HomeMy WebLinkAbout07-7292
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
LP/NATURAL GAS PERMIT
7292
Permit Number: 72 2
Permit Type;. LP/NA TURAL GAS
Class of Work: FIRE-LP/NATURAL GAS
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 37411 EILAND BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-05300-0000
2,500.00
12/26/2007
220.00
220.00
12/26/2007
INSTALLATION OF GAS PIPE LINE
Name: GOLDEN HEALTH SERVICES INC
Address: 2424 CURLEW RD
PALM HARBOUR, FL 34683
Phone: 727 781-5885
FIRE INSPECTION FEES
PLUMBING FEE
45.00
~:no ~o&
~~ t<. &~.rv~~
~
12-/Zfe;/C7
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 $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONS L T WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDIN U N CE OF COMMENCEMENT."
R SIG ~TURE I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOnCE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
Owner's Address
Fee Simple Titlehol~er Namel
L aYle"u I!cI
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I
~7tfll
I LOT# I
PARCELlD# I 03 - 2 6 ~ 21 ~ [)O / ~ ~ Cb30LJ -'DO D 6
(OBTAINED FROM PROPERTY TAX NOTICE)
ADD/ALT D SIGN D MOVE D
REPAIR
D
D
[,it/Ad 6/trfJ
I
B
00
D
OlD ;1/),') 1../f\eS
BUILDING SIZE I SQ FOOTAGE I HEIGHT I
1111111111'11111'1111111111111111'1111111111111111111'11111""11"1111111'1111111111111111111'111111'1111111"11111111"1111'1111'111111111111111
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
@
D
D
I
COMM
FRAME
NEW CONSTR
INSTALL
SFR
BLOCK
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
D
I
1$ I
1$ e6CO~. I
1$ I
l&f GAS D ROOFING D
FINISHED FLOOR ELEVATIONS I I
BUILDING
1$
DEMOLISH
OTHER I
STEEL D
OTHER I
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
W.R.E.C.
D
D
~
~~PS~
(/5/IV11-oy
~
'VALUATrdN~F MECHANICAL INSTALLATION
Address
MECHANICAL I
SIGNATURE
Address I
OTHER I
SIGNATURE
Address I License #
I11I11I1111111I \11\111111111111111111111111111111111111111111111111111111II111111111111111111111I11111111111111111111111111111111111111II111111111
RESIDENTIAL 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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (3) 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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed.
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
ELECTRICAL
PLUMBING
D
MECHANICAL
SPECIALTY D
FLOOD ZONE AREA
BUILDER
SIGNATURE
COMPANY
REGISTERED
Address
ELECTRICIAN I
SIGNATURE .
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
COMPANY
REGISTERED
COMMERCIAL
SIGN PERMIT
OTHER
DYES
Y/N
Y/N
FEE CURRENT
License #
Y / N
Y/N
FEE CURRENT
License #
Y / N
Y/N
FEE CURRENT
License #
Y / N
Y/N
FEE CURRENT
DI~~~ti~~~': ' I , , , , . , , . . , . . . , , . . . , I I I I , . . . , . I . , . . , , I . I I , , , I . , , , . . , , , I . , , , . . . , , , . I , , , . , . , , . , , , . . , I , , , , . . , , , , . . . . , . . , , I . . . . , , , I . , , . . , , , , , . , , , , , , , I , I , ,
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500. a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs 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.
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 loca' 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 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
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION 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 in 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
receiving 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.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
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 commencement.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 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 understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", 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 "A" 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, I 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
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 codes. Every permit issued shall become invalid
unless 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
may be requested, in writing, from the Building Offjcia~ for a period not t~ exceed nin~ty ,90} da~s and Will demonstrate
justifiable 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDAJURAT(F.S.11J.~:~
OWNER OR AGENT
Subscribed and swo (or a e~for his
, z:-/Q..o 1 by
Who is/are personally known to me or has ave produced
U ~'SL as identification.
CONTRACTOR
Subscribed and swom to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No.
Name of Notary typed, printed or stamped
HiCo Plumbing
700 Glades Court
Port Orange, Florida 32127
Phone: 386-760-2356
Fax: 386-760-1201
Email: george@medicairsystems.com
Re: Authorization Letter
Date: December 21, 2007
To whom it may concern,
Please be advised that I, George McMahon, Jr. registration/certification number
CFC022562 herby authorize the following person(s) to purchase and retrieve
permits on my behalf as authorized agent(s). I understand that I am responsible
for any work performed by my agent(s).
1.) Jerry McGuire
I am authorizing the above person(s) to act on my behalf in the City of
Zephyrhills.
Sincerely,
State of Florida
County of Volusia
The Forgoing instrument was acknowledged before me this 21st day of
December, 2007 by George McMahon, Jr.
~~.~
Notary Public, State of Florida
~."". ~ Celeste D Child
. J . My CommlSSKln DD253596
~.""f ..
...., 0, "cI Expires January 23, 2008
My Commission Expires: 1-23-2008
MEDIC A.IRSYSTEMS,INC,
700 GLADES COURT
PORT ORANGE, FL32127
(386) 760-2356
BANK.OFAMERICAiNA
PORT ORANGE,Fl.32124
63-27/631
12121/2007
6~6~~ ~~E City of Zephyrhills
$ -220.00
Two. Hundred Twenty and 00/1 00****************----*----U.4UU4U44U4*4U4U4******__******.UUUUU4*" DOLLARS
trJ~
City of Zephyrhills
Building Department
5335 8th Street
Zephyrhills, Florida 33542
2/::: ~~
o 0 2 5 9 :\ . 9 B B 5 u-
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----
HiCo Plumbing
u-O. 2 2 2blf8l:Ob:\ .00 2771:
MEDIC AIR SYSTEMS, INC.
City of Zephyrhills
12226
12/21/2007
Permit
220.00
BOA - Advantage Che HiCo Plumbing
220.00
Dec, 11. 2007 8:43AM MEDIC AJR
No. 3162 <p, 1
HiCo Plumbing
700 Glades Court
Port Orange, Florida 32127
Phone 386..760..2356
Fax 386.760.1201
Fax
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Dee, 11, 2007 8: 43 AM
MEDIC AIR
No,3162 p, 3
LOCAL BUSINESS TAX RECEIPT
CITY OF PORT ORANGE
1000 CITY CENTER CIRCLE
PORT ORANGE, FLORIDA 32129
81 CO PLUMBING
700 GLADES CT
PORT ORANGE, FL 32127
Owner n8~41:
Business location:
City/State
MCMAHON GEORGE.JR
700 GLADES CT'
PORT ORANGE, FL 32127..4324
EXPIRATION DATE: 09/30/2008
ISSUE DATE: Sn12001
TAX RECEIPT#
CLASSIFICATION
QUANTITY FEE
BT -12054
Plumbing
$60.00
TOTAL: 560.00
Comments:
Restrictions:
00..r.., . I 0.'
y~Q~d)tLC
Issued by: c U
IMPORTANT: THIS TAX RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS.
PENALTY FOR FAR-Un TO 1>0 SO (City Code Section 26-38).
Dec. 11. 2007 8:43AM MEDIC AIR
No.3162 p, 4
HiCo Plumbing
700 Glades Court
Port Orange, Florida 32127
Phone: 386-760-2356
Fax: 386-760-1201
Email: george@medicairsystema.com
Re: Authorization Letter
Date: December 11, 2007
To whom it may concern,
Please be advised that I, George McMahon, Jr. registration/certification number
CFC022562 herby authorize the following person(s) to purchase and retrieve
permits on my behalf as authorized agent(s). I understand that I am responsible
for any work performed by my agent(s),
1.) Kevin Taylor
I am authorizing the above person(s) to act on my behalf in the City of
Zephyrhills.
s~
George McMahon, Jr.
CFC022562
---.
State of Florida
County of Volusia
The Forgoing instrument was acknowledged before me this 11th day of
December, 2007 by George McMahon, Jr.
.
CA...\ -L4.V-u..~. ~
Notary Public. State of Florida
~ ~ CeIetleD tMd
'\'~;' My Com",,$$IOII 002153.
IJ \~ biIlltt JlIn\IIIY I~. 2008
My Commission Expires: 1-23-2008
...__~...,,_ .,..~.._.~.,.~. _~.,.___w ._," .--.-....-..--..--.. -... ~_.~.. ....
. .......~..----...-.-..
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:::::Ci&::~fZephythills
BUILDThfG:PLAN REVIEW CO:rvnv.tENTS
, Date Received:
. ,
.
~~~ ~ ~~\"d
~. 2-<f~OJ
3'1411 . {;, l~' ~\ Vb"
ci A-S . Y:Yi pe . tNL~:::. "
'ContractorlHomeowner:
Site:
Permit Type:
ApProved wino co~ents:D
Approved' withe below ccm:mi.ents: 0
Denied withe below comments: . 0
. .
", .
"/"
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. "~" c~ent sh' "~ be kept with ~e p~ ~dlor :plans.
. .,.
i,
I
K.a1vin Switzer ~ Plans Examiner'
Date
. Contra.ctor and! or Homeo"WneI"
(RequiI-ed when comments are present)
Nov. 16. 2007 7: 50AM
Fire Chief Keith WiDiams
ZEPHYRH1LLS FIRE DEPT
Zt:f'#HYKHILLS FIRE DEPARTMENT
6907 Dairy Road, ZephyrhiHs, Fl 33542
Bus (813)780-0041 Fax (813)780-0044
No. 0060
P. ,
FIRE SERVICE USER FEES
Occupancy'No.: ~ ~r"')\ I
......No.: Q7-/'J..') -= ~. ',,:,- ~~
Business Name: I~\.~ Billing Address: 7 cf '~3 -(
Business Address: .,.. '\...c-\ ~ _ ~ ~_ H '?2.f2...7
Business Phone No.: Bihing Phone No.:
Business Fax No.: Billng Fax No.:
comad: C~8d:
FIRE MAIUiI SYSTEM
B SyIIem AcceptIn:e S50
ReclIII ~ S5D
OTHIR
R::=--w.. :.:::
~NnldGl& ~~...
$SO ~ T. 10'.lnlJ" .. ...... $~5..,...
Fire ~ $45
$50 Fft ~ $30
S60 SysNm ~
$SO B EllbIuGt HclodI.Duc.t S30
~ :':nUBl) DBL
$50 0 Inspdon sch8dulect DBL
Ind cancelIId _1tlBn
24 holn
B Can8InIctIan IMp. NIC
.--A.. EIIleIQli""f VehIcle AD ~O
PLANS TOTALL5!LI INSPECTION TOTAL~
GRAjDTOTALj,? /1 r ~("'-=='1
7:>M/~ ~r"".-I- ,.fi!!.-e k&. "f-4,7T~j - tr7- LJvll
I ,
PLAN REVIEW FEES
B SlIe PIu NfC
MuIIi-~ .0811
(I.tnImum Charge 125.00
o ,... Rl!YIsians DBl
SPRINICI.ER SYSTEMS
BO-25HMds $SO
26 pIua HeedII $100
STMDNIE SYSlliM
o P.- RI8er $60
FIRe PUMP
o Per Puqt $100
FWIE AlMM SYSTeM
S Q - 25 DIIvicll!$ $SO
21 pk& DeviDI& $100
SUPlW:SSIQN SYSTEMS
~: :
CO2 $60
0Iher $50
KIT~ EXHAUST
DHoadIDlIClt5
OllER
8.,~"'....
Fuel T8IIk ~
(Per Tank)
M-"": G..-l......
ru-(Per System)
o Spmy Boo1h
0Grnments:
~ AIwJUBI INSPECTION ~S
1 sf RHlIpedion N1C
2rId RHwapectian 11m
3rd RtHnIpectian S250
.." Re-11lSf*tlon 1500
(..... cIo5ed until
vioIIIlions ~)
~ "=::TEM~
H~ Test S65 "''''''11I
Accept.,- Test S4S ""'......
HycIJwt Flew $75
FALSE AI..ARII FEE
111 AIIrm HIe
2rlcI AIIIrm NIC
3rct AIInn NIC
4lh AlInn $100
SIh AIIrm $150
6Ih AIIIrm $200
NON~ $150
B
r-RrA f)~ FALSE ALMII
PERMIT TOtALL!llU TDTM.L:=J
P~~~A-~
I
Date:
Jz.j7/1/1
I/J
(!; /Yf lfLr 4' - f7!.t
IRSlJRdor.
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
.
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
December 7, 2007
Plan Review Comments
I have reviewed and approved the plans for a gas line installation located at 37411 Eiland
Blvd. 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 if it is in a vehicular area.
2. Carbon monoxide detectors shall be installed in areas where natural gas is located.
Inspections required:
1. Pressure Test
2. Final
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