HomeMy WebLinkAbout08-7593
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813) 780-0020
LP/NATURAL GAS-ANNUAL SALE PERMIT
7593
Permit Number: 7593
Permit Type: LP/NA TURAL GAS-ANL SALE PER
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: 38509 CR 54 EAST
IT ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3/07/2008
50.00
50.00
3/07/2008 Phone:
LP GAS - ANNUAL SALE PERMIT-12 CYCLlNDERS SMALL SIZE
Name: RIGHTWA YIISHREE CORP
Address: 38509 COUNTY ROAD 54 EAST
ZEPHYRHILLS, FL. 33542
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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."
PERMIT EXPIRES IN ONE (1) YEAR FROM DATE OF ISSUANCE
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813-780-0041
Date Received
Owner's Name
Owner's Address
City of Zephyrhills Fir€
Permit Application
813-780-0020
Fax-813-780-0021
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Phone Contact for Permit
I Owner's Phone Number
Z-e ph '11' N n.) rL _ '3 3 5 4 2 ~
o V Nt Y2-. I Titleholder Phone Number
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Job Address
Sub Division
OvJ r0[.YL_
Parcel #
I Lot#
I
PLUMBER
Signature
Address I
MECHANICALI
Signature
Address I
OTHER
Signature
Address
Directions:
D
D
D
D
D
D
Bio-Hazard Waste Storage - ANNUAL
Comm Exhaust Kitchen HoodlDuct
Controlled Bum
Emergency Generator < 30 kw
Emergency Generator> 30 kw
Fire Protection Maintenance - ANNUAL
~~~~
Sprinkler D 0 0 0 L-J
Fire Alarm D 0 0 0 c=J
Hood Cleaning D 0 0 0 c=J
Hood Suppression D 0 0 0 c=J
Fire Pumps
Fire Works
Flammable Application- ANNUAL
D
D
D
~
o
o
o
o
D
D
Fumigation Tent
Hazardous Material (Tier II or RQ Facility) ANNUAL
Hood Installation
LP/Natural Gas-Installation
LP/Natural Gas-ANNUAL Sale
Recreational Bum
Places of Assembly-ANNUAL
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Sparklers
Sprinkler System Installations
Standpipes (Sprinkler Sys)
Torch RoofinglTar Kettle
Waste Tire Storage ANNUAL
Valuation of Project
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
Company
Registered
License #
D Fire Alarm Installation
D
~ F~IT.""
D Other: I
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Address I
ELECTRICIANI
Signature .
Address I
Y/N
Y/N
Fee Current
Y I N I Fee Current
Y/N
Y/N
Y/N
Fee Current
Y/N
Y/N
Fee Current
Y/N
Fee Current
Y/N
Fill out application completely.
Owner & Contractor sign back of application. notarized (Or. copy of signed contract with owner)
If over $2500. a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10-14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http://appraiser.pascogov.com)
'NOTICE OF 'DEED RESTRICTIONS: The undersigned understands that this permit may.besubject'to'''deed''rrestrict1ons''
which may be more restrictive than County regulations. The undersigned assumes responsibility for:compliancewith any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner hashired: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 fora misdemeanor violation
under state law. If the owner or intended contractor are uncertain as 1ofI!JI' 1 ~ITlir~ents may apply for the
intended work, they are advised to contact the Pasco County Building Inspection IVISlon- Icensing 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.
CONSTRUCTION LIEN LAW (Chapter713, 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.
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 Official for a period not to exceed ninety (90) days 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.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
Subscribed and swom to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
OWNER OR AGENT
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
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name of Notary typed. printed or stamped
Print Date:
212812008
1i_~I.._iDl.
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Annual
Zephyrhills Fire Rescue
6907 Dairy Rd
Zephyrhills, 33542
Phone: 813-780-0041
Fax: 813-780-0044
InspectionDate: 2/2812008 9:00:00AM
JJ. InspectorName: Hector Noyas
('r! I Inspection Number: 1-113-08-0053
InspectionCause: Periodic
InsoecIed Partv
RIGHTWAY
(000147)
38509 CR 54 HWY
ZEPHYRHILLS. FL 33542
Phone: 813-779-3462
OccupancyType: Business
PropertyUseType: Gas Station w/Store
VioJationCounts: 1
Hrs: 0.30
Notice: Correct Immediately
Ref. Number: NFPA 1 (2003) 4.5 General Requirements 4.5.1.2 Authority Having Jurisdiction (AHJ).
Any requirements that are essential for the safety of building occupants and are not specifically provided for by this Code shall be
determined by the AHJ.
Comment: 1) HOLD OPEN DEVICES ON FUEL NOZZLES ARE NOT ALLOWED AND SHALL BE REMOVED. 2) AN ANNUAL
SALE OF PROPANE PERMIT IS REQUIRED. THE PERMIT MAYBE OBTAINED AT THE BUILDING DEPARTMENT LOCA TED AT
CITY HALL, ZEPHYRHILLS
Comments:
INSPECTION FAILED.
Re-Inspection to be performed on or before: March 29, 2008 12:00 am
Sign):tele
Page 1 of 1
Florida Department of Agriculture and Consumer Services
Bureau of Liquefied Petroleum Gas.lnspection
P.O. Box 6720
Tallahassee, Florida 32399-6720
License Number: 20823
Business Mailing Address
Licensed Location Address
ISHREE CORPORATION
38509 COUNTY ROAD 54
ZEPHYRHILLS, FL 33542-6346
ISHREE CORPORATION
38509 COUNTY ROAD 54
ZEPHYRHILLS, FL 33542-6346
The liquefied petroleum gas license at the bottom of this form is valid ONLY for the company located at the
address on tne license. Each business location Of a company must be licensed. All LPGas licenses must be
renewed annually. Any license allowed to expire shall become inoperative because of failure to renew, The
fee for restoration of a license is equal to the original license fee and must be paid before the licensee may
resume operations.
IN THE EVENT OF AN OWNERSHIP CHANGE AT THIS BUSINESS LOCATION: This license may be
transferred to any person, firm or corporation for the remainder of the current license year upon written request
to the department by the original license holder. License transfers must be approved by the department. All
licensing requirements must be met by the transferee and a transfer fee of $50 will apply. To apply for a' .
transfer, contact the Bureau of LP Gas Inspections at 850/921-8001.
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Pursuant to Chapter 527: Florida Statutes, LP Gas ,licensees must present proof of licensure to any consumer,
owner, or end user upon requestwheneri9age'CrirYt~;tf~sifl,eSS::6fS~i6ing;'testing,tepairing, maintaining or
installing LP Gas systems and/or equipment. . - . . .' ,
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For future correspondence, please make any needed corrections or changes to your business mailing address
and/or your licensed location address and return the UPPER PORTION with corrections to:
Florida Department of Agriculture and Consumer Services
Bureau of Liquefied Petroleum Gas Inspection
P.O. Box 6720
Tallahassee, Florida 32399-6720
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POST LICENSE
CONSPICUOUSLY
State of Florida
Department of Agriculture and Consumer Services
Division of Standards License Number: 20823
Bureau of Liquefied Petroleum Gas Inspection Expiration Date: August 31,2008
(850) 921-8001 Date of Issue: September 1, 2007
License Fee: $65.00
Tallahassee, Florida Type and Class: 0404
Liquefied Petroleum Gas License
. ," ',. ',"- .
CATEGORY III LP GAS CYLINDER EXCHANGE OPERATOR
GOOD FOR ONE LOCATIQN ONLY. '. '
,ANY CHANGE OF'OWNERSHIP"GRcSALE OF THIS'BUSlliIES~rR'ENDERsfHI5 LICENSEINVALIO
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This license is Issued under authority of Section 527.02., Florida Statutes, to:
ISHREE CORPORATION
38509 COUNTY ROAD 54
ZEPHYRHILLS, FL 33542-6346
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COMMISSiONER OF AGRICULTURE
Fire Marshal
Kerry Barnett
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041
Fax (813) 780-0044
To: LP Companies & Suppliers
Ref: Sale of Propane
September 25,2007
To whom it may concern,
On September 10, 2007 the City of Zephyr hills passed Resolution #589-07 which
contains life safety fees for plan review, inspections, permits and false alarms. Under this
resolution there is a permit for the annual sale of propane. If your company or business
sells or distributes gas either by bulk or cylinder, an annual permit shall be required. This
permit is obtained through the Building Department as any other permit at a cost of$50
and is valid for one year. Included in this permit is a fire inspection to ensure that your
facility or business is in compliance with the sale or distribution of propane and that Tier
n forms are received.
Zephyrhills Fire Rescue apologizes for any inconvenience this may cause during this
change, but understand this is enhancing the level offire protection within our city. If
you have any questions, please contact Zephyrhills Fire Rescue at (813) 780-0041
between the hours of8;00 am and 5;00 pm.
K Barnett
Fire Marshal, Zephyrhills Fire Rescue