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HomeMy WebLinkAbout08-8590 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8590 LP/NATURAL GAS PERMIT Permit Number: 8590 Address: 6606 GALL BLVD Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL. Class of Work: FIRE-LP/NATURAL GAS Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-05600-0020 Improv. Cost: 2,000.00 Date Issued: 12/02/2008 Name: SONNY'S BAR-B-QUE Total Fees: 177.50 Address: 6606 GALL BLVD Amount Paid: 177.50 ZEPHYRHILLS, FL. 33542 Date Paid: 12/02/2008 Phone: Work Desc: INSTALL GAS LINE WILLIAMS DENNIS(INDIVIDUAL) GAS FEE 50.00 FIRE PLAN REVIEW FEES 50.00 FIRE INSPECTION FEES 25.00 PLUMBING FEE 52.50 ir FIRE SITE INSPECTION-Final 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." CONTRACTOR SIGNATURE I IC R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- Fire Marshal Office- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 • ' Permit Application Date Received 1I Phone Contact for Permit Owner's Name t �. Lt C©k 1(LC . 7 Owner's Phone Number [ C7 Owner's Address '"I�j �irC?i -Rd . Lam' h V-h1 �15 �L �3�y � Fee Simple Titleholder Name Titleholder Phone Number _____ �� Fee Simple Titleholder Address Job Address C L Lot# 1 Sub Division Parcel# vd c�lp c COO Cs( WaO +..��, ... >._„z , ti ,�_ > �. s ,: a_� � � � ,, _ �€ ., •��... __ . sew._ 5..A _ �. a <. n.�. Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum Hood Installation Emergency Generator<30 kw LP/Natural Gas-Installation Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL ry emi Uther Sprinkler ❑ ❑ O Recreational Bum Fire Alarm ❑ ❑ O Sparklers Hood Cleaning E ❑ O O Sprinkler System Installations Hood Suppression E ❑ ❑ ❑ Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL Fire Works Flammable Application-ANNUAL I 2 Valuation of Project Fuel Tanks Other: I -u- Cc çç n e Contractor Company Signature Registered Y/N Fee Current Y/N Address License# ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER I Company t �(1S,Tf1L Signature kk �� Y.�(Z.lk, . lA 1 Registered Y N Fee Current Y/N Address 1( jX ?D3 2 z 1Y YY S L I License# cc.. 1 sto ` MECHANICAL Company Signature Registered Y/N Fee Current f Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# Directions: .. . 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 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 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. 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) OWNER OR AGENT CONTRACTOR h 4 (\ .L- CONTRACTOR�—f Subscribed and sworn to or affirmed)before me this Subscribed and sworn to(or affirmed)before me this I Z-Z-� by __- O C t E)O cr (2-2 by \il�ti Who is/are personally known to me or has/have p oduced Who is/are personally known to me or has/have produ ed as identification. as identification. E S Notary Public Notary Public CA to Dew 12 CommissionNp ES Co sior> I r�^ 'r 20 7p1O Comm' iorE.. :4 pares ecember 12,2010 ,, ', Bonded Thru Troy Fain Insurance BOO-3B5.701 d Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped X711 Dc y ir?a d, _-'till£}'rI?€�9S, '!. 3542 (. ) uy ... '31 })i i F.i FIRE SERVICE USER FEES Occupancy No Plan No.: / .-s--i Contractor L) .'14/(S 4//, 2, _$ Business Name: ' Billing Address: Business Address. s:3 Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE 8 Site Plan WC Annual we sprinkler $50 let Mann N/C .06 of let Re-inspection N/C Standpipes 150 2nd Alarm N/C (Minimum Charge$25.00 2nd Re-InspectIon $100 Fire Pump $50 3rd Alarm N/C 0 Plan Revisions DBL 3rd Re-Inspection $250 Hoods $50 4th Alen $100 4th Re-Inspection $500 Fine Alarm $50 5th Alarm $150 SPRSELER SYSTEMS (Business closed until LP Gas $50HW)NCOMPUANCE 6th Alarm $200 El 0-25 Meads $50 violatlarrs oomectedj Gas S50 $150 26 plus Heeds $100 SPRINKLER SYSTEMS Fuel Tanks- P.tank STANDPIPE SYSTEM Hydro Undue $45 Spenders $100 Per Riser $50 Hydrostatic Ted $65 per slow I Fire Works $500 FIRE PUMP J Acceptance Test $45 per eyebm Camp Fire $25 ❑Per Pump $100 U Hydrant Flow $75 Controlled Burn $100 FIRE ALARM SYSTEM Hood/Dud $50 8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual 26 plus Devices $100 8 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS ReceN Acceptance $50 fmnWrwble Appicatlon $50 Annual Wet $50 OTHER LI Dry $50 Fee WaWSmake tlVall Waste Tire Storage $50 AmvI $15 perwa Generator<KW $100 CO2 $50 LP Gas perwdc Generator>30 KW 150 U Other $50 I1atura1 Gas per eyarm Blo-Hazard Waste $100 Annual KITCHEN EXHAUST ,��jj Ftxnigadon Tending $50 HoodlDucts $50 HTwd10)d&orgjwW $15 par bw Torch Pot/Appied $50 OTI U Fire Pump $45 Ha¢.Materials $100 Annual 8 LP M latlon per tank $50 Fire Suppression $30 Fuel Tank Instal eton $50 System Acceptance (Per Tank) $50 Exhaust Hood fDuct $30 Natural Gas Iwlaletlon Re-Inspection DBL (Per System) (other than annual) 0 Spray Booth $50 0 Inspection scheduled DBL and canceled less than 24 hours Cor>slnxntion map. N/C Emergency Vehicle A0 $50 FALSE ALARM PLANS TOTAL INSPECTION TOTAL PERMIT TOTAL TOTAL GRAND TOTAL C I. �I comments: Cate: lnsgctor c;e tIIvuII1iis rata Rescue I ire 1'iarshai i5!!ti f iS{5 1 %IStI-(!l1-i F-mail: kbarneit'�rf r 7e l;.'x'l;ills.fl..;: Plan Review#: 08-151 Project: Sonny's(gas line) Number of Pages: 1 —riser schematic Date:November 28,2008 I have reviewed the plans for the gas line installation located at 6606 Gall Blvd therefore allowing the project to move forward.Paying for permit acknowledges the contractor agrees with items listed below. Should anyone have any questions,please do not hesitate to contact the Fire Marshal's office. 1. Ensure all penetrations through walls and ceilings are properly done. Inspections Required: 1. Pressure Test 2. Final KERRY B TT, IRE MARSHAL ***Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes.This review is not intended to be a final approval of the submitted plans.It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances.In the event that further examination or site inspection reveals areas of non-compliance,it shall be the contractor's sole responsibility,at their sole expense to bring those areas in compliance.The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. p 8; ewer: 5-, ice'.: fr; T2 _- DEl T I i � N N ' v"�D 6 Ih ; T 1'1,1 t1 \ C C) ®VVV t NE1 // : ,. N ➢ W j p1,1V+ 5 `v'