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Home My WebLink About17-18653 �,. ; CITY OF ZEPHYRHILLS , ' ' S335-8TH STREET (si3)�so-oozo 186�3 LP/NATURAL GAS PERMIT ,.�'� PERMIT INFORMATION � � LOCATION INFORMATION ,%� Permit Number: 18653 Address: 38522 A AVE �/ 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: 14-26-21-0010-01700-0060 Improv. Cost: 1,000.00 - OWNER INFORMATION Date Issued: 7/12/2017 Name: CROWN CASTLE GT COMPANY LLC Total Fees: 125.00 Address: 4017 WASHINGTON RD Amount Paid: 125.00 MC MURRAY, PA. 15317-2520 Date Paid: 7/12/2017 Phone: (813)342-3853 Work Desc: INSTALLATION GAS LINE FOR GENERATOR CONTRACTOR S APPLICATION FEES SECURE GAS SERVICE GA FEE 50.00 FIRE PLAN REVIEW FEE 50.00 FIRE INSPECTION FEES 25.00 � n � l /� . � � � � Ins ections Re ui I FIRE 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$100.00, whichever is greater. All work shall be performed in accordance with City Codes and Ordinances. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO YOUR NOTICE OF COMME ENT " CONT � OR SI� N TURE PERMIT OFFIC PE MI EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 a��-xso-oo2o City of Zephyrhills Fire Fa�c-813-780-0021 . � Permit Application Date Received '�"��- 'Z u 1� Phone Cantact for Permit (� {�j 3 ��' jp�� e:=.�..,�-��,��•._:-�->r.-�.....:,,..�.�.:::.-_._:�.>:_..=.�.a�.�:�.�:-�.:�.� ��.sn:��:;�::,.:��.�;t...•.��:..=..�.....,-.�,:�;,��L.�,�,,�:,:.�:.�v,. � Owners Name ix,��,} �G�'�-� L,pPJb �`,, Owrse�s Phone Number � � C� Owne�s Address �{$ s �iJ �y}�,D �,L Fee Simple Titleholder Name Tilleholder Phone Number � � .L� Fee Simpie Titteholder Address ' C"`�:�.�"�;-..��.:x�S.�.'`�.r`_��€;as=::.'.�:�y�:.r--.,.o>rr�„�r;r�_�,��:�.""c�-''..�'.s.:..'�'-`�.�.�.-,,.,rx.,"„"'*A.-k..-,-�cc^,.;,.e;�.:�.�'=�;r"""''' "'"'�'"'+."�.t,'�"`'�':-" -=..t�^os'ti�rx-�.�.-.�-Wr::'-r,+..`�«..-`--�-r^`zr�a.,..^._.- .. ..av. .:w.''-_.�..a:� .a.,.._1=.a.,,w.__......�, ,..�.>u.r.,...� .u..=.-�.. ,».v��a��.s: ,►ob Address.� �$`j Z Z. f� ,�eV��lf" �-jr�ll '�J % ., � Lot# �� Sub Division Parcet# / '/�ti•.��•041 iD'b('7G0'l30lo O €:a.'".�"`"a,:x'.�..«.:s�.,......T.<m'"P;:.'a';?:�:J'�'�-...s..:<�_,r,:-=�,.wv:.:........._3:�._..`..,,:."`-�"'�a.�. .;��;-��.::::xa...H.s..^•.'�:�;tt:G;�:.'�':..:t.•:_:.`�""��,a� =-�^.--�-w°`--=b.--�. .n--`-•�'----^"�,-. �-^".a; _.. .'w'"S"..'.:`:.m.+_...: .u�:�.....�,«�:<.,..�_�..»".'7�.� ::��".�.r..'. ,�e::l.°`,.e:r:,.__Ha 1� � Sio-Hazard Waste Storage-ANNUAL � Fumigatlon Tent � Comm Exfiaust Kitchen HoodlDuct � Wazardous Material{Tier il or RQ Facility}ANNUAL � Gontrofled Bum � Hood Installation _- � Emergency Cenerator<30 kw LP/Natural Gas-instaifation � Emergency�enerator>30 kw � �P/Natural Gas-ANtdUAL Sele � Fire Protection Maintenance-ANNUAL � Piaces of Assembly-ANNUAL � em �n er Sprinkler � ❑ ❑ L7 � � Recreationat Bum Fire Alarm � O Cl ❑ � � Sparklers Hoad Cleaning � CI , C} � � � Sprinkler System)nstaltatians Haod Suppressian � � � D � � 5tandpipes(Sprinkler Sys) , � Fire Alarm Installation � � Torch RoofingtTar Kettle ' � Fire Pumps � Waste Tire Storage ANNUAL , � F�ammable Application-ANNUAL 60b•b e Valuation of Project � Fue!Tanks Q Other: t�::.:^,.�::.--,:^�;�.:_.,..,.�.. _ - _ � �..�-'„��,�.��s:^�r:.�:,��Y`"`"�.;s'.'n.a.�:_,..,��.�•.'�.....,,. .-,<a.,-.-a„�._...R�-._.�._-��:�.�: ..:�.:-�.W�-�::.;.�.� - ��.»_,w_.._�. �._u Contractar . Campsny ' Signature Registered Y/N Fee C nt Y/N Address i.icense# ELECTRIGIAN Gompany Signature tze9�sterea -Y 1 N Fee Current Y 1 N Address License# PLUMBER Company ' Signature Registered Y/N Fee Current l�/N Address �icense# MEGHANtGAI Gompany Signature • Registered Y/N Fee Current Y/N Address License# OTHER Company Signatura Registered Y/N Fee CuRent Y!N Address License# �;��"'�'s.,:F:,�..e..��tro:�,_.�..<..,:=e:.,.;�.:a...w,.-�.t.�..r.:,.e..,su-.�„�<.�,._:w.,,�s.r.�-:�r.r.�.ti.� . .."..c.:s:.:,��.<_.,_..:-...,..::..�':".-.°-°.ry`S°.".M-.,:.-�.r-a`>.u;;rt_:�..,...�..,��.�.Yy�._...,...,-��...�:,.;.�.._.:y:..�::c��;-:.�-.»......�.._::�.'�«''�:.,�,�;.;„s�,"<"�"'_c L}tiBClIQ!'IS: Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) It over$250d,a tlatice ot Gommencement is required(Mechanical work aver$5444} Supply twa(2)sets of drawings with applicable documentatian Allow 10-94 days for review after submittal date. Parcef#-obtained from Property Tax Notice(http://appraiser.pascogov.com) � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictfons" , which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any ' applicabie deed restrictlons. UNLICENSED CONTRACTORS AND COtdTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be Iicensed fn accordance with state and lopl regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cfted for a misdemeanor vtolatlon , 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 Buildtng Inspection.Divislon—Lfcensing.Section at 727-847- • � 8009. �urthermo�e, if the ovmer has hired a contractor or contractors, he is advised to have the contractor(s)'.sign ° � ' portions of the"contractor Block°of this appNcation for which they wfll be responsible. If you,as lhe owner slgn as the contractor,that may be an indication that he Is not properly licensed and Is not enUtled to permitting privileges in Pasco County. � ' TRANSPORTATION IMPACTIUTILITIES 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 spec�ed 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 fdentified af ttie fime of permitting. It is further understood ihat Transportatlon Impact Fees and Resource Recovery Fees must be paid prior to receiving a'cert}ficate of occuparicy"or'fliral powe�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 permft issuance in eacordance 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 ihat I, the appllcant, heve been provided wfth a copy of the 'Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affafrs. 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 fafth to '• deliver it to the'owner"prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certffy that all the Infortnation In this application is accurate and that all work wili'be done in compllance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtafn a permit to do work and installation as indicated. I certffy that no work or fnstallation has commenced prior to issuance of a perm(t and that all work will be perFormed to meet standards of all laws regulat(ng construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certity that I understand that the regulations of otFier govemment agencles may apply to the intended work,and that it is my responsibiltty to fdentify what act(ons I must{ake to be in compifanae. Such agencfes include but are not Iimfted to: - Department of Environmental Protecfion-Cypress Bayheads, 1Netland Areas and Environmentalty Sensitive Lands,WatedWestewaterTreatment ' - SouthwesE Fiorida Water Management. District-Wells, Cypress Bayheads, Wetiand Areas, Altering ' Wateroourses. . ' - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Reha611itative Services/Environmental Health Unit Wells, Wastewater Treatment, Septic Tanks. . - US Environmental Protectlon Agency Asbestos abatement. - Federal Aviation Authority-Runinrays. I understand that the following resMctions apply to the use of ftll:• - Use of fill is not allowed in Flobd Zone`V°unles"s expressly permltted. - If the flll materlal is to be used in Flood Zane 'A, (t Is understood that a drainage plan addressing a °compensating volurrie"wrill be submitted at time of pertnitting which is prepared by a professional engineer . • Ilcensed by the State of Florida. - If the flll material Is to be used In Flood Zone'A° in connec4on wlth a permitted building using stem wall construoUbri,I certity tf�at flll will be used only to flll the area within the stem wall. ' - If flll materiai is to be used in any erea, I cettify that use of such fill will not adversely affect adjacent propertfes. If use of fill is found to edvetsely atfect adJacent properties,the owner may be cited for vfolating the conditions of the building.permit Issued under the attached permit application,for lots less than one(1) acre inrhich are elevated by flll,an engineered drainage plan is requfred. If I am the AGENT FOR THE OWNER,I promfse in good faRh to inform the owner of the permitting condftions set forth in this eftidavft prior to commencing construction.. I understand thet a separate permit may be requfred for electrical work, plumbing, signs,wells, pools, afr conditioning, gas, or other installations not specffically included in the application. A ` permft issued shall be construed to be a license to proceed with the work and not as authorily to.violate,cancei,aiter,or ' set aside arry provisfons of the technical codes,nor shall issuance of a permit prevent the BuOdirig Officfal from thereafter requiring a correction of errors in plans,construction or vialaUons of any codes. Every permlt Issued shall become invaiid unless the work authorized by.such permit is commenced within six mor�ths of permft issuance,or ff work authorized by the permit ts suspended or abandoneil for a period of�sGc(6)months after the(ime the work is commenced: An extension may be requested, tn wriling,from the Building.Oificlal for a period not to exceed ninety(90)days and will demonstrate - )ustifiable cause for the extension. if work ceases for ninety(BO)consecutive days,th\job is considered abandoned. . WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMiNENCEMENT M SULT IN YOUR PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T OBTA ANCING,CONSULT WtTH YOUR LENDER OR N A7TORNEY BEFO E ECURDING YOUR N C E CEMENT FLORIDA JURAT(F:S.117.03) - OWWER OR AGENT COtdiitACTO Subsalbed end swom to(or aRirtned)before me thfs " Su6svlbed end swom to or at d before @ Is� �y by � Who Islare personalty known to me or has/F�ave pmduced Who is/are petsonally Imo e or has/h produced as identlficatlon. as IdentlHqtion. Nohary Public Notary Publlc �, Commission No. Commisslon No. � Name ot Nohdry lyped,pdnled orstemped �Name of Nolary typad,pdnted or stamped � -7 . ' �� 6907 Dairy Road, Zephyrhills, FL 33542 Fe6�E SERVBCE USER FEES Occup�ncy No.: P6an No.: Contractor: �20�� s iCc/ Business Name: -r., ,� �,� l� Billing Address: �1 S�� n�. 7�,�►-•-N� Business Address: ��5��- /-1 �4✓ ' S v a��' �� -��--�A i� 33� �✓ 1 Business Phone No.: Billing Phone No.: Business Fax iVo.: Billing Fax No.: Contact: Contact: �n u�ac G�Ro��c� PLAtd REVIEUd FEES INSPECTION FEES PERRAIT FEE FALSE ALARM FEE 8 Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C Muni-Family/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 SYSTEN6S (Business closed until LP Gas $50 6th Alarm $200 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTERAS Fuel Tanks- pertank $50 STANDPIPE SYSTEAA Hydro Undergrounds $45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per syslem Fire Works $500 FIRE PURRP Acceptance Test $45 persystem Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARRA SYSTEM Hood/Duct $50 0-25 Devices $50 FIRE ALARM SYSTEAA Place of Assembly $50 Mnual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSIOM SYSTEAAS � Recall Acceptance $50 Flammable Application $50 Mnual Wet $50 OTHER Waste Tire Storage $50 Mnual Dry $50 F're WalUSmoke Wall $15 perwau Generator<KW $100 CO2 $50 " LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas $25 persystem BiaHazard Waste $100 nnnuai 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 Annual LP Installation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 �Natural Gas InstallaUon $50 Re-inspection DBL (Per System) (other than annual) � �Spray Booth $50 ❑ Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle A� $50 FALSE ALARM PLA�dS TOTAL �'� INSPECTIOId TOTAL �S� PERMIT TOTAL S� TOTAL� , GRAidD TOTAL (� S Comments: Date: �7 • � � • / � Inspector: ,�_._._— mn