HomeMy WebLinkAbout03-2153
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2153
300.00
6/16/2003
35.00
35,00
6/16/2003 ~
PROPANE TANK INSTALLATION
Address: 5740 7TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-02600-0130
Name: PANCHO'S VILLA
Address: 5740 7TH ST
ZEPHYRHILLS, FL. 33542
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
-_.~.
Work Desc:
2153
GAS/FUEL
PLUMBING/NEW
COMMERCIAL
Phone:
~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
~i'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 commencement. II
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O. '
~
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'r- CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
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GUIDELINES FOR SUBMITTING SITE PLANS:
Show area surrounding tank(s), including all adjoining property lines and distances between the tank(s)
and buildings I structures I exposures. IdentifY all buildings on the plan.
Address of facility: 5740 7th street
STORAGE CAPACITY OF NEW TANK(S): 500 gal
IS THIS A CYLINDER EXCHANGE UNIT?
TOTAL STORAGE CAPACITY: 500001
YES
XX NO
GENERAL SITE PLAN
DETERMINE NORTH
Pancho's Villa, Zephyrhills
5740 7th Street
Zephyrhills, FL
i
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1-1/4" galv. 2nd stade
piping I
\;---------fjIl:-- 2nd stage reg. I
Hood~ ________________t t---1/2" galv. Pipe I
o 0 00000 ! I
I I
f I
\ !
~ 1/2- PE pipe 11
,/U,nd", ergroU1d to st
~.ao
500gal~'~'" .. I
tank '
. .. I
Crash Posts --- . I
I
1-1/4"
fire valve
Q5
~
1i5
r:
r:;:
Fryer
6-bumer range /
12-bumer range
48- griddle
Fryer
Name of Installer: Suburban Propane
License Number: 01675
Address: 6834 Gall Blvd.. Zephvrhills, FI. 33541
This site is to be constructed and maintained in accordance with NFPA number 58, and other appropriate
regulations. I understand that this facility I tank may not be put into operation until final inspection and
approval by a Division of Liquefied Petroleum Gas representative,
Signature: .An. SeL- Date: 6-/3--0 ~
SEND TO THE FOLLOWING
ADDRESS FOR APPROVAL:
Division of Liquefied Petroleum Gas
5420 Bay Center Drive. Suite 100
Tampa, Florida 33609
Phon",' (Rn) ~"h_lORR
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMENT 5335 8~ STRBET ZBPHYRHILLS, PL 33540
Phone:813-780-0020 Pax:813-780-0021 ~;( ~
DATB RBCBIVED ? - '1 ~tJ
PLANS RBVIEW PB
OWNER'S NAME fA~C.HO:S VJl.,L-A Z&fJrly,i!r{ILt.5
JOB SITE ADDRESS ...5-7L!o '7 '0 S,j2.Ec T
PHONE CONTACT
7 <1d-. - 7/17
'})At'\
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
(OBTAIN FROM PROPERTY TAX NOTICE)
~TERATION
o REPAIR
o INSTALL
PARCEL ID #
!I,-.;l ~-bl J ~601 0";' 0.:2 0a.-') - D /36
DSIGN
o MOVE
o DEMOLISH
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o MOBILE HOME
o OTHER
PROPOSED USE: DSGL FAMILY DWELLING
DMULTI - FAMILY
0# OF UNITS
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
PRoPAJ"JF
IAN~
IN 5 TALLAllDA J
SQUARE FOOTAGE
HEIGHT
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o
FLORIDA POWER
,
o W.R.EI'>-' 5~ )
I~~~ /
INSTALLATION~---~
o PLUMBING
IfIMECHANICAL
$
3 DO d cJ
VALUATION OF MECHANCIAL
po. GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
BUILDBR
SIGNATURE
******************************************************************
SIGNATURE
COMPANY
STATE CERT OR REG 1ST #
CITY PROCESSING #
ELECTRICIAN
***************************************************~**************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
SIGNATURE
Ld-r1- ~
******************************************************************
COMPANY S J 11 u,Q...BAN PJe-6PAJJE
STATE CERT OR REGIST # blIP 7~-
CITY PROCESSING #
MECHANICAL
*****************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHBR
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify 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.
E. 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, City
codes, zoning regulations, and land development regulations in the jurisdiction, I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid Qiid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped