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Home My WebLink About04-2855 J CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2855 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: 3/23/2004 Name: HODGES FUNERAL HOME Total Fees: 35.00 Address: 5221 8TH ST Amount Paid: 35.00 ZEPHYRHILLS, FL. 33542 Date Paid: _ 3/23/2004 ~~Jhone=-_~ - ---~- ~ --- - -- - - ---Work Desc:PROPANE TANK INSTALLATION 2855 GAS/FUEL GAS CHANGEOUT COMMERCIAL Address: 5221 8TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: I \ I I I I I The payment of inspection fees shall be made before any further permits will be issued to the person owning same -'i''''-arningtoowner:Your failure to record it notice of commencement may result in your paying twice tor--- improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement. II -- - ----------COmpiete Plan~Spedfications andFee Must Accompany Applicatio-n~---- __!\I~or~~-"'~I~e-perf.on:'l1ed-i!!...Clccordance wi~ City Codes an~..Qr9inances____.. NO OCCUPANCY BEFORE C.O. - _.-----_.__..~---_._---_._-_..._-_.- ._-_._._------------------~------,---_.--_.~-_.._------...---..-......-..----.------.-----.---...- ----..----- .-----.. ----- --------- i"~~NA~---~MITOFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER .. - __~ I _______________________. REINsPEcTI:ON FEES i-When extra fnspection 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 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 8th STRBBT ZBPHYRHILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 ~i /,~ DATB RBCEIVED & :< !R.~ PLANS REVIEW FBB I OWNER'S NAME He>iJ US JOB SITE ADDRESS S,;l.;l I FV;ItJF,l!AL ~/?'fE ~ ~ ~T~q- PHONE CONTACT LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # I j - .J.- (p -~ J - 00 I C> - /UJ 760 -6/1 b (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR ~NSTALL DSIGN DMOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING BtOMMERCIAL DMULTI - FAMILY D# OF UNITS DMOBILE HOME o INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK IR.cP/wE TrtAJI<.. //0 'S rAt-LA 7t'6W BUILDING SIZE SQUARE FOOTAGE HEIGHT 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. ,,*1-~5S . D BUILDING PERMITS REQUESTED $ VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. D PLUMBING o MECHANICAL $ ~S D ROOFING VALUATION OF MECHANCIAL INSTALLATION 1 rJ 1:J _1// D SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDBR SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** BLBCTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE **************************************************~~************** PLUMBBR SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** MBCHANICAL SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** OTHBR 6~ SIGNATURE A ~ COMPANY J J t2-8A^-.l STATE CERT OR REGIST # CITY PROCESSING # . ... ~ * * ** * * * * *** * *** * * ***'***'~"'* * * * * * * * * * * * * * * * * * * * * ,*"; * *.* ** *** ** * *.. '" * **' . .' ~ ,'~ i,.\ .l(.;~ . <. ..' .., ."~,"', '0' ", ",' ."',~. ',' '.,V'." 0.", GUIDELINES FOR SUBMITTING SITE PLANS: Show area surrounding tank(s), including all adjoining property lines and distances between the tank(s) and buildings / structures / exposures. ldentifY ail buildings on the plan. Address of facility: Hodges Funeral Home, 5221 8th street, Zephyrhills, FL STORAGE CAPACITY OF NEW TANK(S): 1000 gal TOTAL STORAGE CAPACITY: _1000 gal IS THIS A CYLINDER EXCHANGE UNIT? YES XX NO GENERAL SITE PLAN DETERMINE NORTH N -+~ r--- ! 7th street 3/4" PE Pipe buried 18" below grade ..' Shed 0-- Crematory Q) > co :S I I~ Hodges Funeral Home 10' 1~ o 1000 gal UG tank 8th street Name ofInstaller: Suburban Propane_ m_ License Number: 01675 Address: ~834 Gall Blvd. ZeQhyrbill!:), FL 33542__ _m_____ This site is to be constructed and maintained in accordance with NFPA number 58, and other appropriate regulations. I understand that this facility / tank may not be put into operation until final inspection and approval by a Division ofLiquetied Petroleum Gas representative. Signature: _i'~~ .~______ Date:_;}~-2,;2 -cs '!-to 1;.1' "i .. ;":i",j }""')J I '''-td,l- .1'; ,',," )..~ ' 7' ~,<(I-;I<-' I">J.:,';;"~ / '-.~ ~ : ~~ -1 ii ".~-t:'i .,-- ' .'..a--->,. r/>y" ..,..'-1" .-'-"',Jt...../: 'i;;"~L. .'A ,"",.J- , ~, ....~ _ ,~ -) d'! Ii} -L _~ r..., .'''.. _ -I '. ,......"" "(' " ,;.--x ~,.</.-...- - "'~I '';:' '...,/'I:iL,'f _ .1'( ',f "'" ~ ,"~ ~X' > '" .'_- l~ ,',;j -< , Y:...r---; ',~;/ !~L!- """""-' :",.., ~ --:_oJ-........:~ _,_f /~ 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 /J ~.. ____ ,,~ . . SIGNATURE: CONTRACTOR STATE OF FLORIDAJ~ Jli:J COUNTY OF f( .~ The foregoing i~trument was acknowledged Before me this :J day of /n~ , ~7 byJ:ytJ0 .5c h nJ ; Tz~ ~ (name of person acknowledged) ~ho is personally known to me, or STATE OF FLORIDA JJ. d2 COUNTY OF .. --P r n Q y) <J The foregoing instrument was acknowledged . Before ji,e thi~ cJ? d.-. day ofl'rJ9/LO...... , l-9~ Y by 14 f-J ~c.-h rYl, T z.. ~~ (name of person acknowledged) ~o is personally known to me, or D who has produced . (type Ddid not of identification) take an oath. D who has produced (type of identification) ~id not take an oath knowledgement ~ acknowledgment ~~ JANE M. SCHENCK MY COMMISSION II DD264.S4A p~~I_ d stamped