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HomeMy WebLinkAbout09-9165 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9165 LP /NATURAL GAS PERMIT . , Permit Number: 9165 Address: 38430 A AVE Permit Type: LP /NATURAL GAS ZEPHYRHILLS, FL. Class of Work: FIRE -LP /NATURAL GAS Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MOORES FIRST ADDITION Est. Value: Parcel Number: 14- 26 -21- 0010 - 01600 -0000 Improv. Cost: 250.00 Date Issued: 6/02/2009 Name: CITY OF ZEPHYRHILLS Total Fees: Address: PO BOX 1264 Amount Paid: ZEPHYRHILLS, FL. 33539 Date Paid: Phone: (813)997 -1641 Work Desc: INSTALLATION NATURAL GAS -FEE WAIVED PER FM BAHR'S PROPANE GAS & C INC 7 , 1 yiC r yY 7 " a im vi -:� - r _ - *r 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." Ib CONTRACTOR SIGNATURE a 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 Jacqueline Boges From: Kerry Barnett Sent: Monday, June 08, 2009 7:22 AM To: Jacqueline Boges You can clear the Bahrs propane for the scout hut. Kerry Barnett Fire Marshal Zephyrhills Fire Rescue Zephyrhills, Fl 33542 813- 780 -0041 (c) 813 - 714 -6326 kbarnett@fire.zephyrhills.fl.us 1 tr q ( ( 5 . , 813- 780 -0020 City of Zephyrhills Fire Fax - 813 -780 -0021 Permit Application Date Received 20 " �` 0 Phone Contact for Permit ei 3 7S'a mod/ Owner's Name � ) _..���. / y/ � 1 Owner's Phone Number 1 ?�3 11997H/64/11 / I e l9' f 2f , ,o•A�"h /1(J- . y 0 Owner's Address 1P0 /30 / S'', 2-A,"5- - 6666 W// Jter ) (& s ,- J Fee Simple Titleholder Name I ( Titleholder Phone Number I I Fee Simple Titleholder Address I " a➢!.k�t 4 : '' '« ' .L -. p Fe, . / - 'O 1I� n ,�Q L / T/ . Job Address I 3 O / c1� # J� ,9ue . 2ephyrhdi F - 335 ., 1 s, Lot # Sub Division I AO SC c�i€ / f' Id Parcel # I �9 �p . -/ 46/ 5 Q /6eo QL OI ".:'2x'Ym�.��.i �-'u *s.�.'c�. ,.,3�.�:i';aw.� .... :, , +z „, '- '��S,±cY ^cf�+?? ... m,,: w,.. ., �:; a:: x' sA: �` :w°,�,4:= �>;Y�,,.�s..v'.;,..�a 3::�..,»�a:;su?'Nsx. ....ia,4:' >rxr.._sk �'Y;F �s.r°v.. '.`,.v!✓ �5f. cat=�?srre«±eF= w:�r.��_3n.: ;a'.w t;,�rr: 0 Bio-Hazard Waste Storage - ANNUAL ED Hazardous Material (Tier II or RQ Facility) ANNUAL . E Comm Exhaust Kitchen Hood /Duct 0 (9"/Natural Installation Controlled Bum ®(7 /Natural Gas - Installation El Emergency Generator < 30 kw El LP /Natural Gas - ANNUAL Sale El Emergency Generator > 30 kw n Places of Assembly- ANNUAL El Fire Protection Maintenance - ANNUAL El Recreational Bum Pr Mrli l MI L•i M Sprinkler Li ❑ ❑ ❑ in Sparklers Fire Alarm E ❑ ❑ ❑ I I n Sprinkler System Installations Hood Cleaning 0 ❑ ❑ ❑ I I = Standpipes (Sprinkler Sys) Hood Suppression LI ❑ ❑ ❑ I 1 El Torch Roofing/Tar Kettle LJ Fire Alarm Installation Waste Tire Storage ANNUAL R Fire Pumps Fire Works El Flammable Application- ANNUAL ( 15?' ( Valuation of Project Fuel Tanks 0 Other: I 'r�'�+➢:ti .: •. �v�. by d.+aek.:'�`v"r.. ., MY_�” :+£§L.. � m "AY..,e k�:'+3AFsrY a�F: "..�1rt,,.,1x. �, E,:..:t E&C. ;f3Ni.+.ro.�c}}3'3 ' Contractor Company I Signature Registered Y/ N I Fee Current I Y/ N I Address 1 I License # ( I ELECTRICIAN Company I Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # ( I PLUMBER Company Signature Registered ( Y / N I Fee Current I Y / N I Address I I License # I MECHANICAL Company I Signature Registered Y/ N I Fee Current I Y/ N I Address I I License # I OTHER Company r /-'O -r7NP Signature Il a- "7 - / / am= ) Registered r Fee Current ram -- r Address License # ST/ re l7 l 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) • 'ND T ICE;,DF:DEEDRESTRICTIONS: The undersigned understands that this permit maybe'subject :t eed °restrictions" .which may more restrictive than County regulations. The:undersigned.assumes responsibility.for c ompliat�e'wtth an .applicable deed restrictions. UNLICENSED 'CONTRACTORS AND 'CONTRACTOR RESPONSIBILITIES: If - the owner has -hired-ra- contractor or - - contractors to undertake work, they may be required be licensed in accordance with state and local 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 intendedwork, they are advised to contact the:Pasco County Building Inspection Division— Licensing Section:at 727 -847- 8009. f=urthermore, 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 which will be responsible. If you, as owner sign as the contractor, that may be an indication - that he is not .properly licensed and is not entitled -permitting .privileges in Pasco County. CONSTRUCTION .LIEN LAW (Chapter713, Florida Statutes, .as: e nde d ): If Construction of on Len Law— Homeowmer's certify that 1, the applicant, have .been. provided -with -a copy and Consumer Affairs. If the applicant is someone Protection Guide" prepared by Florida Department of Agriculture e above described document and promise in good faith to other than the "owner", I certify that ,I have obtained a copy deliver itito the "owner" prior to commencement. CONTRACTOR'S/OWNER'S •AFFIDA1Rf: 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 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 . govemment agencies may apply tothe .intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If I am the AGENT'FORTHE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. lash or other installations not of specifically hn ludedrei required the electrical n� plumbing, signs, welts, pools, air conditioning, 9 se a any p construed i io license , nor shall suance of a permit prevent the Building violate, Official from thereafter the work and not as authority to requiring aside any provi o the technical requiring a correction of emer in such permit s violations cmmencedwithin. six months of permit issuance, u or d if work authorized by unless m the work p authorized r b ndo p period of six (6) months after the time. the work is commenced. An extension the permit is suspended or abandoned for a p may be requested, in writing, from the Building Official. for a period o not o ve days, the job i90) ddays a nd nd wll demon justifiable cause for the extension. If work ceases for ninety (90) WARNING OWNER: YOUR ENTSTO 'YOUR PROPERTY. IF YOU INTE ND TO OBTAIN F IN IN PAYING TWICE IC E FOR IMPROVEM IC WITH YOUR LENDER OR AN ATTORNEY.BEFDRE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDAi;JURA7 (F .S. 117.03) G 0 `-� �3- � -q'-�_ CONTRACTOR �} +!� / OWNER DR AGENT before me 3hisglD "' ))A�C Subscribed sworn to (or before me this .)c> � /3i/ 3�hsMibedand.swot- orafitrm � a1 6-h - o i4 h ✓ ed)• W h o � fly ken me or has/have produced yy ,._ au. rso I ma i dehas cats on. produced as identification. as irt tlficati / i # 1 � . , �_ • , „t, Notary Public N, . • ea 4 / N o tary Public - ` �� Co isslon No. D ` J / Co �ission No. 1 " t , D A I'L i J N ame of N= , .,_:. � ab ell Name Y j y a ' . Campbell Commission # DD452619 Commission # DD452619 Expires: JULY 19, 2009 • Expires: JULY 19, 2009 B onded `Piro Atlantic Bonding Co., tee, B onded 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 No.: Plan No.: �r Contractor: i / .S , / -_ Business Name: sue: Billing Address: ��74� Business Address: / G 5T /' e ` r- 5 5 a___ Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: _ PLAN REVIEW FEES __ INSPECTION FEES PERMIT FEE FALSE ALARM FEE _ Site Plan N/C _ Annual N/C Sprinkler $50 1 1st Alarm N/C _ Multi - Family/Commercial .06 sf _ 1st Re- inspection N/C Standpipes $50 , 2nd Alarm N/C (Minimum Charge $25.00 _ 2nd Re- inspection $100 Fire Pump $50 111 3rd Alarm N/C El 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 P Gas V 1 6th Alarm $200 _ 0 - 25 Heads $50 violations corrected) Natural Gas ..0 , NON COMPLIANCE $150 _ 26 plus Heads $100 — SPRINKLER SYSTEMS Fuel Tanks- per tank $50 STANDPIPE SYSTEM _ Hydro Undergrounds $45 Sparklers $100 0 Per Riser $50 _ Hydrostatic 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 _ 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 ire WaIl/Smoke Wall $15 , .II Generator < KW $100 _ CO2 $50 LP Gas 450 nk Generator >30 KW 150 Other $50 Natural Gas per system Bio -Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 E I Hood/Ducts $50 , Tent 10'x10' or greater $15 per tent Torch Pot/Applied $50 OTHER , Fire Pump $45 Haz. Materials $100 Annual NI P Installation per tank , Fire Suppression $30 41 Fuel Tank Installation System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 ❑ Natural Gas Installation $50 Re - inspection DBL (Per System) (other than annual) El Spray Booth $50 ❑ Inspection scheduled DBL El and cancelled less than _ 24 hours _ Construction Insp. N/C _--- _Emergency Vehicle A $50 FALSE ALARM PLANS TOTAL INSPECTION TOTp PERMIT TOTAL TOTAL GRAND TOTAL Comments: ' 17�� Date: --1 - r' / 6 � j J (�`O / ° / - / InspActor: L, Allte "'i — Ll Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnett @fire.zephyrhills.fl.us ........................ _ ................ . Plan Review #: 09 -0038 Project: Propane Tank Installation Number of Pages: 1 Date: May 27, 2009 I have received and reviewed the plans for the 250 gallon ASME tank installation located at the Scout Hut ( "A" Ave & 6 St). This project will be allowed to move forward with comments made below. Fee has been waived, however by receiving permit, contractor acknowledges complying with the following items below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Cylinder shall not be in contact with the soil and shall follow Chapter 6.3.3 (NFPA 58) on supports and foundations that tank will be located on. Inspections Required: 1. Pressure Test (Gauge shall be left in place to be witnessed by Fire Marshal) 2. Final Ade KE' ' " BARNETT, 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. , . . . • AlIGN EIRAI; ( pRop m r,,,,, gi AND . gMfY LAN LS RR HAE 'VE BEEN REVIEWED _ Airko ,' : HAL'S OFFICE c.ffirce /988 813-787e501-3 Aigiv..i.K.- — .' eviewer. _.....1 , 4441 \ ilLm Rod - 7ephyrhills. H. 3354'' . Fax: (X Ill) 7S3-127 I , 13 ' ( 0, r F (,..--(.: , - _, _ ),-. , s ,.....• 1-.1 4 I AI 6:4 4 I -- X LO' L11 6,411 ' x )'1 1 jc 1 1_ ________________.______ 1 7 1 t i • hs g ...-- i , , ..----' ) 1 ,./Ii 6 Ill 5 ____ / ...S- 4.. s , cl c. c ..,.." i / , H , 5 1.1 c . ' ,.: s 5 .... .- •;- i : , )* r) 7" — ic,-. I-- ,...,,,_, il , ,_ ......c.. c ..9- Tr - 7 q /4 /1- 5 FA ) 5. AL 0 '4 11. Tr< L f.)/,'-x tio',.. i3,4 ri '4C- J <•.. 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