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HomeMy WebLinkAbout09-8826 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8826 LP/NATURAL GAS PERMIT Permit Number: 8826 Address: 38300 11TH AVE Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL. Class of Work: GAS CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-06600-0011 Improv. Cost: 800.00 Date Issued: Name: THOMAS, CATHY A Total Fees: 125.00 Address: 3606 AUTUMN PALM DR Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/17/2009 Phone: (813)782-4894 Work Desc: INSTALL CHANGE OUT TANK 500 GAL AMERICAS PROPANE LP GAS FEE 50.00 FIRE PLAN REVIEW FEES - 50.00 FIRE INSPECTION FEES V x25.00 FIRE SITE INSPECTI N-Final Chapter 633, Florida authorizes the Ci and collect user fees to pay for the costs of fire prevention and protection re suc 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." v ' a.. C T TOR SIGNATURE I IC ER 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 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8826 LP/NATURAL GAS PERMIT Permit Number: 8826 Address: 38300 11TH AVE Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL. Class of Work: GAS CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-06600-0011 Improv. Cost: 800.00 Date Issued: Name: THOMAS, CATHY A Total Fees: 125.00 Address: 3606 AUTUMN PALM DR Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (813)782-4894 Work Desc: INSTALL CHANGE OUT TANK 500 GAL AMERIGAS PROPANE LP GAS FEE 50.00 FIRE PLAN REVIEW FEES 50.00 FIRE INSPECTION FEES 25.00 LM ( ;i3 , 2/ic/og 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 ER 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 Z phyrhills Fire J4b f� /(0 Fax-813-780-0021 - Permit Application Date Received 7 Phone Contact for Permit I S > -7 1(.A / i iII Owner's Name S C O'S Tcceis Phone Number II I I Owners Address 3�300 +k -k Fee Simple Titleholder Name Titleholder Phone Number FI II C� Fee Simple Titleholder Address Job Address 383rD l H: : I Lot# Sub Division •I Parcel#. \—O v 1 0— u l J?U Bio-Hazard Waste Storage-ANNUAL EJ Fumigation Tent Comm Exhaust Kitchen Hood/Duct I Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Bum ( Hood Installation Emergency Generator<30 kw © '/Natural Gas-Installation Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale. Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL Sprinkler Recreational Bum Fire Alarm a Spariders Hood Clean/Suppression Sprinkler System Installations Fire Alarm Installation EJ Standpipes(Sprinkler Sys) Fire Pumps a Torch Roofing Fire Works Waste Tire Storage ANNUAL a Flammable Application-ANNUAL_ Fuel Tanks IQ Va uation of Project Q Other: Contractor F Company �i Signature i��t�-c S ( Registered Y N Fee Current Y N Address (D f License# ELECTRICIAN ( Company Signature Registered Y/NJ Fee Current I Y/N Address License# PLUMBER Company Signature I Registered I YIN J Fee Current I Y/N Address License# MECHANICAL Company Signature I J Registered Y/N J Fee Current I Y/N Address License# OTHER Company Signature Registered Y/N I Fee Current I Y/N Address I 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(Mechanipal work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pew 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 taw,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 " i Section at 727-847- 8009. Furthermore, if the owner has toed 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 property licensed and is not entitled to permitting privileges in Pasco TRAM PORTATION IMPACTIUTILITIES 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 buldi gs,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,with be identified at the time of permitting. 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 WatedSewer 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'SIOVIMER'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. Such agencies include but are not limited to: Department of Environmental Bayheads,Welland Areas and Environmentally Sensitive Lands,WateMMastewata 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'V'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 permitting 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 permitted building using stem wall construction,I certify that fill will be used only to hit 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 permit issued under the attached permit application,for lots less than one(1) acre which are elevated by Ail.an engineered drainage plan is required. 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 perms 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 witting,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 YAN ATTORNEY BEFORE RECORDING YOUR NcplCE OF .it . OWNER OR AGDfT CONTRacTOR A m �� o mrecij thu s ( _b ' �'� Who re porno or hash eve produced vs personally immo to or hafiawe produced idenlification- Puhic Put�lic F FLORIDA Com.niws fro. Commission No. r Commission#DD744822 r�ame of ry ATE OF FLORIDA lure of Notary A�Peci.pi or staExpires: DEC.27,2011 BONDED THRU ATLANTIC BONDING CO.,INC. AltWa M. Harper Commission#DD744822 Expires: DEC.27,2011 BONDED THRU ATLANTIC BONDING CO.,INC. ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Williams Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy anc No.: P Y I4111� Plan I�o.: aT�- �8 Contractor: Business Name: G GC2S Billing Address: Busin ss Address: !w i:15 11 G , _. Busin ss Phone No.: Billing Phone No.: Busin ss Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE 8 Site Ilan N/C Annual N/C Sprinkler $50 1st Alarm N/C Muni-Iamily/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C (Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas 6th Alarm $200 8 0-2 Heads li $50 violations corrected) Natural Gas NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 Per system Camp Fire $25 Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual 26 pit s Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSIONN SYSTEMS Recall Acceptance' $50 Flammable Application $50 Annual Wet $50 OTHER Waste Tire Storage $50 Annual Dry $50 Fire Wall/Smoke Wall $ per wall Generator<KW $100 CO2 $50 LP Gas $2 tank Generator>30 KW 150 Other, $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 Hood/bucts $50 Tent 10'x1('or greater $15 pertent Torch Pot/Applied $50 OTHER Fire Pump $45 Haz.Materials $100 Annual LP Installation er tank 91 Fire Suppression $30 Fuel ank Installation System Acceptance IiPer T9nk) $50 Exhaust Hood/Duct $30 Nature Gas Illation $50 Re inspection DBL ( er Sy Item) (other than annual) Spray Booth $50 Inspection scheduled DBL and cancelled less than 24 hours eConstruction Insp. N/C Emergency Vehicle A $50 FALSE ALARM PLANS TOTA!� INSPECTION TOT/ PERMIT TOTAL TOTAL GRAND TOTAL Comments: Date: __ I nsggctpr: r, 1 "-� Zephyrhills Fire Rescue 6907 Dairy Road,Zephyrhills,FL 33542 Fire Marshal Bus (813)780-0041 Kerry Barnett Fax(813) 780-0044 E-mail: kbamett@ire.zephyrhills.fl.us Plan Review#: 09-008 Project: Propane Installation/Replacement Number of Pages: 1 Date: February 15, 2009 I have received and reviewed plans for the tank replacement for propane located at 38300 11'h Avenue and will allow this project to move forward. Paying for the permit the contractor acknowledges completing the following items listed below. Should anyone have any questions,please do not hesitate to contact the Fire Marshal's office. I. The installation shall be in accordance with all applicable codes and standards, latest edition. 2. Ensure ballards are positioned properly to eliminate tank from being hit. Inspections Required: 1. Pressure Test/Final KE ETT, FIRE 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.