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HomeMy WebLinkAbout19-21086 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21086 LP/NATURAL GAS PERMIT PERMIT INFORMATION LOCATION INFORMATION' Permit Number: 21086 Address: 40134 CHANCEY RD Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL. Class of Work: GAS TANK/LINES-NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 19-26-22-0000-00400-0010 Improv. Cost: 2,009.65 OWNER INFORMATION Date Issued: 4/11/2019 Name: CREWS, JAMIE R Total Fees: 125.00 Address: 40134 CHANCEY RD Amount Paid: 125.00 ZEPHYRHILLS, FL. 33540 Date Paid: 4/11/2019 Phone: 813-714-0670 Work Desc: INSTALLATION LP GAS LINE CONTRACTOR(S) APPLICATION FEES BAHR'S PROPANE GAS&AIG ING FIRE PERMIT FEES 25.00 FIRE PLAN-REVIEW FEES 50.00 FIRE INSPECTION FEES 50.00 Ins ections°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 ENT " row- //tONTRACtO SIGNATURE PERMIT OFFIC PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: pffY� 0C, Date Received: / Site: /0l3 y v, (_IC y go/ - Permit Type: v,� Yo-O �v, I fish y_ Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. l5�.r—Plans Examiner ate Contractor and/or Homeowner G.e-rv- 65aowY\ (Required when comments are present) MOa -sftvpem Mnd uo II Awnc0 j,—MN' ija -(P-rd-}J"8q=jD Adw-) CI UDIRM#CMMOD HHL 2i9A0 ewes QUQ7 WJM mm n04 AM POOPROU LD- e4 PP—(AB"a4I"A Iu AAwd JO e41.w1)U MN .. 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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 a misdemeanor,violation under state law.-If the,owner or intended contractor are uncertain as to what Ilcensi`ng requirements may apply"for the 'intended work,they are advtsed'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 will be responsible. if you,as the owner sign as the contractor,that may be an Indication_that he Is not property licensed and Is not entitled to permitting'p!Mleges in Pasco County. TRANSPORTATION IMPACT/UTILITIES 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. Ills 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 tires not Involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. FUrtherimOra,if Pasco County WateriSewer 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 1, the applicant, have been provided with a copy of the "Florida Constriction 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 CONTRACTOWSIOWNEWS AFFIDAVIT: t 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 taws 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 Sayheads,Wetland-Areas and Environmentally Sensitive Lands,WaterlWastewater 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/Environment_al Health Unit-Wells, Wastewater Treatment, Septic Tanks.. US Environmental Protection Agency-Asbestos abatement Federal Aviation Authority-Runways. l understand that the foliowing'restrictions apply to the use offill; . - 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 fi0'materiai is to be used in Flood Zone'A!In connection with a permitted building.using stem-well ' construction,I certify that fill will be used only to fill the area within.the stem wail if fill material is tw 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 constnred to be a license to proceed:with the work and not as authority to violate,cancel,ater,or- set aside any provisions of the technical odes,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. WARNING TO OWNER: YOUR FAILURE TO RECORD A,NOTICE.OF COMMENCEMENT-MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPidRTY. Wyxly INTEND TO 013TAIN FINANCING,CONSULT )LOUR LENDER OR AN ATTORNEY BEFO E RECORDING OU NOTICE OF EN ENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR. z A Subscribed and awom to(or affirmed)before me this and m r affirmed}b ie me this i�— ti✓ byMsZml Who Ware personally known to me or haw-two produced personally krwvm 'me or hawhave produced ' as identifc ation, as identification. Notary Public _ LV A A.CAMPBELL Notary Public, Commission No. Comm! Notary Public-Staten oTI�— nsmissiep q GC;212932 f y, M Comm.Expires Jut19,2021 Name of Notary typed,printed or stamped Name of S�dntEs�auona A/C 4441;Allan ,tRAr b.17L 33541 r Ph:(813)782-;�'13•g F4x:(813}783-1374 �aaxlaylvia r( bc.c7a Phone - oq-76!�r Name: .� r c IC�.� �=-.Address: c�'.{3 Chen 'C Contractor: Ph: : Flu Tank size 121 2soc al 500081 ° . Tank cm ar installation(includes pioss test):. 100-V Bm*d pritce: 120 gd aQ 300.00; 250 dal aQ 350.00**Includes Anode Bag** d Piping fiom taak to home footage: 10'-20'@ 100.00; over 20'add 2.00 ea ft. Regulators; 50.Oq on,mdess oR+ned by Baba Propane&AC Appliances: L3, nits: R94 Rinnsi T"Meb HWH installed S 1399.00 R75 Rinnal Tunldesa HWH instilled $ 1195.00 • V53 Rinnai Tu M ss HWH fustuQod $ 1095.00 - ..r HWH vsh►,e ldt dE relief valve(a 100.00 Acc wsoncs:J ff"box (tt available { IIWB o - ced ft job In house gip 9foot p-.including risers: . r Appliance iarctians:includes abntoffa 10 50.00 per appliance stpp ieo' my.r pdre addidonul d me: t Gmerabreonntdion pried by jolt NGscellanaus:l value. Op Bone place 6 50: ;6'rubber lint for 8BQ grill 20 Sub Total PamitFce: SIOO.QO+$10.00 pex drop Homeowner Fees: -' Gas - Ammd teak swdce fee: kentai • TOTAL 10E - - - r", s 'Q ALL WORK SHALL COMPLY WITH FA 8819N AND OffflBARDS BOUNDARY SURVEY REVIEW DATE CITY OF ZEPHY IL S FIRE MD LIFE SAFETY EXAMINER_ i NORTHK „ :RAPMC SCALE >4 b P.t1.R.1 PARCEL NO. 19-26-22-W00-00400-0010 ( { JAMIE R. CREWS 40134 CHANCEY ROAD $�o ZEPHYRHILLS, FLORIDA 3350-6532 = Q / zom,mr4 u ROOD ZONE q FLOW ZONE x s ~ tMPLATFED �� 1 M s P. 6 'M �%3 4TE tTnao mte UK_ -�\ , ` _ PARCEL 119.2 UNPLA i - UNPLATiED FLL 1, sa ` RCEL NO.19-Z6-22.00040o400 w12` ) ~ —1 sounma wtnazfs ur ' , 7.95 ACRES OUR �0� vosr eox T73 •� TFIpNOTQS,ISSA,FtLRfDA `I gym_ ZONE X' \FtAO r %1E'\\ 3 I t FLOW Z-M x m ore..ute x�+ vso�w.am .we wxoo I �ovs aao� � I ciir.�A UNPLATM I ma IMAM 11 En u 49" t�roE PARCEL NO 19-26-22�000 0010Q-0020 CF I&STATE AG EOA M W-C/0 ifC 1 aFFICE TE 3 WWP MANACQtfLGERE"'- Cm rmm �Aas a ys r..a Ra< A SN.' 'bSl7tf m 3mu Nso-waE Ma1NTM BW, 35223-25M tvkb&tmwTwms� m� e. . ZONm 00AC ONr.mIiC10}Idd71 slaAufafot kbmft - L2h�ldtdlYen u r.wo SITE PLAN (RESIDENTIAL USE ONLY) j ;PARCEL ID NO/ ' 0 w7 DATE: SEC TWP RNG SUBD BLOCK LOT i urQSF��dS /. %A r�d'ru�'jqfc ►v) i t�eQl;car,ces r^� we t - ldb awned ,�(oQgne wc4er(.eQjcr 0--k E.S.LA R_ (Jakl . l9rtl�o Ufa SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, ..INDICATE ANY BODIES OF WATER, TREES (INCLUDING SIZE, DIAMETER, TYPE), AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PROPERTY. INDICATE THE SIZE, YEAR, AND NAME OF MOBILE; SUCH AS 12'X 16, 1981, FLEETWOOD. ALL"EASEMENTS,""PROPERTY LINES,""RIGHT-OF-WAY,"and"JURISDICTIONAL LINES"must be shown on all site plans. f DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE. MOUSE CONSTRUCTIOM PIROP03EO ADDITIOM MOBILE MOVE SET-UP rear ({O') raar (GO') rear (150') W is, p to'. to'Is, ,0., so' o g S 2.6' oa g C 7,5, 7. • E.i.r inp 7,S' House n td' • I a Ww• a N• EYitttint o I e 0 1. 2 l SO' ROAD MANE ROAD NAME ROAD MA ME PL=PROPERTY LINE T/W=RIGHT-OF-WAY 0=TREES APPROVED SITE PLAN MUST BE POSTED AT JOB LOCATION NOTICE OF DEED RESTRICTION THIS PERMIT may be subject to "Deed Restriction"which are more restrictive than County regulations. The permit holder assumes responsibility for compliances with any applicable deed restrictions. wpda(a/bcs/cpforms/ressitepianform ' PASCO COUNTY GAS INSTALLATION SHEET D0©PPLIANCES Number of Each BTU Input Range (0 Water Heater �� UdG Dryer Furnace Grill / 4 0,b0 b Pool/Spa Heater Fire Place ✓ 0�0 Other , l Total Drops Total BTU Input CONTAINERS Above Ground#of Size W/C Underground #of Size W/C IdC) Total Capacity W/C Total #of Containers 2 Stage Yes_ No System Design un�Qrs` ��n� Natural LP Design Pressure �U PSal( " �'� k/J fSZ how e Piping Materials; Steel V Copper PE— k/' CSST Total Developed Length 00 Must Submit an Isometric Drawing Listing Materials, Sizes, and Lengths (Commercial Only) List the table number from the FFGC 2014 that was used to size piping Job Address q b 1 S q C hG n c�,l Contractor/Company 60M S Jrop�.r� Commercial Residential