HomeMy WebLinkAbout08-8168
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
LP/NATURAL GAS PERMIT
8168
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:
8168
LP/NA TURALGAS
FIRE-LP/NATURAL GAS
NOT APPLICABLE
Address: 6548 ALL BL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0010-05600-0010
1,800.00
9/08/2008
125.00
125.00
9/08/2008
INSTALLATION GAS LINE
Name: PIZZA HUT
Address: 6548 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
FIRE INSPECTION FEES
~JL
q, 11o"i!6
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 Pia ,Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Dep rtment's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection all be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
work shall performed in accordance with City Codes and Ordinances.
"WAR ING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COM ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPR VEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINAN lNG, CON WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOR ING Y OTICE OF COMMENCEMENT."
S ATURE 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
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATI! (MMIIlOl'NVY)
Y... 09/08/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Hilton Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CEIUIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
10211 Wast Sample Road ALTER THE COVERAGE AFFORDED aY THE poucles aELOW.
Suite 208
Coral Spri!1Qs FL 33065 INSURERS AFFORDING COVERAGE NAIC#
,.-- .. -..
INSUReo Sean Reilly Plumbing INSURER A: Western World Insurance Company
4844 Headlee Dr. INSURER Jl: ..-
-
~~:
Orlando FL 32822 J~!~.YBift 0:
INSUAER E:
COVERAGES
'THE POLICIES OF INSURANCE LISTEO BELOw HAVE BEEN ISSUED TO 'THE INSUReo NAMED ABOVE FOR THE POLICY PERIOD INDICATEO. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUME!NT WITH RESPECT TO WHICH THIS CERTI"ICATE MAY. BE ISSUED ()~~
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SuBJECT 'TO AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF Si :Ce.
. POLICIES. Al3~REGATE ,l;lMITS SHOWN _~ HAv,E BEEN ReoUCEO BY PAID CLAIMS. .....
tN:S~ ~D'L POLICY NUMBER POUCY EFFECTIVE POUCY l!XPIRATION UMlTS
! I~NERAL UABILITY SACH OCCURRENCE S 100,000
A ~ 3MEiF<CIAL GENERAl. I.....BILITY HILOOOO81808-OB 08/22/2008 08/2212009 O~~~~!O RENTED $ 50,000
-..- CLAIMS MADE [X] OCCUR MED EXP /"'n. ono "....onl S 5,000
r--- --.- --- PERSONAL & ADV INJURY s 100,000 .'-
f-- -..---..- ~ GENERALAGGREeATE S 200,000
~rl AGGREnE LIMIT APr~S PER: PRODUCTS. COMP/OP AGG S 100 000
X POLICy ~bW.;: LOC
~TOM08ILE LIA8ILrrY COMBINEO SINGLE I.JMIT S
r---- ANY AUTO (Ee acctdent)
1- ALL OWNED AUTOS 80011. Y INJURY
$
SCHEDULeD AUTOS (P..rp~)
r--
-.. HIRED AUTOS 80DIL Y I";JURY
(Per accident) $
f-- NON.OWNED AUTOS -...
- ----. - PROPERTY DAMAGE $
(Per accidenl)
~RAGE L~un AUTO DNL y. EA ACCIOIONT S
ANY AUTO OTI"tER THAN EAACC S
AuTO ONLY: AGG S
exCE88/UMBftEUA UABIUTY I EACH OCCURRENCE $
:J OCCuR [J CLAIMS MADE AGC3REGATE .I
.
=l DEDUCTIBLE .I
RETENTION $ $
wORI(ER& COMPENSATION AND I TVX&9Tt:.T.'4.-.. I 10J~-
EMPl.OYI!R$' LIABILITY E.I.. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTiVE
OFFICER/MEMBER exCLUDED? E.L. OISSASe . SA EMPl.OYEE S
~~~~I~ts.;r~~v~g?6~s below E.L. DISEASE - POLICY LIMIT S
OTHER
DEllCRIPTlON OF OPERATIONS /I.OCATlDN81 VEttICLES I EXOLUSIONS ADDED BY ENDOR$EIIIIENT I SPECIAL PROVISIONS
813.780-0021
Attn: Jackie
CERTIFICATE HOLDER
City of Zephyrhills Building Department
5335 8th Street
CANCELLATION
SHOULD AHY 01' THEASOVE DesORlBED POUCll5$ ElECANC&Lt.ED 81!I'OItETHI! EXPIRATION
DATE THEREOf, THI! ISSUING INlSURER WILL ENOEAVOR TO IIIAIL ~ WlYe WRITTEN
NOTICE TO THE CI!RTIFlCATE HOLDER NAMED TO THE L.EPT.1l1JT FAlLURi TO DO SO SHALL
IMPOSE NO OIlLllJATION OR UABIUlY 0'
ItEPRI!8....TATlVEB. r
AUTHORlZliO REPftliB
RATION 1988
Zephyrhllls, FL 33452
ACORD 25 (2001/08)
W/U3 39t1d
38Nt1~nSNI NOLIIH
8L99l:PEP96
06:El: 8006/80/60
City of Zephyr hills -Fir:e
Permit Application
"~~~:i~;~:~~~'~f";"J~m._I...,,~,.,..",,~,*,.,,~~._,~.",=..du____-~~~~~=~~~r;:g0,J"",*1.~,211~LiJl~!:.~~,~~'i..1
10; 2.L ~ ~~ I Own~~s Phone Number ., II 1,1 I
813-780-0020
Owner's Name
let&6
Fax-813-780-0021
Owner's Address
II
II
Fee Simple Titleholder Name
Job Address
I
I Lv s- J-f<{
I
6-0-11
Fee Simple Titleholder Address
r-- '~{-d Lot #
I
Sub Division
o Fumigation Tent
,;0 Hazardous Material (Tier II or RQ Facility) ANNUAL
: ~Od Installation
LP/Natural Gas-lnstallatiDn
o LP/Natural Gas-ANNUAL Sale
o Places of Assembly-ANNUAL
D Recreational Bum
D Sparklers
D Sprinkler System Installations
D Standpipes (Sprinkler Sys)
D
D
o
o
o
D
D
D
Bic-Hazard Waste Storage -ANNUAL
Comm Exhaust Kitchen HoodlDuct
Controlled Bum
Emergency GeneratDr < 30 kw
Emergency GeneratDr > 30 kw
Fire Protection Maintenance - ANNUAL
~~~~
Sprinkler D 0 0 0 L-.J
Do ooc=J
Doooc=J
Do ooc=J
Fire Alarm
Hood Cleaning
Hood Suppression
D Fire Alarm InstallatiDn
D Fire Pumps
B Fire Works
Flammable ApplicatiDn- ANNUAL
Fuel Tanks
D Other: I
m3~_l1!ll:~-"'...A
I
Torch RoofinglTar Kettle
Waste Tire Storage ANNUAL
D'()OD -
Valuation of Project
I'
Jiilj~;(
Contractor
Signature
Address I
ELECT. RICIANI
Signature
Address I
PLUMBER ! a
Signature II '---
Address
MECHANICALI
Signature .
Address I
OTHER
Signature
Address
Directions:
License #
I Y/N
I
I Y I N
I
?ec~~ N~.'!I~
I '() 1 N Fee Curren I
EiCL Dt;7-'f7 I
Y 1 N I Fee Current 71
I
I Y/N
Y/N
Fee Current
Y I N I
I
Y I N I
I
fJlCAf1bll7C- I
Y IN _ 0
Y IN :
I
Company
Registered
Fee Current
License #
Company
Registered
License #
CDmpany
Registered
License #
Company
Registered
License #
Fee Current
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 (htlp:llappraiser.pascogov.com)
'NOTICE OF :DEED RESTRICTIONS: The undersigned understands that this permit may .be.. sUbjectto-..dee:d"rrestrictions".
which may be more restrictive than County'regulations. The ,undersigned assumes responsibilityfor:complial7lce'with any
.applicable deed restrictions.
UNLICENSED CONTRACTORS AND 'CONTRACTOR RESP,ONSIBILlTIES: If. the owner has -hired':a "contractoror
contractors .to undertake work, they may be required to be licensed in accordance with state and 10cal'rElgulations. 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 ihey 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,.asamended): 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'SAFFIDAVIT: 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 MA YRESUL T 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)
OWNER OR AGENT ~L-
Subscribed and swom to r affirmed) before me this
by
Who is/are personally known to me or haslhave produced
as identification.
CONTRACTOR ~ --
Subscribed and swo (or affirmed) before me this
by
Who islare personally known to me or has/have produced
as identification.
Notary Public
Notary Public
Commission No.
Commission ND.
Name of Notary typed, printed or stamped
Name of Notary typed; printed or stamped
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
Plan Review #: 08-090
Proj ect: Pizza Hut
August 6, 2008
Plan Review Comments
I have reviewed and approved the plans for a gas line installation located at 6548 Gall
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 to protect gas meter.
2. A carbon monoxide detector shall be installed in the kitchen area for the gas
installation.
3. Gas shut off will be tested with ansul acceptance test.
Inspections required:
1. Pressure Test
2. Final
f;M #/u.lU
Fire Chief Keith Williams
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813)780-0041 Fax (813)780-0044
Occupancy No.:
Plan No.: IJJI' ~O ~
Business Name: ~
Business Address: '1
Business Phone No.:
Business Fax No.:
Contact:
FIRE SERVICE USER FEES
Contractor: Y.w7 (!.,;J!a fJ/tI-'JJ6~
Billing Address:
it/.
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
8:2 ::
a Other $50
KITCHEN EXHAUST
o Hood/Ducts
OTHER
B LP Installation per tank
Fuel Tank Installation
(Per Tank)
na Natural Gas Installation
T (Per System)
o Spray Booth
$50
$50
$50
@
PLANS TOTAL~
$100
INSPECTION FEES
Annual N/C
1st Re-inspection N/C
2nd Re-inspection $100
3rd Re-inspection $250
4th Re-Inspection $500
(Business closed until
violations corrected)
SPRINKLER SYSTEMS
~ Hydro Undergrounds $45
Hydrostatic Test $65 persystem
Acceptance Test $45 per system
Hydrant Flow $75
Billing Phone No.: '1;'7- 9lJi'- flJ~
Billing Fax No.:
Contact:
FALSE ALARM FEE
1 st Alarm N/C
2nd Alarm NIC
3rd Alarm N/C
4th Alarm $100
5th Alarm $150
6th Alarm $200
NON COMPUANCE $150
$50
FIRE ALARM SYSTEM
B System Acceptance $50
Recall Acceptance $50
OTHER
~Fire WalllSmoke Wall
LP Gas
Natural Gas
~ Tent 1 0'.X1 0' or g...mer
Fire Pump
Fire Suppression
System Acceptance
B Exhaust HoodIDuct
Re-inspection
(other than annual)
o Inspection scheduled DBl
and cancelled less than
24 hours
B Construction Insp. NlC
Emergency Vehicle ACt, ~ I /'
INSPECTION TOTAL
PERMIT FEE
Spnn~er $50
Standpipes $50
Fire Pump $50
Hoods $50
Fire Alarm $50
lP Gas ~
Natural Gas ~
F~I Tanks- pertank $50
Sparide~ $100
Fire Works $500
Camp Fire $25
Controlled Bum $100
HoodIDuct $50
Place of Assembly $50 Annual
Fire Protection $25
Flammable Application $50 Annual
Waste Tire Storage $50 Annual
Generator < 'r<MI $100
Generator >30 'r<MI 150
Bia-Hazard Waste $100 Annual
Fumigation Tenting $50
Torch Pot/Applied $50
Haz. Materials $100 Annual
B
PERMIT TOTAL~
FALSE ALARM
TOTAL I
$15 per wall
$25 pertank
@ persyslem
$15
$45
$30
per tBnt
Comments:
CJ ~r; -
$30
DBl
$50
GRAND TOTAL
Date: ~\\o\~~
.. \ \J
In5ij~ctor: y\QJi-iv\
\
~~ t\="tJ-
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09/08/200801:05 PM.
Search Results
Please see our glossary of terms for an explanation of
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For additional information, including any complaints or
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License Name License
Type Name Type Number / Status/Expires
Rank
Certified REILLY , CBC1253014 Current, Active
Building Primary
Contractor SEAN Cert Building 08/31/2010
License Location 2817 7TH AVENUE WEST BRADENTON,
Address*: FL 34205
Main Address*: 1527 FIRST AVENUE DRIVE WEST
BRADENTON, FL 34205
Architect REILLY, Primary AR91907 Current, Active
SEAN E Architect 02/28/2009
Main C/O KERNS GROUP ARCHITECTS ARLINGTON, VA
Address*: 22203-1553
Certified REILLY, CFC057472 Current, Active
Plumbing Primary Cert
Contractor SEAN H Plumbing 08/31/2010
License Location
4844 HEADLEE DRIVE ORLANDO, FL
32822
4844 HEADLEE DRIVE ORLANDO, FL
32822
Address* :
Main Address*:
Registered RF0063678
Plumbing ~~~L~ YH Primary Reg
Contractor Plumbing
Null and Void
08/31/2001
License Location
13671 LAKE MARY JANE RD
ORLANDO, FL 32832
4844 HEADLEE DRIVE ORLANDO, FL
32822
Address*:
Main Address*:
Certified REILLY,
General SEAN Primary
Appraiser MICHAEL
Application in
Progress
License Location
393 BOBOLINK AVE GRAFTON, WI
53024
393 BOBOLINK AVENUE GRAFTON,
WI 53024
Address*:
Main Address*:
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9/8/2008