HomeMy WebLinkAbout08-6281
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6281
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:
6281
GAS/FUEL
GAS TANK REMOVAL
COMMERCIAL
Address: 6026 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0010-12800-0000
40,000.00
1/23/2007
175.00
175.00
1/23/2007 Phone:
REMOVE EXISTING 44G TANKS & INSTALL 2-20000 G 4/G TANKS
Name: HESS
Address: 6026 GALL BLVD
ZEPHYRHILLS, FL. 33542
FIRE PERMIT FEES
45.00
(;''il &J
~/9-,() 1
REINSPEcnON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
NO OCCUPANCY BEFORE C.O.
. ~~
NTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner's Name
N
Owner Phone Number (813) 503-1497
Owner Phone Number 1(813)503-1497
Owner Phone Number I
Date Received
Fee Simple TiUeholder Address n / a
JOB ADDRESS
6026 N. Gall
D
.S
PROPOSED USE c=J
TYPE OF CONSTRUCTION c=J
~emc
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c=J ROOFING
NEW CONSTR
INSTAlL
SFR
BLOCK
Blvd. , Zephyrhills, FL LOT#
I PARCELID#103-26-21-001O-12800-001O
(OBTAINED FROM PROPERlY TAX NOTICE)
D ADD/ALT c=J SIGN D MOVE D
o REPAIR
~ COMM c=J OTHER
D FRAME D STEEL
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SUBDIVISION
WORK PROPOSED
DEMOLISH
BUILDING
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DESCRIPTION OF WORK
BUILDING SIZE
VAlUATION OF TOTAL CONSTRUCTION
D
D
D
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGV
WR.E.C.
FEE CURRENT Y
License' I.pCCU.:>JYY 1
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I YI N I FEE CURRENT ~
License' IE CoO () / 7 5 If
PLUMBING
MECHANICAL
FINISHED FLOOR ELEVATIONS
VAlUATION OF MECHANICAL INSTALLATION
D SPECiAlTY ~THER
FLOOD ZONE AREA DVES ~
D
GAS
II
~::.!crec~
ELECTRICIAN I .---;~ ~ ~ .// I COMPANY
SIGNATURE . ~ ~ . REGISTERED
Address 133"3 .5 5 R Lj' S ()~~ FL .5)7~ft
PLUMBER I I COMPANY
SIGNATURE REGISTERED
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COMPANY
REGISTERED
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FEE CURRENT
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Address
MECHANICAL I
SIGNATURE
License .
COMPANV
REGISTERED
Add"'~$
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FEE CURRENT
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OTHER
SIGNA TURf
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yim
License .
Address
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns
Minimum ten (10) working days after submittal date. Required onsne, Construction Plans, Sannary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) wor1<ing days after submittal date. Required onsne, Construction Plans, Sannary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
--PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
Directions:
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 01 Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMlmNG (Front of Application Only)
Reroofs Sewers Service Upgrades AlC
Fences (PlotlSurveylFootage)
Driveways-Not over Counter if on public roadways. .needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this penn it 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 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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthennore, 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 pennitting privileges in Pasco
County .
TRANSPORTATION IMPACTIUTlLlTIES 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
pennitting. 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 infonnation 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 pennit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a pennit 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, WaterlWastewater 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 'Y" 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 pennitting 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 pennitted 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 pennit issued under the attached pennit 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 infonn the owner of the pennitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate pennit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
pennit 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 pennit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every pennit 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 pennit 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 R AN ATTORNEY BEFORE RECORDING YO NOTICE OF COM NC NT.
FLORIDA JURAT (F.S. 117. )
k-cu)
CONTRACTOR
Subsaibed and
i~
nown to me or haslhaw produced
as identification.
Notary Public
Commission No.
Name of Notary typed. printed or stamped
/l7a)OG
'-
MOM Services, Inc. [b@rnt@[P @11
501 W. Peachtree Street 'IT'[PoolJi)@!JiJi)ntmoo~
Lakeland, FL 33815
P.O. Box 6930, zip 33807
863/646-9130
863/648-11 06
To: City of Zephyrhills Job # 4298 I Date: 11/22/06
5335 8m Street Attention: 8D.b b j' '"€...- ~ " ")(2.* J O-l---d!.--
Phone: 813n80-0020
Zephyrhills, FL 33542 RE: Hess Zephyrhills
We are sending you: [8J Attached Via hd
o Shop Drawings [8J Prints o Plans
Copies Date Number Description
1 Buidling Permit Application
3 sets Plans
These are transmitted as checked below:
[8J For Approval o Approved as submitted DOther
o For your use o Approved as noted o For bid use
Remarks: If YOU have any Questions feel free to call me @ 863/646-9130 x 107. Thanks for all
your help.
Copy to: File
Signed: Anita Maher
IF ENCLOSURES ARE NOT AS NOTED, PLEASE ADVISE US IMMEDIATELY
Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USER FEE
/;/e ~5ivc~
Occupancy No.:
Plan No.: Ot6-@~
Business Name: /ic.- ~ t?
BusinessAddress: r;.)t 4116
Business Phone No.:
Business Fax No.:
Contact:
PLAN REVIEW FEES
~ Site Plan N/C
Building Plans .04 sf
Revision .06 sf
STANDPIPE SYSTEM
D Per Riser $25
SPRINKLER SYSTEMS
n 0 - 25 Heads $30
D 26 plus Heads $60
FIRE PUMP
D Per Pump $100
FIRE ALARM SYSTEM
D 0 - 25 Devices $30
D 26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATION
D Hood/Ducts $35
PLANS TOTAL I
Comments:
INSPECTION FEES
Annual N/C
1 st Re-inspection $25
2nd Re-inspection $50
3rd Re-inspection $125
4th Re-inspection $250
5th Re-Inspection $500
Construction $15
Commercial $25
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood / Booth $30
Grease Duct $15
FIRE ALARM SYSTEM
D System Acceptance $50
D Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall $15
LP Gas $25
$25
W
Natural Gas
Fuel Tanks
Tent
INSPECTION TOTAd
GRAND TOTAL
::ovw~ .
Billing Address:
~lo'1J
~.6-6~-913C1 X/tfl
Billing Phone No.:
Billing Fax No.:
Contact:
PERMIT FEE
FALSE ALARM FEE
1 st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $25
5th Alarm $50
6th Alarm $75
7th Alarm $100
8th Alarm $150
9th Alarm $200
10th Alarm $250
Non Compliance $150
"Affidavit of Service/Repair"
OTHER
JLP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
0FL",~ ~~
FALSE ALARM I
TOTAL
SPRINKLER SYSTEMS
D Automatic $15
FIRE PUMP
D Fire Pump $15
FIRE ALARM SYSTEM
D Detection $15
GREASENENTILATION
D Hood/Ducts $15
D Kitchen Suppression $15
~O
PERMIT TOTAL~
00
-to
Date:
IIl:rJlo 'p
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Inspector:
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
g d~ Dlpt
J!it-
Fire Chief
Keith Williams
Bus (813) 780-0041
Fax (813) 780-0044
Plan Review Comments
Contractor: Don Stine ConstructionlHess Corp.
Site: Hess Station
6026 Gall Blvd.
Zephyrhills, Fl. 33542
Please be advised that your plan has been reviewed under the Florida Fire Prevention
Code & NFP A 30A and is approved. I will not be conducting the installation inspections
at this facility, however, I will be requesting that all DEP inspections that are performed
on site shall be copied and forwarded to me at the time of my final inspection to reopen
the facility.
If there are any questions, please contact me at (813) 780-0041.
~
Kerry ame
Fire Marshal, City of Zephyrhills
APPROVED
by~r~YIf!iIlt
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Permit Ap'plication Review Comments
By: Bill Bmgess
Date: I!~ 22-:-00 IQ] No Comments
Address: 0.0 Z- 0 IA! G A II 15 / 1/ ()
Type: J!.eM c/2I<L e K r':sr.? ~ J fU e! 7d-A ~.s
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2007012983
Rcpt : 1067541 Rec: 10.00
OS: 0.00 IT: 0.00
01/23/07 Dpty Clerk
Name
This instrument Prepared By:
Teresita Arreola
Address
Pennit No.
STATE OF
COUNTY OF
2S09 Turkev Creek Rd.
JEO PITTMAN, PASCO COUNTY CLERK
01/23/07 02: 58!)m 1 of 1
OR BK 7358 PG 1883
Plant City. Florida J.lS66-1766
Tax Folio No.
NOTICE OF COMMENCEMENT
FLORIDA.
Pasco Countv
TIlE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1.
2.
3.
R
4.
5.
6.
7.
8.
Description of property: (legal description of property, street address if available)
Legal Description
SEC._ ffWNSHIP _IRNG_ Hess #0941S 6026 N. Gall Blvd
Zephyrhills, FI
General description of improvement: liST & Product Line Replacement and Electrical.
Owner information
a. Name and address: Amerada Hess Corporation, 1 Hess Plaza, Woodbridge, NJ 0709S
b. Interest in property: Fee Simple
c. Name and address of fee simple titleholder (if other than owner):
Contractor:
a. Name and address: Don Stine Petroleum, Ine. 2S09 Turkey Creek Rd. Plant City, FL 33S66
b. Phone number: (813) 7S7-9142
e. Fax number (optional. if service by fax is acceptable): (813) 752-S704
Surety
a. Name and address: N/A
b. Amount of bond $
c. Phone number:
d. Fax number (optional, if service by fax is acceptable):
Lender
a. Name and address: N/A
b. Phone number:
c. Fax number (optional, if service by fax is acceptable):
Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided in section 713.13 (I) (a) 7.,
Florida Statutes:
a. Name and address:
b. Phone number:
c. Fax number (optional, if service by fax is acceptable):
In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in section
713.13 (I) (b), Florida Statutes:
a. Name and address: Don Stine Petroleum, Inc. 2S09 Turkey Creek Rd. Plant City, FL 33S66
b. Phone number: (813) 7S7-9142
c. Fax number (optional, ifservice by fax is acceptable): (813) 752-5704
Expiration date of notice of commencement (the expiration date is I year from the date of recordin
Sworn to and subscribed before me by Perry Dodge
Who is personallv known to me or produced
Signature
as identification. and who
om nm_~~ iliU~Of:Q2G07
S;_ofNowy ~~, ~~
Printed Name of Notary Teresita Arreola
Owner's Name: Amerada Hess Corporation
Owner's Address: 1 Hess Plaza
Woodbrid2e. NJ 0709S
Seal:
Commission No. / Expiration:
00450624/07-14-2009
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TERESITA ARREOlA it
MY COMMISSION # DO 450624 ~ ~
EXPIRES: July 14, 2009 J
Bonded ThnJ NoIary PlbIIc Underwriters ~
~~
ALL INFORMATION MUST BE TYPED OR PRINTED LEGIBLY TO COMPLY WITH RECORDING REQUIREMENTS.
DON STIN-E PETROLEUM, INC.
.--'-- - -^....._.__.-_._._....-..---_.._-----_...........-_._....~._"--_..--.-----..-..-..--..---.....-.-----...,..,.,..--
2509 TURKEY CREEK ROAD,
PLANT CITY, FLORIDA 33567
TEl: (813) 757-9142
FAX: (813) 752-5704
May 22, 2007
City of Zephyr hills
Building Department
5335 8111 St.
Zephyrhills, FL 33542
Attn: Bill Burgess
LIC. NO. PCC053991
STATE CERTIFIED
RE: Pennit # 6281
Hess Station #09415
6026 N. Gall Blvd.
Zephyrhills, FL 33542
We would like to request an extension for this penn it. When we originally
obtained the permit the project was scheduled to start within a few weeks
however due to circumstances out of our control Hess has rescheduled the job
to begin on the 13d\ of August. From that date the duration of the project
should be approximately 30 days barring any unforeseen delays. Should you
have any questions please feel free to contact either myself or Richard Niles at
(813) 757-9142.
Justin S. Stine
Project Coordinator
Don Stine Petroleum, Inc.
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TRANSACTION REPORT
MAY/23/2007/WED
P.Ol/Ol
08:25 AM
RECEIVER
818137525704
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I . TO: ' Justin Stine FROM: Kareri . :
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: FAx#: 813.752-5704 FAX#: ' .8i3-780-0021 :
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: DATE: 5-23-07 # OF PAGES: 2 :
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: MESSAGE: Please see the attached notefro~ ourBuildingOffi, cisl. With this approval I :
. .,
: have updated the 'pennit in our system. If you have any qu~tions, pleaSe contact me. :
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iCitr ,of Zep~Yfhins"~Bl:lildingDept
Phone: (813)-780-0020 .
FAX: (813)";780-0021
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