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Home My WebLink About18-19273 CITY OF ZEPHYRHILLS ,� ,. 5335-8TH STREET �ai3)�$o-oozo 19273 LP/NATURAL GAS PERNIYT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19273 Address: 37815 15TH AVE Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL. Class of Work: FIRE-LP/NATURAL GAS Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: � Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 10-26-21-0600-00000-0010 Improv. Cost: 2,000.00 OWNER INFORMATION Date Issued: 2/07/2018 Name: JOSEPH, JOSEPH Total Fees: 100.00 Address: 37815 15TH AVE WEST Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/07/2018 Phone: Work Desc: INSTALLATION GAS LINE (WELLSPRING ASSISTED) CONTRACTOR S APPLICATION FEES AMERI AS PROPANE P GAS FEE 50.00 FIRE PLAN REVIEW FEE 50.00 (` — � �1 3/��`;� U � Ins e ions Re uired 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 RECORDING YOUR NOTICE OF COMME MENT " CONTRACTOR SIGNATURE PERMIT OFFIC PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR YNSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 I ' ` Permit Application ate Received Phone Contact for Permit ��l� l l ��-'��:i*.at::.,.....,s...a_. .,,,...:...r.a..�-x:tn«.� ...:__"::r_,ec+,.��e�rt:t`��"�,r'.f�.',s.'.z'.,�", ' -.._,...�r....r.,:".-2;:�sG..'�"..�:rC.�.!S.;'.'�?"T.t_S:f..,.�,Y._.,_a:�:-;:;� .,x.. ,. wn.^,y:�-a•�st s;;..xa 1, ' �,` � � � wners Name �Q, S � � � Owners Phone Number wner's Address ` - :e Simple Titleholder Name Titleholder Phone Number � � � :e Simple Titleholder Address ' ''�F;.✓_e"^ - - .,.r-:;.. .,;,s.: -- ",�,:Ty�..' a��.,r,.ar�-y � �,�a . ......._Y='.''_:.__�.. .;.r�..J,:::�.� - :...Sx�vi -�.u:�x -- �`.�s:",.5w-- --eS+a�::Y;=��51;��=,�:;t - �.:c��,^�.^��,.,:..-�'"�.�`-r-'�:"'Y.�"'r_:„�';r.+.�?-.,�.i:'�?3"'.,�"��'�'_.t..�:<<e:� �b Address J 7 � �` ! `- � Lot# � ub Division Parcel# �.°�-,,;�,;.i��•:�;.-� �-- ;Z-.:.:��:.� 4 — �:� a..V.«w= _-z-�=r'`'F�< t:s-�.:..�.��,.d. .�..�-�...--¢:� __ ... _. .,�:� .,;�. _��.z: �:�. .�i;- �;r•-�_uL,.._�...Y'n.��E=.�.. ._.,�A.�>:*�.�:--�=�.�_^=.=:�,<R � Bio-Hazard Waste Storage-ANNUAL � Fumigation Tent � Comm Exhaust Kitchen Hood/Duct � Hazardous Material(Tier II or RQ Facility)ANNUAL , � Controlled Bum � Hood Installa6on � Emergency Generator<30 kw �LP/Natural Gas-Installation � Emergency.Generator>30 kw � LP/Natural Gas-ANNUAL Sale � Fire Protectton Maintenance-ANNUAL � Places of Assembly ANNUAL �y emi �n er Sprinkler � ❑ ❑ ❑ � � Recreational Bum Fire Alarm � ❑ ❑ ❑ � � Sparklers F �� Hood Cleaning � ❑ , ❑ ❑ � � Sprinkler System Installations -L�� Hood Suppression � ❑ ❑ O � � Standpipes(Sprinkler Sys) � Fire Alartn Installation � Torch Roofing/Tar Kettle ' � Fire Pumps � Waste Tire Storage ANtdUAL , � FlammableApplication-ANNUAL (��, Ul� Valuation of Project � Fuel Tanks Q Other: �w�ti:?�:,�'..F...,-u�....a..�-.._...�,:��v`�y�..'-S:ar_=w,.;'�:o'�'��.�."",s"�-.a<�..-iS.t'7—�r^�.a.---..tU:.v';::z"«�..;.v°y.' ,`�a�f,;.r._�,-�'.0�-:`*�.;�.=,'�::s.''_�"'a=.��i s_ - - '�: . "��.n:em�.:s"'ax:.�.�'L`�`�'..c...�"�-,uL'-.7.:.z�..` :ontractor Company � S c�-�-�2 �ignature Registered Y/N Fee Current Y/N Address License# :LECTRICIAN Company �ignature Registered -Y/N Fee Current Y/N Address License# �LUMBER Company ' iignature Registered Y/�I Fee Current Y/N Address License# AECHANICAL Company iignature • Registered Y/N Fee Current Y/N Address License# )THER Company iignature Registered Y/N Fee Current Y/�l Address � License# ' =�n'7"'s'::"FG^,.__u...,.:s-w�g, a.>r:....:.:.T..,r.�,:L:v �;>:Y.:x':i::s .r%lE.<,_.4..=:.......�i'si':s ...a,_P- ':�!.:.: .�t!6±�: ._�......`.?{°!'..^m.r.o.=.,.-- .�.'.,. . " , _ . . . s• -. __. 37:' .. . _ .. �:a.._�-Y�,-�.. �:r�:.7c�.L'.A:!>_F.;sr:"'s.-�.:,+z:rF..1;�-',r'i�:",e�'w:z.=.:`�:9`�• i )irections: Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(httpJ/appraiser.pascogov.com) �rJ� � 1 �� l ' 'n�' @ � �.�/IGv � �� L9^ � � ( 1 � 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. . I 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 I 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. Furthermbre, 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 Counry 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 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 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 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 Iicensed 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. - 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 affdavit 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 riot 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 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 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.1 03)rI /'� � n OWNER OR AGENT V/�' ` CONTRACTOR v `--� _ — \ Subscribed an bswom to(or affirmed)before me lhis Sub/ ,�cnbe�nd b om to(or affirmed)before me this y GJ t) Who is/are personally known to me or has/have produced Who is/are per ally n n to me or has/have produced as idenGficafion. as identification. I Notary Public � � u Commission No. omm'sion o. ��.. UE�INE 80GES ?°�'''� ''•;;: Commission 2018 ber 12, Name of Notary typed,printed or stamped Name of Notary type � F��S�renaee • ''!'FOF.��`°Q•' BondedTM+��1' � , .__�3:-�"` -... SC�PE �F N!lORtC: I�s�atl 10�0 gallon AS1ViE tar�k A►�3�VEGR�UN� Z(�feet f�om properky �ine a� p1an. Tank wriil be 2�feet frmrn bu�ld6n�and ace�ss into build�ng. Cen$er of tank will be 75 feet�rom genera�o�. install underground lane i inch PE �t 1� Lbs. Instal0 1� �b regulato�a��ar�k. install �5 feet of tine fro� �ank to genera�or. S�t 2"d stage regulator at gener�tor �11-14 6nchesj. Fielica9 a�rchors at$ank v�r'r.th 3/S ie� stainless s�rap. Tank wilB be p�aced 6 fee� from drop zone af overhe�d I��e. 22KV1� ge�erato� � �50,�00 btus �er hour. f • Q� �. 1�40fttU.�. ��i '� � City of Zephyrhills BUILDINCCr PLAN REVIEW CQMMENTS c , Contractor/Hameowner: � �'� � Date Received: � �'" �l� Site: �� `� l`��,�G'�- Permit Type: ��t�. , Approved w/no comrnents:C� Approved w/the below carnments: ❑ Denied w/the below comrnents: ❑ This comment sheet sha11 be kept with the permit and/or plans. ��.-�....;,�----� .% �s��r� Gene Bxawn—Fire Safety Officer Date Contractor and/or Homeowner {Required when cor�lments are present} ( . ��. .. ....�"'...��.;..�..�----..�..��.. _ ..�. .�.:. �...a�_�.�. � �._. ...,._'__�...__'"_"� . -.-!' '•' _ , . .. ._.�. .� .'' ' , ._" ' .- "' _ •'_''. . ...._ �. „' " ' ' ; ... .__ .. ,--- .. ._.._, __ ... _ , • _-- •• . ' �;"'.��r�Y ��_•-;-._... --; -- -•.__._... ��aiz �_._..�-r�'�r' ��`ub`. __._...__.._ .. ._ ....__._. _ . �?��. . 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