�VC Coated GRC conduiE(sa per STP-Use Extstiqg Conduit!4 Naw Wiro �
8 (1)8/4"GRC7PVC conduit(s}pe�Tank for TI.S•Use Existtng Condui#$�New Vlrira
9 (4)3t4"Loop for T'ank Probes j100°k PVC Coated GRCj
10
11 Fus{Panel is Pdced as Adequate for New 5ystem-Pto A�lawance Sor Upgrr�de{Ef Required) i
12 K&K ta Disconneet�IectrllrNal$ystem far FueJ System on 9st Trip
13
id Canopy
SS Canduit&Wire fot Canapy Brenah Circuits are F�cisting ta itsmain
I
!6 �
I
77 S[!e ElBCtrECitl �
16 No Allowanoe for Air Vac,Monumental$�n er Stte Light Scope ot Work �
19
26 General Condifiar�s
21 A,ti app�cab4e t�tes are anctuded in anr submissian.
2Z 't'hs E�ctrical cor�trador shail not be heid 13a�te fc�r erross or omissicns in the design of athers.nar inadequaaes of rrrat�rials and
equipmer�t sped#led or�uppiied by ofhers_
23 Equipm��t and meteriai supptied by Electrical cantractor are warrarrted anly to the extent that the same ar�e warraMed by the
manufacturer.
24 'i'he�les�i ctsntractor staait not be tiable f4r 3»d3rect loss or damage.
2S Untess included in this props�sal,boading andlor specia!insurattce requirements are su�spfled at add�iatta!txsst.
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PBge 1 of 2
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CITY OF ZEPHYRHILLS
, 5335-8TH STREEf"
• {$i3}784-0020 ')827$'�
r�
FUEL TANK PERMIT �
r.:
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 98278 Address: 37130 EILAND BLVD
Permit Type: FUEL TANKS ZEPHYRHILLS, FL.
Class of Work: GAS TANK/LINES-NEW Township: Range: Book;
Proposed Use: NOT RPPLICABLE Lot(s}: Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 03-26-21-0010-12200-002Q
Improv. Cost: 150,000.00 OWNER INFORMATION
Date Issued: 3/16/2017 Name: THE RADIANT GROUP L�C
Total Fees: 150.00 Address: 132Q E 9TH AVE 2ND FL
Amount Paid: 150.00 TAMPA FL 336Q5
Date Paid: 3/16I2017 Phone: (813)782-8353
Work Desc: REPLACE CURRENT FUEL TANK LINES AND PUMPS
CONTRACTOR S APPLICATION FEES
A SER CES F E PE IT FE S 5 .00 E PLAN REVIE ES 5 .00
FIRE!I�lSPEGTIC?N FEES 50.04
/,'/��
jV
ins ections Re uired
FIRE DE .FINA
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees ta pay for the costs of fire
prevention and protection related activities such as inspectionsj ptan review,administrative feas,and other
costs retated to the aforementianed,
Camplete Plans, Specifications and Fee Must Accompany Appfication. Commencement of work withaut written approval of
the Fire Department's Fire Marshal or required permits or opening up for cammercial activity without an appraved fna(
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work sha[I be perfarmed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE T4 RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YUUR PAYING TWICE Ft�R
IMPROVEMENTS TO YC?UR PROPERTY. IF YOU TNTEND T4 OBTAIN
FINANCING, CONSULT WITH YOUR LENDEit OR AN ATTORNEY BEFORE
REC�RDING Yt�UR NCtTICE OF COMME MENT "
ONTRACTO IGNAT RE PERMIT OFFIC
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
. ZEPHYRHII.LS FIRE RESCUE DEPT-813-780-0041
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
, . � '�� Building Department
Date Received �� i � u[
Phone Contact for Pertnittin 479 877 _3499
Trrr
Owner's Name Radiant Group,LLC Owner Phone Number 813-918-1963
Owner's Address 1320 E 9th Ave,Tampa,FL 33605 Owner Phone Numher
Fee Simple Titlehoider Name Owner Phone Number
Fee Simple Titlehoider Address
JOB ADDRESS 37130 Eiland Blvd LOT# �
SUBDIVISION PARCEL ID# 03 26 21 0010 12200 0020
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADDIALT XQ SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �nstallation of(2)USTs;all fuel piping
BUILDING SIZE n/a SQ FOOTAGE� HEIGHT �
QBUILDING $ � VALUATIONOFTOTALCONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � J�I lJ'��"S ��1� ,
� /1 V�/
QGAS Q ROOFING Q SPECIALTY Q OTHER 9 �� �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � r •� ����
�� I�.
..
BUILDER COMPANY I(X��
SIGNATURE REGISTERED Y/ N FEECURREN Y/N
Address P , /�ZM � License# �✓
ELECTRICIAN �p ('+� COMPANY I���/�V
SIGNATURE .,.JL,.�� LJ�� REGISTERED Y/ N FEE CURREN Y I N ��
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consVudion,
Minimum ten(10)working days after submittal date. Required onsite,ConsWdion Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsi[e,ConsWction Pians,Stortnwater Plans w/Sitt Fence installed,
Sanitary Facili6es&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPER7Y SURVEY required for all NEW construction.
Directions:•
Fill out applica6on completely
Owner 8 ConVactor sign back of appiication,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for the conVador)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITfING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurveylFootage)
Driveways-Not over Counter ff on public roadways..needs ROW
� NOTfCE 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 worlc,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 lhe
inte�ded 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 conlractor or contradors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will he 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 IMPACTIUTlLITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Re�ourse Recovery Fees may apply to the constructlon of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance num6er 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 invofve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County WatedSewer 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 ConsWction Lien Law—Homeowners
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'SlOWNER'S AFFIDAVIT. 1 certify that alt 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 instailation has
comme�ced prior to issuance of a permit and that all work will be pertormed 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 govemment agencies may apply to the intended work,and that it is
my responsibitity 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,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Arrny Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
- Department of Health & Rehabilitative ServiceslEnvironmental Health Unif-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 pertnitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"witl 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 wiil 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 fiii will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the awner 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 pertnit may be required for electrical work,
plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically inciuded 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 provisiorts 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
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 O�cial for a period not to exceed ninety(90)days and wili 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 RESl1LT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDE OR AN ATTORNHY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEIVT.
FLORIDAJURAT(F S,11 3)
� OWNER OR AGEN.T.�-- L �1 CONTRACTOR
S bsa� d and�wosnJ�w altir �) � a h Subscribad and�wyom lo(or a�rmed)hefore me this
�
Who islare nown o e or has/have produced Who islare personally known to me or has/have produced
ns identificatian, es identificatlon
� �
Notary Public Notary Public
�Comm�sian No. � " �� Commission Na,
2%� ���
Name o(Notary lyped,prinled or stamped " Name of Notary[yped,printed or stamped
�����iiu�.�� . _ . .. �,
��,.o�P"'''�'o;:: '. VEROfdIC/iTUTEN
'�: :`��: Nofary Public-State of Florida
,;,� •:Q;;•My Comm.Expifes May 21,2017
��%; P'� C6mmission #FF 02Q015
� %°;���:,�,
. on� o I
. �l��oniun
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
`
Contractor/Homeowner: /C.•i'����� ���
Date Received: 2—��f'�7 �
Site: �
Permit Type: �j'�.���l��l� �S�� 7'Z[� //���
Approved w/no comments:C� Approved w/the below comments: ❑ Denied w/the below comments: ❑
i�
��''
������y� �r
\'
������• `
�
This comment sheet shall be kept with the permit and/or plans.
.
Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner
(Required when comments are present)
.. ZEIPHl'R4���L� FEi�E �EIPARTII�ENT
� 38410 6fh Ave Zephyrhills, FL 33542
F�RE SERVI�E 4lSER �EES � "
Occt�pancy Nm.: r.��"�� �����
Plan Na.: Contractor: �s�� 5
Susiness Name: • t�a.��r Silling Address:
Business Address: 3� t 3� c-�i�-��� �"��
Business Phone No.: ��"5 � � �8' . t �i� 3 Bi!ling Ptione No.: ''``r?9 - .�7 7- 3'�9 y
Business fiax Na.: Billing Faac No.:
Contact: Contact: r-�+r�N G�3�o�+�
PLAN REVlEW FEES INSPECTION FEES , PE#2MIT FEE FALSE ALARM FEE
�Site Plan NtC Annual NJC Sprinkier $50 1st Alarin N1C
'MulU-FamilylCammercPai A6 sf 1st Re-inspecGon N1C Siandpipes $5d 2nd Pdamt i+lJC
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Aiarm N!C ,
❑Plan Revisions D�L 3rd Re-inspection $250 Hoods $50 4th Alarm $704
4th Re-Inspeotion $500 Fire Alarm $5Q 5th Narm $15Q
SPRINKLER SYSTEMS (Business closed until � LP Gas $50 6th Alarm $2Q0
8 0-25 Heads $50 violations corrected) i Na�p[aL�Hs-.��50 NON COMPLIANCE $150
26 plus Heads $100 SPR(NKLER SYSTEMS Fuel Tanks- per�ank $50�
STANDPiPE SYSTEM Hydro Undergrounds $45 Spa ers 10d
� �Per Riser $50 Flydrosta#ic Test $65 Per system Fire Works $500
, FIRE PtlMP Aecep#anceTest $45 persystem Camp Fire $25
�Per Pump $940 Hydrant Ftow $75 Controtted Bum $100
FIRE AlARM SYSTEM NoodlQuct $50 °
0-25 Devices $50 FIRE ALARM SYSTEM Place af Assembly $5Q r�nn�et
� 26 plus Devices $100 Syskem Acceptance $50 FUe Protection $25
SIUPPRESSION SYSTEMS 8 Repll Acceptance $50 Flammable Application $50 annuai
Wet $50 OTHER Waste Tire Starage $50 Annuai •
pry $50 Fire WalUSmoke Waii $15 per wall Generator<KW $100
CO2 $54 LP Gas � $25 per tenk - Gener'dfor>30 KV1l 150
Other $54 Naturat Gas $25 peraystem Bio-fiazard Waste $100 an�ua�
KITCFiEN EXHAt1ST FumEga6on Tenting $50
� HoodlDu�ts $54 Tent 1U'x10'argreater $45 pertent Torch PoURppfied $54
QTHEF2 FUe Pump $45 Haz.Materials $10Q a+,naa�
LP Installatlan per ta�k"–""$5 Fire Suppression $30
, � Fnefiank-{nst�1 a oI'fi n—�50 System Acceptance ,
Per ank) $50 E�aust Hood/Duct $30
�Naturai Gas Instailation $50 Re-inspection DBL -
(Per System} {other than annual}
�Spray Booth $50 �tnspection scheduted DSL 8
and cancelted tess than
24 haurs
" 8Construckion Insp. N!C �,�--�-�
Emergency Vehicle A4 $5Q �� V FALSE ALARM
PLANS TOTAL� INSPECTION T0T�4L.� PERMIT TOTAL� TOTAL��
��� �
� GRIWb TOTAL r�r'. �"
Comments: '
oat�: a � o S-• %�
Inspector: /��-- _-,.-_ ��`�--
mn -`
II� . �
�:�� .
� � �� , Electrlc
��
2517 COIINTRY CLUB ROAD
SANFORD, FLORIDA 32771
407/323-6300
407/323-6206 FAX
service�kkelectric.com
POWER OF ATTORNEY
r
I hereby appoint Ralph Berry or Joshua Kreinheder or Cory Zarch or Andrea Cheek
of K&K Electric, Inc. to be my lawful attorney in fact to act fo�me and apply/sign for
any work to be performed in the City of Zephyrhills, Florida including permitting.
Please call my office if you have any questions or concerns. Thank you for your
assistance.
Si c ly,
Chri opher . Ferrara, EC0001650
STATE OF FLORIDA
COUNTY OF SEMINOLE
Sworn to and subscribed before me by Chri topher errara,who is personally known
to me and who did not take an oath this'�of , 2016.
Notary Public:
Signatur • � Sealed
Printed Name of Notary: 2� � '
fr.,x,�r�b.r�r�.-,,t;� �
,
� P��pY Y�� ANDREA K.CHEEK �
r .�7�P Gy�•�
r� ;•�� 4�; Notary Public-State of Florida
�_•K �n•° Commission�k Ff 809468
� ;;.�-�' p�� My Comm.Expires Nov 16,2019
�� ' �'�%������A BondedthroughNaUnnalNotaryAsaai.
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