HomeMy WebLinkAbout18-20192 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20192
LP/NATURAL GAS PERMIT
PERMIT INFORMATION LOCATION-INFORMATION
Permit Number: 20192 Address: 5039 1ST ST
Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL.
Class of Work: GAS TANK/LINES-NEW Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-*21-0010-12800-009
Improv. Cost: 2,000.00 OWNER INFORMATION
Date Issued: 8/30/2018 Name: J & G RESTAURANT PROPERTIES LLC
Total Fees: 145.00 Address: 20015 TAMIAMI AVE
Amount Paid: 145.00 TAMPA, FL. 33647-3368
Date Paid: 8/30/2018 Phone: (813)713-0094
Work Desc: INSTALLATION LP GAS LINES
CONTRACTORS APPLICATION FEES
BAHR'S PROPANE GAS& C ING GAS FEE 50.00 FIRE INSPECTION FEES 45.00
FIRE PLAN REVIEW FEES 50.00
V
Ins Actions Required
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 COMMENgMENT "
CONTRACTOR SIGNATURE PERMIT OFFIC60
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-7e0-oo20 City of Zephy hills Permit Application Fax-813ae0-0021
Building Department
Date Rena ( plume Contact:for Permn": /3
Owner's Name '► G t 5 Owner phone Number
owner's Address o24W/5 —rAln ` owner phone Number
Fee Simple Tideholder Name —! Owner piwne Number
Pee Simple TftWwlder Addreesss
JOB ADDRESS V ! � G� '
LOT#
SUBDMSION PARCEL UXI 0 26 4916 M —4014-6 -1IMAM FROM PROPERflr TAX NOTICE}
YYM PROPOSED NEW C01 M ADD/ALT SIGN C] Q DEMOLISH
e INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL
DESCRIPr.ON OF WORK jplJ V, L It-J v S
BUILDING SIZE [� Sq.FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL IS AMP SERVICE [Q PROGRESS ENERGY W.R.E.C.
QeLUMBING �L7�_�J
=MECHANICAL ' --1 v&uATfON OF MECHANICAL INSTALLATION
[F(CAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO tr
2
f� S
BUILDER ii COMPANY II
SIGNATURE 1 REMSTERED I Y/N FEE CURREA Y/N
Address License#
ELECTRICIAN 1t� COMPANY 1
SIGNATURE I REGISTERED I YIN FEE CUMV, Y 1 N
Address License#
PLUMBER FCOMPANY fF,
SIGNATURE REGISTERED I YIN FEE CURM3, I Y/N S
-�Address License#
MECHANICAL COMPANY I �
SIGNATURE F REGISTERED I Y/N FEECURREA Lj!N j
Address License#F� .._�
met COMPANY If�tJh�!?5�/3N�'IsAS
SIGNATURE / ••'� REGISTERm I Y/ N FEE CURREn I Y/N
Address �TT! leRd' License#I '017o ( i
RESIDENTIAL Attach(2)Piet Plans;(2)sets of Building Pions;(1)set of Energy Faros;R-O-W Permit for new construction, i
fAnimum ten(10)Ong days after sutirmital date. Required onsite,Construotion Plans,Sfamiwater Plaits w/Silt Fence installed, t
prWMft
COMMERCIAL Mach,Sanitary2)complete seas �ng�Ptans plus a Ufa Safety Page;(1)set of Energy Forms-R-O-W Permit for new construction. �4^
ivinimrmr ten(10)wor"days after submittal date. f2ergrired aristte.C.asstructiorr PlarLs,StormwaLer Plans w/sift Fence imsGalled,
Sanit ery.FaaTi ties&1 Oumpster 0dB:Nftrtc Peaitit-for a8 nWpqects-AD commercial requlremersts must mW compliance
SIGN PERMIT Attach(2)sets.of Engineered Plans. .
—PROPERTY SURVEY required forall NEW construction.
All-out application completely.
Owner&Contractor sign bade.of app6ieation,i>bYaiized a:. , y;
If over$25W,a Notice of Cornmencenerd is regsured• (AIC upgrades wAw$7500)
Agent(for,the Cone ctar)or Power of Attorney(far the owner)would be someone with natruizec!letter from owner,authorizing same
OVER THE COUNTER PERM6*1113 (copy of aonbact'requirad)
Reroofs tf shingles Sewers •Servioe Upgraries.A/C Fences(Piot/SurveyfFootage)
Driveways-Not over Counter lf,on pubic roadwrrys..needs;ROW
r`�v
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 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of,hew 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",1 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: 1 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"W 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.
- 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,wells; 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
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.
1 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
I WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
t FLORIDA JURAT IRS'117 3) I � ,^-
OWNER OR AGENT CONTRACTOR
bscribed d sw o e hefgme thi bscribe nd ssso or affirmed) rem his
Who Islare na ly kno to me or hasJhave produced •o is/ rsonally kno rto me or hasthave produced
as identification. as identification.
•�/� r
Notary Public Notary Public
Corn 'ssi Co fission No
SYLVIA F CAMPBEL
Na eye r ,�,112939 Name of Notary @F,stary public-State of Florida
• ' •= Commission
` ' Commission s!GG 112939
My Comm.Expires Jul 19,2021 _•,
' t o"s My Comm.Expires Jul 19,2021
oFF�°.• BondedlhroughNelionalNotaryAssn.
oFF„` Bonded through National NotaryAssn.
ZEPHYRHILLS FIRE DEPARTMENT
3841.0 6tti Ave"Zeptiyrhills, FL 33542'
FIRE SERVICE,USER FEES. ;: increaseI/1/2018
Occupancy No.:,
Plarti No:: Contractor: 4M . �, ✓
Business:Name:, C-Aewr Billing Address:° --^tY
:Business Address: : c*btcl . .-/�,r:
Business Phone No.: Billing Phorie No.- -S -'7, s-ar 3.
Business Fax No.: Billing Fax No.`.
Contact: Contact:. .
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE,
Annual-: : "
d E ucation,healthcare,De
tentioti&Correctional- -Public
Assembly,Business, schools,
Storage,:Mercantileand: Churches
Site Plan : " NlC: Industrial.: no charge. : . : Sprinkler $50 "
Multi=Family/commercial . ..03 sf up'to 800'sq ft $: : 24.00 : Standpipes . $50'.
(Minimum Charge$24.00 . 801 1;500 sq ft: $" 34:52: Flre Pump : :"$50
Q Plan Revisions. DBL 11501 72,500 sq,ft $ 60.02'' Hoods $50
2,501-3,500 sq IT. : $ . 90.02; ipif
SPRINKLER.SYSTEMS" 3,501-5,000 sq ft $ .127.52 $5"
8 0-.25 Heads $50 5,501=7'500 sq ft'. $ , .1.87.52 $50
26•plus Heads $100 7,501-10,000 sq ft $ " 262.52 . _ Fuel.Tanks- periank " '$50
STANDPIPE SYSTEM 10,001=15,000.sq ft. $ . "375.02 Sparklehs. . $100
Q Per Riser. . ' $% 15,001-20,000 sq ft_ _ $. 525.02 Fire Works $500
FIRE:PUMP 20,001-30,000 sq ft $ "750.02 Camp Fire(recreat16n' $25
Per.Pump $100 30,001-40,000 sq ft: $ 11-050.02 Controlled:Bum(15da $100
FIRE ALARM SYSTEM: 40,001=60,000 sq ft $ 11500.02 Hood/Duct $50
0-25 Devices $50_ 60,001-80,000 sq ft $:2,100.02- Place of Assembly $50 "Annual
80,001-($2,100.02)per
26'plus Devices, " $100 ea_add_1,000sq ft $ 0.66 Fire Protection $25 .
SUPPRESSION.SYSTEMS (Business closed until. Flammable Application ` `$50 :Annual""
Wet $50: violations corrected) Waste Tire Storage $50. Annual
Dry` $50.. SPRINKLER SYSTEMS Generator<KW: . ::$104
CO2' $56-; Hydro Undergrounds. $45 : Generator'>30 KW $100
Other- - - $50 Hydrostatic Test : . . $65, persystem - - Bio-Hazard Waste $100 Annual "
KITCHEN EXHAUST Acceptance Test $45 pp system Fumigation Tenting. . $50, .
a
Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied" $54
'OTHER Haz:Materials . : $50 Annual
8.LP Installation per tank' $50 FIRE ALARM-SYSTEM
Fuel Tank Installation. $50: System.Acceptance: . $50,.
'(Per Ta 50, Re li Acceptance' $50'
atu nsf�llaa on� $50 -OTHER
(Per System smoke Wall', $1 perwau
Spray Booth. $ LP.Gas per-tank.
Natural as �` $25 _ • per system. ,
Tent 10'x10'or greater :$15 per tent
Fire Pump .: $45 . .
Fire Suppression. ' °$30
System: Acceptance.
Exhaust'Hood/Duct $30
Re-inspection. DBL. . .
(other than annual) .
Inspection scheduled DBL
and cancelled-less than
24 hours
8Construction Insp. N)C. "
"Emergency.Vehicle.Acce -$50
-PLANS TOTAL-. INSPECTION TOTAL PERMIT TOTAL Sib .
GRAND TOTAL : " L, p 4
Comments:
Dater . . ` : / Inspector: —
see back
nln
• •
nimst.11
CPRO essePANE'GAS`P NI ////����CC /pp/er� Tan at r
--.,-,AND AIC::INC� WORK. ORDER#/SERV -;ICEMAN � 43900
cl�cee 1988 813-782-5 13 'DATE/TIME- TAKEN' 08/E3/1'8 14-e c5
.TAKEN BY - ; JM 0.3-
SALES •SERVICE • REPAIR• INSTALLATION DATE/TIME PROMISED -
-4441-Allen Rd:•Zephyrhifls,-FL 33541 CUSTOMER#/LOCAT ION _'8034 -
_. - (813)-782-5013 - PHONE# _ .. 813-713-0094. C.
- . - PHONES# _., - - .. .8.13-782-7770 R
NOTES: PHONES# REST PH#
CONTACT.... ------ GEORGE--I'LLES--
-- .- _ __..' .:'ROUTE/.SSG! _ -. . -COM - -.
THE'--GREAT-CATCH• ************** THE-GREAT CATCH*******
5039 1ST ST 5039 1ST ST
ZEPHYRHILL'S- FL- -3354
1.. _ _ _..._ _-ZEPHYRHhLLS- FL33541 ._ ;-
_. 500GAL_..- . PRESS ,TEST-ON FILE
REPIPE LP GAS' LINES FOR KITCHEN REMODEL. "
—mot -- —_—End__ ^�ia�a-_ --F�e'r�--- —Lock=liP— —&®guJator._ &egUlator_ F3egulator
--.. . --• Pressure.-- -., Pressure- Held- ---Pressure Pressure -__ _ OK.- - .'_Code . -Condition.-._.-_Manuf...._. Model_
Single Stage In.W.C. In.W.C. In':W.C.
Two
st PSIG.- PSIG PSIG .-. _"PSIG
Stage--:--.1
- -_.,..2nd- .._._. .In:..W.C. - -In.W-''C. . .In.-W.C. — -..-.....__...__
Work Performed: -
- Description -- -Amount
Service -..... .
5
Appliance._.._
Material
�
Qty. Part# Description; Gas
y Permit:-. ._:r:
�. Tank Lease
Total-
AMOUNT,RECEIVEP. .
I have authorized and'ha* i'a hontq to'order the wor'k as oiiflined abo4J agree to pay all costs as represented in this`document:If these ctiargesare turned over
for collection,I agree to`payreasoriable'attomey s fees if tfiis'invoice' is placed in the hands of.an.attorney or dollecfion'agency for_collection.
Customer Signature Date Technician's Signature Tech#
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JOB LOCATION J 3 9 I $+ S+ Z� 'hy� �"t t � FL
PARCEL I.D.#
SECTIONS TOWNSHCP RANGE SUBDIVISION BLOCK LOT
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DMENSIONS& SETBACKS
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PROPERTY LINE
f}3 STREET
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
LContractor/Homeowner: 6
4 � s
Date Received: j'
Site: 5 03
Permit Type: ,A-5 1,6st k,0113P—
Approved w/no comments:IE Approved w/the below comments: ❑ Denied w/the below comments: ❑
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)