HomeMy WebLinkAbout08-7850 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 7850
LP/NATURAL GAS PERMIT
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Permit Number: 7850 Address: 6951 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:
Improv. Cost: 700.00 $'n
Date Issued: 5/13/2008 Name: , NABERS JEWELERS/TOM VANATER .
Total Fees: 125.00 Address: 6951 GALL BLVD
Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/13/2008 Phone:
Work Desc: SET LP GAS & PIPE 3/8 COOPER
BAHR'S PROPANE GAS& C, INC. GAS FEE
50.00 FIRE PLAN REVIEW FEES 50.00
FIRE INSPECTION FEES 25.00
/ /fj11
a i!IIiiFIRE 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 Y UR NOTICE OF COMMENCEMENT."
a.,
CONT C 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 1a;, g�T Fax-813-780-0021
Building Department i%' fD
Date Received — O V Phone Contact for PermittinJ I I -- J-r U
Owner's Name Phi//,12 ///I/ / _L/v'd Owner Phone Number
Owner's Address I á95f !! uGT Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address__
JOB ADDRESS &9�� t≤ 4// IS (u AgerS �/ ��` LOT# ��
SUBDIVISION PARCEL ID# C ' `-� i_ oiv,
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE E DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR COMM jJ OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL OTHER
DESCRIPTION OF WORK Sep L1 6s 7 Nk / e /8" 6 'r _10 lwe/ers 01€42
BUILDING SIZE SQ FOOTAGE I HEIGHT
Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION
LII ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
0 PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS 100'' [jr] ROOFING u SPECIALTY [ ] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES QNO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ NI FEE CURRENT Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I_YINI FEE CURRENT Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I_Y/ NI FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I_YINI FEE CURRENT Y/N
Address II
I License#
n
OTHER j)(J COMPANY !T►[1 j'5 ro l�Ne
SIGNATURE //�� [[ REGISTERED Y/ N FEE CURRENT Y/N
Address / //71 eN 2 ni 33J�4I/ License# If
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/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)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/Silt Fence installed,
Sanitary Facilities&I 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
: The ned understands that ject to"deed"whichNOTICE DEED RESTRICTION County regulations. The undersigned this
responsibility for compliance restrictions"
with any
which may be more restrictive than 9
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 f new b undersigned d unders change n s
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction
f
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. Bayheads, Wetland Areas, Altering
- Southwest Florida Water Management District-Wells, Cypress Y
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 materialis " will be submitted at time ofpermitti g which ii d that a drainage
s p epa edby aprofessioa addressing
professional Weer
"compensating volume
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 filthe l ill not owner may rbel cited for violating
y affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,
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 coon. I in good u understath to nd thatnaorm separate permit may be owner of the e requiittingred
condited forlelectr cal work,
this affidavit prior to commencing construction.
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the applicatioer, or
n.
permit issued shall be construed to be a license nor shall issuance with
the
of a permitprevent the hBuilding Official from therority to violate, cancel, teafter
set aside any provisions of the technical codes,
requiring a correction of errors in plans, commenced
tmmenced violations
within six any
monthscodes.
of permit permit
nce,uordif work shall
become
authorized by
unless the work authorized by such permit is
the permit is suspended or abandoned fo period
ri d Official fo six r perio) hs after d not the
ninety days and will demonstrate
may be requested, in writing, from the Building
the ob is considered abandoned.
illdemonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT F Y RESULT
EUT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN• WITH YOUR LENDER OR O A ORNEY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT.
FLORIDA JURAT(F . 117.03)
CONTRACTOR
OWNER OR AGENT Subribed ands rn to or affirme befor me,tt1iS.
Subscribed and savor o(or affirmed)before me this y
by Who is/a n no io—me or has/have produced
Who is! era personally known to me or has/have produced as identification.
as identification.
Notary Public
Notary Public
Commission IE S.SWETLAND
Commission No. _' :_ commissi
ed, d or amped Name of Notary 22,2012
Name of Notary typ Printe st BondedThruTmyFenlrouranoeB00-3&5,7019
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780-0041
Kerry Barnett Fax (813) 780-0044
May 9, 2008
Plan Review Comments
I have reviewed and approved the plans for a LP gas installation located at 6951 Gall
Blvd. (Nabers Jewlers). 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 from vehicular protection even though
on concrete sidewalk area.
2. A carbon monoxide detector is recommended to be installed.
Inspections required:
1. Pressure Test
2. Final
NOTE: Call building department to schedule above inspections.
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813)780-0041 Fax (813)780-0044
Fire Chief Keith Williams
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: — Contractor:
Billing Address: / , 7
Business Name:
Business Address: Billing Phone No..
Business Phone No.: Billing Fax No.:
Business Fax No.: Contact:
Contact:
PERMIT FEE FALSE ALARM FEE
PLAN REVIEW FEES INSPECTION FEES
N/C Annual N/C Sprinkler $50 1st Alarm we
e Plan fl 2nd Alarm N/C
ni- at .06 sf 11 1st Re-inspection N/C Standpipes $50
ini u ha 2nd Re-inspection $100 Fire Pump $50 11 3rd Alarm N/C
DBL. 3rd Re-inspection $250 Hoods $50 11 4th Alarm $100
fj
ewslons Sth Alarm $150
4th Re-Inspection $500 F'a Alarm
LP Gas 6th Alarm $200
SPRINKLER SYSTEMS (Business clued until 8 NON COMPLIANCE $150
0-25 Heads $50 violations corrected) Natural Gas
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50
STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $1�
0 Per Riser $50 flHydrostatic Test $65 per system Fire Works $500
FIRE PUMP - Acceptance Test $45 per system Camp Fire $25
fl Per Pump $100 Hydrant Flow $75 Controlled Bum $100
Hood/Duct $50
FIRE ALARM SYSTEM
8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS 8 Recall Acceptance $50 Flammable Application $50 Annual
Wet $50 OTHER Waste Tire Storage $50 Annual
Dry $50fl Fire Wall/Smoke Wall $15 per wall Generator<KW $100
CO2 $50 LP Gas per tank Generator>30 KW 150
Other $50 U Natural Gas per m Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
Hood/Ducts $50 Tent 10'x10 or greater $15 per tent Torch Pot/Applied $50
OTHER Fire Pump $45 Haz.Materials $100 Annual
LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 8 Exhaust Hood/Duct $30
Natural Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
Spray Booth $50 fl Inspection scheduled DBL 8
and cancelled less than
24 hours
8 Construction Insp. N/C
Emergency Vehicle Ac i $50 / FALSE ALARM
PLANS TOTAL INSPECTION TOTAL[1 (
PERMIT TOTAL TOTAL ALARM____
GRAND TOTAL
Comments:
Date:
Inspctor: r7/ J7' <__
BAHR'S— —"&n:Jz -
PROPANE GAS & A/C, INC. COPY
SALES • SERVICE • REPAIR• INSTALLATION WORK ORDER#/SERV ICEMAN EST
DATE/TIME TAKEN 04/29/08 14:01
4441 Allen Rd. •Zephyrhills, FL 33541
(813) 782-5013 TAKEN BY ASHLEY 01
DATE/TIME PROMISED
CUSTOMER#/LOCATION 14008
PHONE# 813-780-6101 0
)TES: P'HONE2# 813-780-8157 F
CONTACT TOM VANATER
ROUTE/SEG? EST
ABERS JEWELERS NABERS S . ,S
951 GALL BLVD 695 1J1
EPHYRHILLS I LLS FL 33542 Z1 e� F 33542
kztt�:.
t t,•a
tr S.
. , v
Start End Time Flow Lock Up System 'MRidgul Reg lator> ''Regula°r' Regulator
Pressure Pressure Held Pressure Pressure OK * dt onJ4 _ —pdql—Single Stage
In. W.C. In. W.C. In. W.C. v6�.+�1;� kt,,, "?.
Two 1st PSIG PSIG PSIG PSIG
Stage ram
2nd In. W.C. In. W.C. In. W.C.
rr U � J�
Work Performed:IA/..1/4 L a` co/% L CEI /4,A ,GI 70 LJe W S
Cill� Use W, ,MULi I-(/A[.L/E' 100.3kCYG1A1j0 n•,, Description Code Amount Jo L. Gas 02 l�3• /
Tank Lease 10
12
Labor
290
Material 14
Qty. Part# Description Appliance
15
Sub-Total ),
Tax 3
v n Total Due
AMOUNT RECEIVED
I have authorized and have authority to order the work as outlined above.I agree to pay all costs as represented in this document.If these charges are turned
over for collection, I agree to pay reasonable attorney's fees if this invoice is placed in the hands of an attorney or collection agency for collection.
Customer Signature Date Technician's Signature Tech#
FILE COPY
05/09/.20,08 .11:33 8137831374 BAHR'S PROPANE GAS PAGE 01/01
• . 4rrM; xl4i / fi s/lRAJ oPFjcJ
2 �T'
PROPANE GAS
AND A/C >INC..
Y466 7988 6_13-7132.50f3-
• 4441 Allen Road - .Zephyrhills, FL 33542
Fax: (813) 783-1374
S / - iOO C�GWot Z J2uA /0 PSI Al�u � J wt4 s "rzc
S64,M L4s f VWN4 0 oi6l4 CJ Z,IA16 W i7M co . /4312D
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10 GO&LO�rz�70 PlAr j ,p
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)coCYL)NOL• - y'�caAi�C
Dennis Krouse r!� �� ^� ` .•
Bahr's Propane Gas&A/C
4441 Allen Road '/ b
Office(81113)7823 0513 /ozk'ln)( I V 9.04arz °�
Fax (813)783-1374
cell (813)714-4754
05-12-2008 11:30AM FROM-JAMERSON MCLEAN 407 366 8508 T-436 P.001/001 F-356
ACORITV
CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDo1YYrr)
PRODUCER 05112/2008
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Jamelson McLean Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O.Box 621149 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
825 Executive Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Oviedo FL 32762 Phone:407-366.3482 INSURERS AFFORDING COVERAGE
INSURED Bahrs Propane Gas&Air Conditioning,Inc. NAIL#
4441 Allen Road INSURER A: UNITED STATES FIRE INSURANCE CO. 21113
INSURER a: Zenith Insurance Com an 00984
2ephyrhllls FL 33541 INSURER C:
INSURER 0:
COVERAGES INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR D
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
GENERAL LIABILITY R LIMITS
A X COMMERCIAL GENERAL LIABILY 506-363612-8 EACH OCCURRENCE S 1000000
0910112007 09101/2008 DAMAGE TO RENTED s 100 000
CLAIMS MADE OCCUR
MED EXP An 0116 o, 5,000
PERSONAL&ADV INJURY S 1 000 000
GENERAL AGGREGATE ; 000 000 GENL AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC PRODUCTS.COMP10P AGG s 2,000,000
AUTOMOBILE UABUJTY
A X ANY AUTO 506.863612.8 09/0112007 0910112008 (EaaM dent)SINGLE LIMIT $1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY(Per Paraon)
X HIRED AUTOS
X NON-OWNED AUTOS BODILY INJURY S
X COMP DED$1000 (Par ax10en1)
X C0LL DED$2,000 PROPERTY DAMAGE
(Per e=0enq S
GARAGE LIABILITY
ANY AUTO
AUTO ONLY-EA ACCIDENT S
- H OTHER THAN EAACC $
AUTO ONLY AGG S
ExCEss/uMBRELLq LIABILITY
OCCUR EACH OCCURRENCE
CLAIMS MADE
AGGREGATE
FHDEDUCTIBLE $
RETENTION $ S
WORKERS COMPENSATION AND S
B EMPLOYERS'LIABILITY WC ST FR
0TH.
ANY PROPRIETORIPARTNERIEXECUTIVE 2836554608 0511112008 0511112009 E.L.EACH ACCIDENT s 500,000
OFFICERAIEMBER EXCLUDED9
II ea'000OnDe„ny� EL.DISEASE-EA EMPLOYEES 500 000
sr'EdIAL PROViSIONS 6a1ow
OTHER E.L DISEASE-POLICY LIMIT S 500,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEE EXPIRATION
City of Zephyhills DATE THEREOF,THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30
DAYS WRITTEN
FAX#813.780.0021 THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,rrS AGENTS OR
NOTICE TO
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE I- - -
ACORD 25(2001108)
ACORD CORPORATION 198i