HomeMy WebLinkAbout20-22048 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22 48
LP/NATURAL GAS PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22048 Address: 3795 CORREIA DR
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: PARK PLACE CENTER
Est. Value: Parcel Number: 19-26-22-0010-00000-0131
Improv. Cost: 6,185.00 OWNER INFORMATION
Date Issued: 11/19/2019 Name: MARGOLIN HOWARD REV TRST
Total Fees: 125.00 Address: 31331 MAKINAW LN
Amount Paid: 125.00 WESLEY CHAPEL FL 33545-8297
Date Paid: 11/19/2019 Phone: 800-778-4247
Work Desc: PROPANE GAS TANK FOR GENERATOR
CONTRACTORS APPLICATION FEES
BAHR'S PR PANE GAS&AtC, INC. GAS FEE 50.00 FIRE INSPECTION FEES 25.00
FIRE PLAN REVIEW FEES 50.00
P
I
4)'
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$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMME MENT "
� b
NTRACTOR IGNATURE PERMIT OFFICtA
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
81'3-780-0020 City of Zephyrhills Permit Application Fax-813-78M021
Building Department
Date Rom d
Owners Phone Number
Owners dress319,51 17J9*1A4q4d Owner owner Phone Number
Z71
Fed Sim Titleholder Name owner Phone Number
Fee Simp e Titleholder Address
JOB AD SS LOT#,Nei
SUBDIVI [ON PARCEL ID41 14Y -;2 ZO
(OBTAINED FROM PROPERTY TAX NOTICEI
WORK P OPOSED NEW CDNSTR ADD/ALT' SIGN DEMOLISH
R INSTALL U REPAIR
PROP ED USE Q SFR Q COMM OTHER
TYPE 0 CONSTRUCTION Q BLOCK Q FRAME STEEL
OOA
DESCPJ 4N OF WORK 410 P;pe - &Ae477-c�, c
SUILDI G SIZE SO FOOTAGE HEIGHT Ff
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.
'E E F Ff
LUMBING Sr._,..,_,.,_-_
MECHANICAL 1$1 ION
el,?6w 'VALUATION OF MECHANICAL INSTALLATION
("AS ROOFING r7 SPECIALTY = OTHER
FINISJHD rLOCIR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILD R COMPANY
SIG Rv--' REGISTERED I Y/ N FEE CURRFJ,
dress License#
SLEC RICi.AN COMPANY
SIG RE REGISMRED I Y/N FEE CURREN I Y/N
dress License#
PLUM ER COMPANY
SIG, RE REGISTERED I Y/ N FEE CURREN
dress License#F
MEC IC AL SIG
F= REGISTEREDCOMPANY Y/=N FEE!CURREN'
dress License#
OTH R /yyJQ COMPANY A I�0� 6
SIG T IRE REGISTERED I Y/ N FEECURREN I Y/N
are
License#1 4 f 7,36'
RESI ENT:AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsile,Construction Plans,Stormwater Plans wl Sift Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects
COM ERICIAL Attach(2)complete sets of Building Plans plus a-ufe Safety Paw:(1)set or Energy Forms,R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sift Fence installed,
San"Facilities&I dumpster.Site Work Permit for all new projects-All Commercial requirements must meet compliance
SIG PERMIT Attach(2)sets of Engineered Plans.
PROPERTY SURVEY required for all NEW Construction.
Iapplication completely.
at&Contractor sign back of application,notarized
over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500)
gent(for the contractor)or Power of Attorney(for the owner)I would be someone with notarized letter from owner authorizing same
OVE THE COUNTER PERMITTING, -(copy of contract required)
Re silshingles Sewers ServicoUpgrad*AIC', , Fences(Plot/Survey/Footage)
)rivewa I ys-Not over Couni.erff.,on I public roadways..neads ROW
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. If the owner has hired a contractor or
UNLI'ENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:
contr;actors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contrsctor is not licensed as required by law,both the owner and contractor may be cited for a misdemeanor violation
unde-state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
inten Jed 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
Conti actor,that may be an indication that,he is not properly licensed and is not entitled to permitting privileges in Pasco
Cour ty.
TRA 4SPORTATION 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 n 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
race ving 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.
CO STRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
card Y that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Prot ctlon Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
othe*than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deli cr it to the"owner"prior to commencement.
COD TRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will De 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
co rr menced 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
cart fy that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my;esponsibility 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 un Jerstand 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 W, 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 W 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,1;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
per it 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
req iring a correction of errors in plans,construction or violations of any codes. Every permit issued.shall become invalid
uni s.,g 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
ma ir be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
jusl iflable 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
wr rH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FL C RIDA JURAT(F.S.117,03)
A
OWqERORAGENT CONTRACTOR
Sub scribed and swom to(or affirmed)before me this S7�8bg�n�4p a n is toraftirmed)belo methi.
a, I>Z 0
Who iv3re personally known to me or has/have produced Who War ersonally k n to me or hasthave produced
as identification. 'in as identification.
Notary Public -Notary Public
Con 1mission No. Comasion No
Nan ie of Notary typed,printed or stamped Name of N rye
OW18TYgSic- ateofFlorida
t' a
9
Commission#GG 112939 J 11 9
"s u
2
5- My Comm.Expires Jul 19,2021
Han.l Notary ,
Handed through National Notary Assn
4441 Allen Rd.,Zephyrhills,FL 33541
Ph:(813)782-5013,Fax:(813)-783-1374
Gas Piping Proposal
Email:sylvia bahrsinc.com
Date: 9-19-19 Phone: 813-782=0825
Name: Hair Lab Fax:
Address: Job:
City &Zip: Ze h rhills,FI Email: i-mccarty@rymanconstruction.com
Contractor: R man Construction Ph: Fax:n-
Tank size: 1000 Gallon U/G customer owned tank 3500.00
Tank cost or installation(includes press test): 100.00 100.00
Buried price: "Includes Anode Bag** 800.00
Piping from tank-to builfnh footage: 600.00
Regulators:50.00 ea unless owned by Bahr's Propane&AC 100.00
Appliances:
Accessories:
Appliance connections:includes shutoffs 50.00 pera liance 50.00
Certain appliance's may require additional charge:
Generator connection priced by job 350.00
385.00
uh Total s
5885.00
Permit Fee: COMMECIAL 300.00
Gas price:800 gallons x 2.25-gallon To be billed to Professional Hair Lab0
Annual tank service fee: Rental
TOTAL PRICE, $7985.00
sA►c
$7,985.00
-$1.800.00
c�2%G �$6,18500'
ELEVATION=76.20' NA VD
�'P I 6XIMATE
M ZONE LINE
ZONE „A» o,
/
ZONE .,
70, — — — — ----
COV
�0� O�s�, e
O
PR. 3' x 6 4" THICK C C. PAD
NA
G
PROPOSED LIFT STATION
(SEE SHEET C-09 & C-12)
y�J� �W W W W W W "Dead End"
Sign
� /� DR Z' (`I IRR TRAAICITlnK\ `/ \
PASCO COUNTY.GAS INSTALLATION SHEET
APPLIANCES
Number of Each BTU Input
Range
Water Heater
Dryer
Furnace
Grill
Pool/spa Heater
Fire Place
Other Z &n�t�ko<
Total Drops Total BTU Input 000,OQQ
CONTAINERS
Above Ground #of Size W/C Underground#of Size W/C �b
Total Capacity W/C Total #of Containers
2 Stage Yes_ No
System
Design
Natural LP Design Pressure
Piping Materials; Steel Copper PE�CSST
a
Total Developed Length
Must Submit an Isometric Drawing Listing Materials, Sizes, and Lengths (Commercial Only)
List the table number from the FFGC 2014 that was used to size piping
Job Address
Contractor/Company_ Gc.� [S fopEAZ -S A-)C.
Commercial Residential
City,of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
SContractor/Homeowner:
Date Received:
Site: 3 7 C-0 ti G�
� � �vo o G �� ���► k
Permit°Type: /
Approved w/no comments:Va/ Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Z(— Y�-
-Plans Examiner ate Contractor and/or Homeowner
(Required when comments are present)
INSTR#20191$SS94 OR BK 10001 PG 1614 Page 1 of 1
11/05/2019 09:10 AM Rcpt:2105628 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller -
Permit No. t Parcel ID No /9 �� a ooeao 00i3/
l NOTICE OF COMMENCEMENT
State of / �//�� County of_ / XP540
R I e THE UNDERSIGNED hereby gives notice that ImprovementYM be made to certain real property,and in accordance Wth Chapter713,Florida Stables,
a the fofiovAn Information Is vlded in fits Notice of Common t //��
9 g 1. Description of Property:Parcel Id tl8cation No. �� �� dO t0DO 41.gl
Street Address: /e QJ Lri '
a I
Y. G X 2 General Description of Improvement i �1
G�It
m.t41 . .�'w
itg ��' 3. Owner Info�q�an or a Info etlan if the L ssee contracted for the Improvement' Q u� �� '
�lip, Eddie' : s
d t "a F si� Address ame�g
k Ciry n State
Interest in Property.
Name of Fee Simple Titleholder. 1/
to I '.� ( iro A-Mer Bated ebo ) jrels
Address City State
00 4. D
if co
Stale
contractor's Telephone No: /1
City
O
o i 6. Surety n
`; a" i P.,,�m 0� 39'b7 tot/a• ��/�t/�-
typ� s Q
Q 3 0' AAmod unt of Bond:$ DOb, rid Telephone Na�•' f 1p4,n r-/�State
F o
. Y 6. Lender
,coy" Name
IL
o o Address City State
~ Lenders Telephone No.:
• I 7. Persons Wthin the State o1 Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address Ciry State
Telephone Number of Designated Person:
S. In addition to himself,the bwner designates of
to receive a copy of the Lianors Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. E)Oration data of Notice of Commencement(the ing1ration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of rocoi Ing unless a different date Is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS.UNDER CHAPTER 713, PART 1 SECTION 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY: A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ORTHE JOBBITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penNty of%4L7,I dedare that 1 have reed the foregoing notice of commencement and that the fads staled therein are true to the best
of my knowledge end begef.
4.i�gFPAsco SYlV1AA.CAMPBELI
f
Notary Public-State of Florida .Signature of caner ar Leuusee,or Owners or Lessee's Authorized
6 cer/Diroctor/Pap ner/Meneger
•: Commission 1 GG 112939
� MyComm.E:pireslul19,2021 a �ym�� &jj}$ ,
,5 ......'' Bonded Waugh WtlonalNotarykm, Signatl,,s TNe/Offiee ccLL
o g ng Irislnanert•was edmoWedged before me this,_dsy cf tNOV .2019by Eddie, olT4 bl S fi_
as (type of authority,e.g.;officer,"as,ee e�y In Tad)for '
�I (name f per n behel Instnmerd s executed).
Personally Known 0 0 Produced Identification r'%Vr 1,r S Notary 8Igns,
Type of Identification ProducedS,3�5-d&Z— fd�r7 O 'Name(Print).
wpdetelbca/noticecommeneemenLpcd53048
r
STATE OF FL��RIDA, COUNTY OF PASCO
THIS 1S TO CCF,TIFY THAT THE FOREGOING IS A
i TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILL OR OF PUBLIC RECORD IN THIS OFFICE
a WITNE;MY HAND AND OFFICIAL SEAL THIS
+ r•+' 3 a:a 1
DAY of WM b 0 1-2()J >
CLERK&COMPTROLLER
BY_ _. - -- D15PLITY CLERK