HomeMy WebLinkAbout07-7254
CITY OFZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
LP/NATURAL GAS PERMIT
7254
Permit Number: 7254
Permit Type: LP/NA TURAL GAS
Class of Work: GAS CHANGEOUT
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv, Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
-i~t
Name: MIRA ENTERPRISES
Address: 5553 BRADDOCK DR
ZEPHYRHILLS, FL 33541
150.00
11/29/2007
160.00
160.00
11/29/2007
500 GAL TANK SWAP OUT
Address: 5039 1 S ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-*21-0010-12800-009
Phone:
FIRE INSPECTION FEES
(':'.--'- /
25.00 FIRE PERMIT FEES
50.00
(~/r~d
~l-
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 COMMENCEMENT."
~, ~
CONTRACTOR SIGNATURE I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
,.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS . J I
BUILDING DEPARTMENT DATE RECEIVED 1\ 2.% 07
5oS~ 6('o.d.d.cx::..~ Dr PLANS REVIEW FEE
335<-\ I / ;J7r;Ne -L J '\
OWNER'S NAME /1l/~au ;;;-Nkrr:Jr/~e 5 VJewGuj~rlirJ 8/B-7Kd--7/7CJ
JOB ADDRESS 5 03 ~ I J:)f- .si. I J 2-epA vrA // /S i ;::1-.
/
LEGAL DESCRIPTION: LOT (S);< BLOCK /3; SUBDIVISION2~A).n-Dh<S/<
PARCEL ID # 10 - ~(p -.:2/ ~ ~Ol 0 - I t:2 8'00- 009/) IOBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
[JADDITION
[JALTERATION
[J REPAIR
~TALL
[J SIGN
[JMOVE
[J DEMOLISH
PROPOSED USE: [JSG~ILY DWELLING
~MMERCIAL
[JMULTI-FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
[J OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT
IP
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.
[J BUILDING
$
\50.00
PERMITS REQUESTED c@
VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
AMP SERVICE
[J FLORIDA POWER
[J W.R.E,C.
[J PLUMBING
[J ME:S!!b~H CAL
~S [J ROOFING
$
VALUATION OF MECHANCIAL INSTALLATION
[J SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
* * * * * * * * ** *.* * * * * * * * ** * * * * * * ** * * * * * *** * * * * * ** * * * ** * * *** * * *** ***** * *
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***************************************************************** I
OTHER ) fJ. bn;; ~ COMPANY 6B-hr's.!f.op/J/V6 G4s r %-J..ffie..
~ STATE CERT OR REGIST # 00/78S-
SIGNATUR , CITY PROCESSING #
*' * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * **.** * * * * * * **-1<* ** * * * * **
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
$, 0 IN VALUE DO OT ~EED TO RECORD AND POST A ~NOTICE OF COMMENCEME
STATE OF FLOij.JDA /} ~ _ _ _..L...-..
COUNTY OF X'.a....oc 0 ~
The foregoing instrument was acknowledged
Before me this ~ day of ~~~, ~20D7
by -::s AI V'Y\.e.. L'-i "" V\ YY\ ( ~ ene...1I7
(name of person acknowledged)
Dwho is personally known to me, or
~ho has produced ~ \)r2\..h'L Ll <lL-
(type of identification)
and whoD did C1fd.id not take an oath.
STATE OF FLORIDA r\_ {G _
COUNTY OF dd::QC 0 ,--c.)(..Ln~
The foregoing instrument was acknowledged
Before me this ~day of 'Nova.m~, ~0\l!SD7
by 3A,Y'Ylf' L~V)V"I ml-s.e.n.e..v2.
(name of person acknowledged)
[1ho is personally known to me, or
~ho has produced K.- 1) j2-..l J"2- L\ C-..
(type of identification)
and who Ddid Diid not take an oath
~~.~ ~~
Signa tu~~.f..P~ ~"kMffIe;cknowledgemen t
~"..:~.,~-#.: .
:*: 1*: CommiSSIOn" 00609664
~. ' - Expires OQober 2&,2910
Name t yp . l'>ao.Wil ~.lils1mIi t;,p11P'j~(~119
ZephyrhiIls Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
November 29, 2007
Plan Review Comments
I have reviewed and approved the plans for a gas line installation located at 5039 1st St.
(Maine-Iy New england). My comments have been placed below. Please contact me if
you have any questions with regards to my comments.
1. Ballard protection shall be required to protect tank.
2. A carbon monoxide detector shall be installed in the kitchen area for the gas
installation.
Inspections required:
~,
dt
...!ff""
1. Pressure Test
2. Final
NOTE: Call building department to schedule above inspections. No one needs to be at
site for pressure test.
Fire Chief Keith Williams
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813)780-0041 Fax (813)780-0044
FIRE SERVICE USER FEES
Occupancy No,:
Plan No.: 07- ( J~ ) \ I
Bus!ness Name: ~\t),tW lJ~~
Busmess Address:
Business Phone No.:
Business Fax No.:
Contact:
PlAN REVIEW FEES
B Site Plan N/C
Multi-Family/Commercial .06 sf
(Minimum Charge $25.00
o Plan Revisions DBL
SPRINKLER SYSTEMS
B 0 - 25 Heads $50
26 plus Heads $100
STANDPIPE SYSTEM
o Per Riser $50
FIRE PUMP
o Per Pump
FIRE ALARM SYSTEM
B 0 - 25 Devices $50
26 plus Devices $100
SUPPRESSION SYSTEMS
BE: :
BOther $50
KITCHEN EXHAUST
o HoocIIDucts
OTHER
~ InslaJlation per tank
D-Fuel Tank Installation
(Per Tank)
o Natural Gas Installation
(Per System)
o Spray Booth
INSPECTION FEES
NlC
N/C
$100
$250
$500
$100
Annual
1 st Re-inspection
2nd Re-inspection
3rd Re-inspection
4th Re-Inspection
(Business closed until
violations corrected)
SPRINKLER SYSTEMS
~ Hydro Undergrounds $45
Hydrostatic Test $65
Acceptance Test $45
Hydrant Flow $75
per syslem
per syslem
FIRE ALARM SYSTEM
B System Acceptance $50
Recall Acceptance $50
OTHER
~Fire WalllSrnoke Wall
LP Gas
Natural Gas
$15 per wall
~lank
~ persyslsm
$50 ~ Tent 10'x10' ()l" g..-er $15 perlant
Fire Pump . $45
~ Fire SuPPression $30
~ System Acceptance
$50 B Exhaust HoodIDuct $30
$50 Re-inspection DBL
(other than annual)
$50 0 Inspection scheduled DBL
and cancelled less than
24 hours
B Construction Insp. NlC
. Emergency Vehicle AI) ~
PLANS TOTAL~ INSPECTION TOTAL~ r
Comments:
GRAND TOTAL
Contractor:
Billing Address:
Billing Phone No.:
Billing Fax No.:
Contact:
PERMIT FEE FALSE ALARM FEE
Sprinkler $50 1 st Alarm NlC
Standpipes $50 2nd Alarm N/C
Fire Pump $50 3rd Alarm N/C
Hoods $50 4th Alarm $100
Fire Alarm $50 5th Alarm $150
LP Gas $50 6th Alarm $200
Natural Gas ~ NON COMPLIANCE $150
~ Tanks- perlank
Sparklers 00
Fire Works $500
Camp Fire $25
Controlled Bum $100
Hood/Duct $50
Place of Assembly $50 Annual
Fire Protection $25
Flammable Application $50 Annual
Waste Tire Storage $50 Annual
Generator < KW $100
Generator >30 KW 150
Bic-Hazard Waste $100 Annual
Fumigation Tenting $50
Torch Pot/Applied $50
Haz. Materials $100 Annual
B
PERMITTOTAL~ DO
C1~rfl' ~
FALSE ALARM
TOTAL I
Date: it Vltt\"O '1
In~or. ~~ gfd.A)tl;\-
\='~
,11/28/2007 15: 57 8137831374
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BAHR'S PROPANE GAS
PAGE 01/02
BAHR:S PlWPANE GAS &Ale, INC .
4441 AUENRD' .
ZEPHYRmu.s. Fl. 33541
813-782.0013
PAX 783-1374
Facsimile 1ransmittaI
To: Fa:
From: DatI:
RII: Pilg8r.
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
&JVL5 fJAop- vYlo.Jle -l'-{ NuD 8,5\~~
II-Ol-~-o(
Date Received:
Site:
5b3~ Is+- 3\-
LP - GPYO IQn\< - S.ua...,pOUT
Permit Type:
Approved wino comments1
Approved withe below comments: 0 Denied withe below comments: 0
This comment sheet shall be kept with the permit andlor plans.
if j) II-N-
Date
Contractor and/or Homeowner
(Required when comments are present)
Kal