HomeMy WebLinkAbout18-20248 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 2024
LP/NATURAL GAS PERMIT
i
PERMIT INFORMATION = -LOCATION INFORMATION
Permit Number: 20248 Address: 4330 20TH ST
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: 13-26-21-0070-03900-0020
Improv. Cost: 1,500.00 OWNER INFORMATION
Date Issued: 9/24/2018 Name: NESTLE WATERS NA INC
Total Fees: 125.00 Address: 4330 20TH ST
Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/24/2018 Phone: (813)783-1959
Work Desc: INSTALLATION GAS LINE
CONTRACTORS APPLICATION FEES
W SOU LE GAS FEE 50.00 FIRE INSPECTION FEES 25.00
FIRE PLAN REVIEW FEES 50.00
Ins ections Required
FIRE SITE INSPECT ON-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 SIGNATU PERMIT OFFIC
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-780-0020 City of Zephyrhiils Fire r3=73g 0021
Permit Application
Date Received
r::.�......_.,.-,-,a__...K _... -,•-, _ _.._.�...�.._.,... � _ •:. - w�, - Phone Contact Permit
Owners Name Owners Phone Number
Owner's Address 57� ZW ti` m t t.t FL- 3 Y"4
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address
Job Address 14330 .104 6+ �Z e A:II sY FR 3354�
Lot#
Sub Division Parcel# 4_t r„e oov
z::__�...__.w.:._ ;_��;•�; _ _ _ _ s3 t� „ "lQ-o7yoo 0000
Bio-Hazard.Waste Storage-ANNUAL:_.___._. ti n�=Fumiga yo
Tent
Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier Il or RQ Facility)ANNUAL
oControlled Burn F-1 Hood Installation
Emergency Generator<30 kw ® LP/Natural Gas-Installation
Emergency Generator>30 kw F-1 LP/Natural Gas-ANNUAL Sale
Q Fire Protection Maintenance-ANNUAL = Places of Assembly-ANNUAL
r yPe-RI Pn er
Sprinkler ❑ ❑ 0 ❑ Recreational Bum
Fire Alarm ED ❑ ❑ ❑ u Sparklers
Hood Cleaning ❑ ❑ ❑ ❑ Sprinkler System Installations
Hood Suppression El ❑ ❑ I:] C] F_� Standpipes(Sprinkler Sys)
QFire Alarm Installation Torch Rooflnglrar Kettle
Fire Pumps Waste Tire Storage ANNUAL
Flammable Application-ANNUAL •'"�""'
d7D Valuation of Project
oFuel Tanks
Other:
Contractor Company W i' o
Signature
�"� "- Registered N Fee Current /N
Address yq(b Pkw License# GCG142o1015L
ELECTRICIAN Company
Signature Registered YIN_j Fee Current IY/N
Address License#
PLUMBER
Company
Signature Registered Y/N Fee Current Y/N
Address License#
MECHANICAL Company
Signature Registered I Y/N Fee Current Y/N
Address License#
OTHER
Company
Signature Registered Y/N Fee Current
Address License#
Directions:'
Fitt out applicationi completely.
Owner&Contractor sign back of application,notarized(Or,Dopy of signed contract with owner)
If over$2500,a Notice of Commencement Is required{Mechanical work over$5000} ?v'^_^ 5'_ _�
Supply two(2)sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice,,(http.4aARP tji,PDAIR$.4obov com).
r �n•�,
NOTICE OF DEED RESTRICTIONS: The undersign i ad understands that this permit'may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The.under gripoassurnes 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 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. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) sign
portions of the "contractor Block" of this application: for which they wily be responsible. Ifyoui-as,tile-o-wrier sign as the
contractor, that maybe an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. . i . I
CONSTRUCTION LIEN LAW(Chapter 713, Florida;Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that 1, 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 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
govern,ment agencies may apply to the intended work, and that it is my responsibility to.identify what actions I
must take to be in compliance.
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 constru'ction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not spedifically 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,:alteri-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 lby-such p6nrnit is-commenced within-six-months-of permit-issuance or it workauthorized-by-
the permit.is suspended or abandoned for a period of sik-(6)months after the time the work is commenced. An extension
may be requested, in writing, from the Building Offici6l 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 Kr-t;UKD 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.117 3
OWNER ORAGE ONITRACTO
,n to a 6 Subscribed and r 1 )before me this 14il G� Subscribed and swomp(or ffinned)before me this 5� G"-2:3
v RrRw 4 by
Who Ware peirt known to me or has/have produced Who is/are p rsonally known to me or has/have produced
FLDL, -e)e'9, 'XIW2,t as Identification. R_ XISL( � I tCRnfP_ as Identification.
Notary Public Notary Public
.Commission No.—I&6 Commission No. Becky L Tillich
NOTARY PUBLIG
P_WS-brla Poirdes ACI,STI;TE OF FLORIDA
Name of Notary typed,printed or stamped Name of Notary typed,printed or staq , Coma*GG215921
.0/WC4%v Expires 5t22l2022
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Q11111761110 NIX fiG 69700
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ��0
Date Received: 9,— ! �
Site: q396 Z�W-67-
Permit Type: G-/�s 6
Approved Who comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
pp pP
This comment sheet shall be kept with the permit and/or plans.
Gene Brown`-Fire Safety Officer D to Contractor and/or Homeowner
(Required when comments are present)
ZEPHYRHILLS FIRE DEPARTMENT
38410 6th Ave Zephyrhills, FL 33542
FIRE SERVICE USER FEES increase 1/1/2018
Occupancy No.:
Plan No.: Contractor:
Business Name: C i • eeL Billing Address:
Business Address: 11 a
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
'PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
Annual-
Education,healthcare,De
tention&Correctional Public
Assembly,Business, schools,
Storage,Mercantile and Churches
Site Plan N/C 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 Fire Pump $50
F1 Plan Revisions DBL 1,501 -2,500 sq ft $ 60.02 Hoods $50
2,501-3,500 sq ft $ 90.02 Fire Alarm $50
SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP Gas $50
0-25 Heads $50 5,501-7,500 sq ft, $ 187.52 Natural Gas $50
26 plus Heads $100 7,501-10,000 sq ft $ .262.52 Fuel Tanks- pertank $50
STANDPIPE SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100
Per Riser $50 15,001-20,000 sq ft $ 525.02 Fire Works $500
FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation; $25
❑ Per Pump $100 30,001-40,000 sq ft $ 1,050.02 Controlled Burn(15da; $100
'FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 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)p er
!26 plus Devices $100 ea add 1,000sq ft $ 0.06 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 $100
CO2 $50 Hydro Undergrounds $45 Generator>30 KW $100
Other $50 Hydrostatic Test $65 persystem Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Acceptance Test $45 per system Fumigation Tenting $50
Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied $50
OTHER Haz.Materials $50 Annual
LP Installation pertank $50 FIRE ALARM SYSTEM
Fuel Tank Installation $50 System Acceptance $50
(Per Tank) $50 Recall Acceptance $50
Natural Gas Installation $50 OTHER
(Per System) Fire Wall/Smoke Wall $15 perwall
Spray Booth $50 LP Gas $25 pertank
Natural Gas $25 per system
Tent 10'xl0'or greater $15 pertent
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
aConstruction Insp. N/C
Emergency Vehicle Acce $50
PLANS TOTAL INSPECTION TOTAL PERMIT TOTAL %�0
GRAND TOTAL r}-S
Comments:
Date: K Inspector: _---
see back
nlh
FALSE ALARM FEE
1 st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $100
5th Alarm $150
R6th Alarm $200
NON COMPUANCE $150
Cont.Annual Inspection Fees
3-11 Units price per unit $ 5.36
12-25 Units price per unit $ 4.82
26-50 Units price per unit $ 4.29
51-100 Units price per unit $ 3.75
100 or more Units price per unit $ 2.68
Fire Safety re-inspection types
First Re-inspectiot N/C
Second re-inspect $75
Third re-inspection $ 125.00
Inspection scheduled but cancelled 24 hrs $ 56.00
TOTAL
Alh
Aug. 31. 201810:48AM No. 0368 P.06%,OUL
Prooesa Solullona o FaWallon Innavalion
August 29,2018
City of Zephyrhills
5335 Su'Street
Zephyrhiils,FL $8542
To whom It may concern,
Thts letter shall serve as authorization forthe below listed individuals to sign and/or pick up permits on
behalf of W.Soule.
Paul Morse
Kevin Salter
Kenneth Abbott
Please do not heslote to Contact me should you have any questions or require further information,
Best regards,
Leland W Burriham it
Regional Manager
(269)217-1614 CelI
JERE.MY J LAGALO
Notary Public,ftlnaw County,MI
My Commissldn-Explres Aug.St 201
FLORIDA OFFICP.
4980 Ew Lakeland Commerce Patkway Stifle$ 1 Lakeland,FL 33805
(989)781-8000 1 Fax(049)781MU
www,wsoule.com