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Home My WebLink About04-3454 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3454 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: 3454 GAS/FUEL GAS CHANGEOUT COMMERCIAL Address: 5327 ALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 250.00 10/12/2004 35.00 35.00 10/12/2004 REPLACING TANKS Name: BJ'S COUNTRY KITCHEN Address: 5327 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: REINSPECTlON 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 "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." 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. AL5Mf _ ~-~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 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. Identify all buildings on the plan. Address of facility: Bj's ~ountry Kit~hen. 53J7 Gall B!yd. Zep~yrhills, F'~HH~_~~___~_____~ STORAGE CAPACITY OF NEW TANK(S): _420 I~~ TOTAL STORAGE CAPACITY: _2-420 Ib IS THIS A CYLINDER EXCHANGE UNIT? ---~ YES XX NO GENERAL SITE PLAN DETERMINE NORTH ----~ l , ~ ~ B>Fryers I:J~Range \Fire Valve 0 40 gallon Water heater I (2nd floor) 3/4" galv. Gas line 1" galv. Piping 25' {!..Efli ACt;J& TA,J~S - 0 o 0 (i)HAtJbltJ& FJ!.OM o@@o 0 0 0 ,A/11 C~/6A S. 10' jVO (:> {rlE~ At.- TE~,A II d~5 I I ! I Clock Rest parking lot I I I I I I I i Name ofInstaller: Suburban Propane License Number: 01675 Address: 6834 Gall Blvd. Zephyrhills. FL 33542 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 of Liquefied Petroleum Gas representative. Signature: J jb..,.. J.t.~ Date: /O//.:J-OLt APPLICATION FOR PE~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT DJ/S (' ou;tfT1d- t .k!., TCH~.Al ADDRESS 5'-3:;17 6At.-c BL \l1J OWNER DA,e,f3 LJC>D./)~//ll &- PHONE JOB LOCATION ;'S A- ~ L LOT SIZE_~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# IJ-.;2Ic~:2I-()OIO-I33~ - 00/0 WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units _____M I H fRoI'A/'fE 7'A.v~Other ____Commercial ____Indust. ____Swim. Pool ____Restaurant & Health Department Approval BUILDING SIZE: x_. Square Feet, 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.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ ~ C.,6 .;l~ - Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Company State Cert. or Regist. # City License Registration # ****************************************** Signature MECHANICAL Company State Cert. or Regist. # City License Registration # Signature ****************************************** OTHER DAAJ SCrln1(7'<- ~~ --' Company State Cert. or Regist. # City License Registration SJ.8J~.8A;J Signature ****************************************** APPLICATION APPROVED BY /~' .-,' ,:-' PERMIT OFFICER. '_, . ''''''''_,.J> _,,' ",'~ " '''.'. ''f: '-'. ," ,f'" :' , " t!-- ,,-C't ' .:4....... .:'\; ~ .~' ~, ..,'-~. -.. , ~" ~.~ - " ",.,'if""'. . "..'''' --~ } "t'~ ;","t.' ~'"''l:''''' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 1he undersigned understands that this permit lay be subject to "deed restrictions" which may be more restrictive than City regulations. 1he 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 lay 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 misdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (BI3) 7BB-bbll. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sJ sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign 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 lay 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. CONSTRUCTION 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 sOleone 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 COlmencement. 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 coapliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has comaenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City er.des, zoning regulations, and land development regulatic.ns in the jurisdiction. I alscl certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is .y responsibility to identify what actions I must take to be in compliance. Such agencies include bllt ~Ie not limited to: . Department of Environmental ReQulatic.n - Cypress Bayheads, Wetland Areas and Environmentally Sensitive L:inds, Water/Wastewater Treatlent . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Army Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks . US Environlental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.', it is understood t~it a dlainage plan addressing a "colpensating volUMe" will be sublitted which is prepared by a professional engineer reqistfied 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 yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Off\ci~l frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perIDit issu~d 3hall becole invalid unless the work authorized by such permit is COI.enced within six lonths of issuance, or if work authollzed by the per.it is suspended or abandoned for a period of six tonths after the ti/lle the work is cOlimenced. One 90 day e~tt',,~ioll elf tile, lIay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectie.n must be loglj\!o diJ.iny "a~;; ::::x fl(l"lh p::ri:d, c.; the pn.jrd ~;i 11 be considered "bdlldc.ned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERrV. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". DATE /0' I..} ~ d d _________________J_____________________ NOTARY AS TO ~ filII A L _ ~/>il OWNER OR AGENT _ ___ll~~G01~-------- MY COMM I SS ION n I RES <:>_!~.M._~~g!(- ",-Wl MY COMMISSION # Dl)264S48 ~OP:I EXPIlU!S: F-.ry 19, 200& SIGNATURE___~~-~--- CONTRACTOR /d'/.J-o'-- - -------)(-------------- DATE SIGNATURE__~~--~----- OWNER OR AGENT NOTARY AS T CONTRACTOR , h2Jd(P'JLck __ l~~_______-------- MY EXPIRE L~...JANE-""'~y 'W ~ !VI. u....,QlJl~CK ~ MY COMMISSION II DD26U4a EXPutEs: P*'-Y 19. ~