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HomeMy WebLinkAbout19-21973 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21 73 LP/NATURAL GAS PERMIT _PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21973 Address: 5037 GALL BLVD 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: 1 1-26-21-001 0-1 91 00-0090 Improv. Cost: 2,000.00 OWNER INFORMATION - Date Issued: 10/28/2019 Name: SWINDELL RE HOLDINGS INC Total Fees: 125.00 Address: 5037 GALL BLVD Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/28/2019 Phone: (813)788-3663 Work Desc: INSTALL GAS TANK W/ PIPING CONTRACTORS APPLICATION FEES BAHR'S PROPANE GAS et AIC,INC. GAS FEE 50.00 FIRE PLAN REVIEW FEES 50.00 FIRE INSPECTION FEES 25.00 1 Ins ections 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 COMME ENT " ONTRACTOR&GNATURE PERMIT OFFIC PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 J wjw �y��yp ���{� �p� py��� yyy "(t�S��++�� YAdoo)' �yyM/�1�LIUWUBd o3ii�.I 00 3�I�l�(a VBAO QUIPS' Bu2(lOtj�ne J3UMD ul04"nal Peawe tQiM etwaums eq PI"( a4 XV) Y.�'^4 jq(- -T-).wort q (OOS6l.uew ��JYtI.'P gf tu+��iQ�'N e'OOS?rl+�N P % lo3peiu6p9-umO -A dwoa ucg-qdda um uW - - - - - - - - - - - - - - - - - - - Flo 'uopr,4m-M3N Be jW Pa-be+A3mns misdow- 7d 4=W AtWM3d NWJM egduyoa uw stuPupdsat{e�uPwuroa Fitl' d !fl�?al_ dM e45du+tP,L �!k3 S Pe1(W ! d Me/M I wUMS'�Pfd '�ls+to .'GMp �el{�step {OL)uB3 umu<M 'U?4mu wo,weu *U-d M-0-a•—d Ad-op 3-(L):mud Ae1mS'eg7 a smd mmw ftwe jo sm moIdum(Z)qxW 'M*NBWMD 7s.S 7M mid. ? + 5.s til Pia-,WeP {oi)het tunuetuy/, uolpn4suooxau�3:ku!aed M O 2!_ � u33p,i�(L)suPjd 8 (t)= Id3Wd(Z)4 AV W1114301S3H � rrr.r.rrr..rrr.rrrrr.�� rrr r.rr'lIII _ # • „ N/A. .vaaano�- ,. N!A. a3tals1o3a 32It11VN91S WW NIA. v tto33 ' r-N-177 amuss(J3a 3btLLtlN°JIS ANVdM)O J WOR MH*BW #moon m N/-A -4 iano N 1 A- c�mtstD3a 3a(LL{iNr1iS AMrdW M38W(11d F NIA na N l;i- mists tt 32i(LLvtms AMIdWCYJ ' M(IOIM.La3Td N!-A' .. v mno� N!A m�tsyo3a 9Mfl1VNENS AMtdrro7F a30 NM . . ... . . . . . ON S3A= V3HV 3bw a -w -71 SWLLVAM31100-W a3HSIMd a3H10 [_�Aovo3dS 0 sNum,8 0 moo 7 NOLLVlWISNIIVOIMIHOM-0NOt.Lvn A ��,�' IVOtNtlNO3Wp 'Gbh �Nt ,1, p O'3 a'M p WkI3N3 SS3tWtld 0 3OIRtBS drlro. .. � hYJlal:)313p NOLL Nta1SNOO IN101dO NOLLVf)IVA ��� oNI(ninap 1P QMH 3VSow t is 321s�Mmtne 1?aL�f Gt7t�'40�,.2 c+ ! 5 M Q(?? d�GIJ.S tq 4C-i— saioen do No��ataas3a �- C7 3wvad , p Nbols [ tWUanaLSNW do 3dAL HaHIO . Q, ., WKWI ads M 3sn a3SOdoad wvcm TWIS141 . tisnm3a. 0 C] . NJIS [ I WMV HlSN 7 M9N a a3kWWd)lWM - - f3�ltOtt7fYlAiN /l01ld43M'Y.LS30? - - _ rnr°M - R1�, _ . O ss�naav eor ssaPPa 1 s eel OUR1 srsumo Lz000az�Le � uonsoi1ddVlltuJedslL4uUftZ10AVO ozoo-oet�is NOTICE OF DEED-RESTRICTIONS: The undersigned understands that this permit may be subject to"deed'restrictions" assumes re which may be more restrictive than County regulations. The undersigned assponsibility 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.'Ifthe 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 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'IMPACTNTILITIES 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 lalso.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 car* 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)t to.the."owner"_prior-to commencement CONTRACTOR'S/OWNER'S'AFFIDAVIT: I certifythat 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. 1 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 Servibes/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. , - USEnvironmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. 1 understand that the following-restrictions apply to the use of MI.,- Use of fill!shot allowed in Flood Zone"V"unless.ezpressly,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 uniess-the work-authorized-by such permit is.commencedwithin 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 commented. An extension may be requested,An 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 PROPERTY.,IF YOU_INTENO TO OBTAIN FINANCING;CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOM NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNERORAGENT - CONTRACTOR Subscribed and sworn to(or affirmed)before me this S,r affirmed) end' �rj(or armed)before me this by - � rh M l redo Who isfare personally known to me or has/have produced Who Wdre.pdrsonafly know0o me or has/have produced as identification. es identification. ' Notary Public / Notary Public Commission No, mission No. �,a��•�; SYL _State of Florida Name of Notary typed,ednted or stamped Name of Notary typed or I� '_ Commission k GG 112939 .Iif. My Comm.Expires Jul 19,2021 �..,'': ••.;+„in„.,' l,undedlhroughNationalNoWryAssn. ,/ ZEPHYRHILLS FORE DEPARTMENT 38410 6th Ave Zephyrhills, FL 33542 FIRE SERVICE.USER,FEES increase 1/1/2018 Occupancy No.: PIamNo_: Contractor:112s Business Name:. 4 C-f .L_ e c- ( v ,M f Billing Address: Al 4-1 , /4 4,4Cr16/ Business Address:.6 !�,-o-3-) ;1—,_ ����� T &D 2--(4,&_C.f Business Phone No.: X -2.--1 Be- 1 3 BillingPhone No.: x,3_ J x 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 El Plan Revisions DBL. ,1,501-2,500 sciA $ 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 B0-.:25•Healds .$50 15;501-7,500 sq ft $ .187.52 Natural Gas $50 26:plus Heads $100 7,501-10'000 sq ft $ 262.52 Fuel Tanks- per tank $50 STANDPIPE.SYSTEM 10,001A5,000 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 P.er Pump $100 30,001-40,000 sq ft $ 1,050.02 Controlled Bum(15da; $100 FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 Hood/Duct $50 0-25 Devices $50 601001-80,000 sq ft $ 2;100.02 Place of Assembly $50 Annual 180,001'-($2,100.02)per 26 plus Devices $100 ea add 1,000sq ft $ 0.06 Fire Protection $25 S,U,PPRESSION'SYSTEMS (Business-closed until Flammable Application $50 Annual Met $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 per system 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 L Rlnstallatiori per tank $50 FIRE ALARM SYSTEM Fuel;Tarik Installation $50.' System Acceptance $50 (Per Tank) $50 e-RecallAcceptance $50 ❑Natural Gas Installation $50' OTHER (Per SyStelll)" Fite WaIVSmoke Wall $15 perwall bill E]Spray Booth $50, LP Gas $25 per tank �Naturai Gas $25 per system T6nt.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 Construction Insp. N/C -Emergency Vehicle Acce $50 PLANS TOTAL �a INSPECTION TOTAL a PERMIT TOTAL[?--] GRAND TOTAL .17 / 7 "71 Comments: Date: o qt Inspector: see back nlh l `�/.tc�,"^x,;'by?%a7+g,.?'. .�""'"es.w�..,r.�+'frr'����vcF.w sr7>•&=?c.:�'.,'�.'Ti.�w.�,r4::�^?z.�Rr�k'uot+.'a?:r�.�.w:R.aca ss�r�`i�.mzao*�r......c-,.a.•r.,�mn,nmm.�_.-.o-..�,..,..-.,.,-.--.....__^'-_.�.-�._ FALSE ALARM FEE 1stAlarm N/C 2nd Alarm N/C 3rd Alarm -N/C e 4th Alarm $100 5th Alarm $150 6th Alarm $200 NON COMPLIANCE $160 Cont.Annual Inspection Fees 3-11 Units price per unit $ 5.36 12-26'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-inspection N/C Second re-inspect- $75 Third re-inspectior $• 1,25.00 '.' Inspectiorrscheduled but•cancelied 24 hrs $ 50.00 TOTAL- mh .: s, -- ervrce Itinua� ® ® PROPANE"GAS Ta ess Water AND A C'INiC. nkl er ,_._�,- ,• Heaters 813-782-501 P�. SALES • SERVI`CE� REPAIR•INSTALLATION WORK ORDER#/SERVICEMAN 14711 COM:;-'; 4441"Allen Rd. Ze0hyrhi11s,'FL'-33541 DATE/TIME TAKEN - -03/19/19 10:'3,2 `:'(813' 782-5013 -` TAKEN BY SC 04` ._ DATE/TIME PROMISED CU "STOMER#%LOCATION O5, NOTE S: (�n�.,(1� � � I�Q�?,� PHONE# _.___,. .. _ .813-788-3663 C e- L CONTACT- JER I M I AH SW I NDELL ® I ROUTE/SEQ. COM , ... 4. to low fr0 z BULLFROG' PERFORMANCE E D ' BULLFROG=GERFORMANCE -SPEED 5037 GALL HLQD v� 37. GALL.-BL�VD Q" Z E�'HY RH I LLS;>;t;' FL 3 `4E' ;' ^"' ; ."Z EI-'HY RH I LLS FL33542 © 'bl - - - *#NEW •A.CC.OUNT; 4 EST 3°14 TE IT.O._`I f lSTAL` l^A RGC: ,'r`.. T�N'#i i!FOR ANC O.V.EN <:,a, �., �' x Lotik.Up System Re ulator Regulator Re ulator Re ulator .� ,,; �; Sf�art End,, ,_ 3i"L., ,:�1`ovr•:� '_',,tD 9 9 _ 7 `.a F-Pressure - °<Press�ce ti d':-:: :.R�cssif�e. . Pr'essure:_-- OK Code._: _ Condition Manuf. - Model..- i-'a k. Stngla:Stage < :.. .•......,-._.+eke ...,..__�.__I ,:.C. -' - -<:=�'t:..�- e( r_. FSIG • 1st;, - - - - s : PSG Sly�.k „ _, -:.. :-�•� „���;,` .�_ .�� y +2nd Ini tUV:C. In.W.C. Work Performed: - r, Description - Amount Service Appliance Material Tax: Qty. _.- Part# Description Gas .. -... -Hazmat Permit ;_ . Tarik Lease AMOUNT,RECEIVEI7., I have autFiorized and,Have autfiority to order the work as outlined above.I agree to pay all costs as represented in this document.:,If these charges are turned"over for collection, I agree-to pay reasonable attorney's fees if this invoice is placed in the hands of an attorney or,collection agency for,collection,. _ .. .>. Customer Signature Date Tech# ;.✓�` I , tr! v� , -r O: T r_ r� F 0 0 roh L U,c,c.er� ter} Sh _ e QL- V1 ALL WORK SHALL COMPLY WITH r NFFA CODES AND STANDARDS REVIEW DATE i oo' TT`,, FrF-- CITY OF ZEPHYR !LL t. �-!RE AND LIFE SAFETY EXAMMI ` ! 0 �� � P� 4 I I I I I a r 5li . i i I _M