HomeMy WebLinkAbout08-8196 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8196
LP/NATURAL GAS PERMIT
Permit Number: 8196 Address: 7838 GALL BLVD
Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL.
Class of Work: GAS TANK/LINES-NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-00700-0000
Improv. Cost: 4,580.00
Date Issued: 8/19/2008 Name: PRIMERICA GROUP ONE
Total Fees: 125.00 Address: 3629 MADACA LN
Amount Paid: 125.00 TAMPA FL 33618
Date Paid: 8/19/2008 Phone: (813)933-0629
Work Desc: INSTALL GASS CONNECTION TO GENERATOR& BAKERY EQUIPMENT
MEARES PLUMBING INC GAS FEE 50.00 FIRE INSPECTION FEES 25.00
FIRE PERMIT FEES 50.00
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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."
a.,
CO TRACTOR 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 8196
LP/NATURAL GAS PERMIT
Permit Number: 8196 Address: 7838 GALL BLVD
Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL.
Class of Work: GAS TANK/LINES-NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-00700-0000
Improv. Cost: 4,580.00
Date Issued: Name: PRIMERICA GROUP ONE
Total Fees: 125.00 Address: 3629 MADACA LN
Amount Paid: TAMPA FL 33618
Date Paid: Phone: (813)933-0629
Work Desc: INSTALL GASS CONNECTION TO GENERATOR& BAKERY EQUIPMENT
MEARES PLUMBING INC GAS FEE 50.00 FIRE INSPECTION FEES 25.00
FIRE PERMIT FEES 50.00
Lw`
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 Permit Application Fax-813-780-0021
Building Department 7o5
/21, �7 Z7
Date Received , `J V lJ
f �� v Phone Contact for Permitt39
ing
Owner's Name
Owner Phone Number
Owner's Address k W 3
r�vwner Phone Number
Fee Simple Titleholder Name (U�
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN
fl INSTALL REPAIR MOVE DEMOLISH
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL q
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE ,
HEIGHT
rr€€rE€w €4kFNFtftrEpUtwftwwwewiww �ttkf�tgttt
BUILDING $ - - - - trmurrtmpruas
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE
O PROGRESS ENERGY LII W.RE.C
PLUMBING $MECHANICAL $ �/ VALUATION OF MECHANICAL INSTALLATION p \1
GAS � ROOFING ry
O SPECIALTY O OTHER ��/�4-� l,(.,►1�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA v J
OYES
uSd Ed
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE[ iIi -i--1, _ CURRENT
Y/N
Address
License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Addr
E _______
License#
PLUMBER COMPANY v✓ /1
SIGNATURE
REGISTERED N FEE CURRENT
Address
License#
MECHANICAL COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRENT Y/
Address
License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
YIN
Address
License# Ii
RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, €
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sill Fence installed.
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page:(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsile,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction
ERI9ffHF& FEffr(&.. fFFf{FfFFEFfFpfE[rryEgr{fEiEHEN6EER₹[SIEEEt[7E�EREEfE�f#',EfEEEF7 Directions: ifiREtwfeFiEftlfEfiffftER
ll nr a caon sign completely
Owner&Contractor sign back of application.notarized
-. If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) iT tT�r+ T
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized IetterlPDc1'A ternd9lf2Hj�96A,Tj,OF FLORIDA
OVER THE COUNTER PERMITTING (Front of Application Only) 11--L '1�.G L. Wood
Ij l f a
Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) s
Driveways-Not over Counter if on public roadways needs ROW S l',;:'�: 1:3iU(i #i)D�+38391
fir;5: JUNE 07, 2009
Bonded Ihru Atlantic Bonuing Co.,Inc.
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting --
Owner's Name I Owner Phone Number
Owner's Address I Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS I LOT# I
SUBDIVISION I PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED a NEW CONSTR e ADD/ALT = SIGN = MOVE = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER
DESCRIPTION OF WORK
BUILDING SIZE I SQ FOOTAGE I HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
= ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
0
PLUMBING $
= MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
= GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO
1111-1111 IIpIuI,I,Il,,uInhl,_J),IIuuI
BUILDER COMPANYI CZly 6
( ei7 I
SIGNATURE REGISTERED I Y'/ N I FEE CURRENT IY/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE -."`REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ FEE CURRENT /
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/N
Address License# I
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities& 1,dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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 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. 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.
TRANSPORTATION 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 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
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 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'SIOWNER'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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater 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 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 permit issued under the attached permit 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 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
the job is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, \
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS
AN EMENT ATTORNEY BEFORE YOUR PROPERTY. IF YOU INTEND T
BEFORE RECORDING YOUR NO F MMENCEMENT.
WITH YOUR LENDER
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Su abed a s to(or affi e
Subscribed and sworn to(or affirmed)before me this _��ej� by
by Who is/ a per a or has/have produced
Who is/are personally known to me or has have produced as identification.
as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
ed, rinted or stamped Name of Notary typed,printed ed .1'2I1.a 00
Name of Notary typ P r0 l T11SSlOR 1)Du3F�3 i
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 No.: /J
Plan No.: @ —Or1 Contractor:�,r/G /
Business Name: Billing Address:
fr' A5 Li-
Business Address:
Business Phone No.: Billing Phone N .
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
8 Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C
Mufti-Famiy/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 $50 6th Alarm $200
0-25 Heads $50 violations corrected) atural Gas COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50
STANDPIPE SYSTEM Hydra 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
0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual
Wet $50 OTHER Waste Tire Storage $50 Annual
Dry $50 Fire Wall/Smoke Wall $15 per II Generator<KW $100
CO2 $50 LP Gas $25 per tank Generator>30 KW 150
Other $50 atural Gas 25 sstem Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
Hood/Ducts $50 Tent 10x19 or greater $15 per tent Torch Pot/Applied $50
HOTHER Fire Pump $45 Haz.Materials $100 Annual
LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance -
(Per Tank) Exhaust Hood/Duct $30
Natural Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
Spray Booth $50 Inspection scheduled DBL
and cancelled less than
24 hours
8 Construction Insp. N/C
Emergency Vehicle Ac' $50 FALSE ALARM
PLANS TOTAL INSPECTION TOTAL J____
PERMIT TOTAL[ TOTAL��
GRAND TOTAL
Comments:
Date: D
Ins%ctor: k7 rj,t1 , Z,
Zephyrhills Fire Rescue
6907 Dairy Road,Zephyrhills,FL 33542
Fire Marshal Bus (813)780-0041
Kerry Barnett Fax (813)780-0044
Plan Review#: 08-093
Project: Publix
August 12,2008
I have reviewed and approved the plans for a gas line installation located at the Publix in
Zephyr Commons. 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 if it is in a vehicular area.
2. Carbon monoxide detectors shall be installed in areas where natural gas is located.
3. Penetrations through any firewalls shall be properly sealed with a UL listed
method. That method shall be given to the Fire Marshal at the time of the pressure
test.
Inspections required:
1. Pressure Test
2. Final
KERRY ,FIRE MARSHAL