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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 0~~ /311LY/00 qf 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 r Yu \e..--t ' 13 ~ -309 - LDl.\"I"\ +~ gu~ i S11 I LJ -f .J.. 8) ---=- h eJ.u.." , 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 /~ tZ't~ ;;tJJ1.:--6:.-iZ~. 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 ~~~::::r I vCtvhn, ~ukL. 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. . ...........-'..-...-..- ,-,..;.,....-..,......-.-.....-........--..........-..--.--.. 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. .. '~'l!"'"" ",;:..." ~ 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. . - . . .' , . : - "~', ~ '~ ~, .,. I~" t 3", 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 -':\.'-j>... ~;).".2c"~ '-:';.-~ ,,~~.. '2'i~'".~,,~.. 1J;/fJ" :~~ Qri"fi'!~,~ ~- ',' ,"~,!, ....._~.,...,., ~:~~;/?:;..~~h ~~' '~.~ ,I ~f" 4-_~~~~ ~-_. , " . Cut Here 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 r"" . ,,~ .. ',:~~::' . . '.> .!,,';'Hl ' -. This license is Issued under authority of Section 527.02., Florida Statutes, to: ISHREE CORPORATION 38509 COUNTY ROAD 54 ZEPHYRHILLS, FL 33542-6346 tii:.ILJ.--r 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